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Slipped capital femoral epiphysis caused by neurogenic heterotopic ossification

Chang, Sam Yeola; Yoo, Won Joona; Park, Moon Seokb; Chung, Chin Youbb; Choi, In Hoa; Cho, Tae-Joona

Journal of Pediatric Orthopaedics B: November 2013 - Volume 22 - Issue 6 - p 553–556
doi: 10.1097/BPB.0b013e3283654d50
Hip & Femur

Slipped capital femoral epiphysis (SCFE) is rare in nonambulatory patients, as mechanical factors play important roles in the development of the disease. We report a case of SCFE, which occurred in a 12-year-old girl with a nonambulatory status after cerebral infarction. SCFE occurred after she received passive range of motion exercise and extracorporeal shock wave treatment for neurogenic heterotopic ossification around the hip joint. The patient was successfully managed by a stepwise approach, with radiological and clinical improvements.

aDivision of Pediatric Orthopaedics, Seoul National University Children’s Hospital, Seoul

bDepartment of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, Republic of Korea

Correspondence to Tae-Joon Cho, MD, Division of Pediatric Orthopaedics, Seoul National University Children’s Hospital, 101 Daehang-ro Jongno-gu, Seoul 110-744, Republic of Korea Tel: +82 2 2072 2878; fax: +82 2 745 3367; e-mail: tjcho@snu.ac.kr

© 2013 by Lippincott Williams & Wilkins, Inc.