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Osteonecrosis After Contralateral in Situ Prophylactic Pinning for a Slipped Capital Femoral Epiphysis

A Case Report

Chargui, Moez, MD1,a; Dhouib, Amira, MD2; Esposito, Fabiana, MD2; Spyropoulou, Vasiliki, MD2; Steiger, Christina, MD2; Dayer, Romain, MD2; Ceroni, Dimitri2

doi: 10.2106/JBJS.CC.17.00200
Case Reports
Disclosures

Case: We report the case of an 11-year-old girl who developed osteonecrosis of the femoral head in the radiographically normal, asymptomatic left hip that had been fixed prophylactically in the context of a slipped capital femoral epiphysis (SCFE) that had been detected on the contralateral hip. The etiology of the osteonecrosis remains unknown.

Conclusion: This case report demonstrates that prophylactic fixation of a radiographically normal, asymptomatic hip in the context of an SCFE on the contralateral side has the potential for substantial complications. Therefore, the risk of osteonecrosis in the prophylactically pinned hip should be carefully considered because this complication may have devastating functional consequences.

1Orthopedic Service, Regional Hospital of Neuchâtel, Neuchâtel, Switzerland

2Department of Radiology (A.D.), Pediatric Emergency Service (F.E. and V.S.), and Pediatric Orthopaedic Service (C.S., R.D., and D.C.), University Hospital of Geneva, Geneva, Switzerland

aE-mail address for M. Chargui: charguimoez@gmail.com

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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