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Slipped Capital Femoral Epiphysis in a Young Man With Panhypopituitarism

Fajar, Laura MD*; Páramo, Concepción PhD*; Casterás, Anna MD*; Mantiñán, Beatriz MD*; Luna, Reyes PhD*; Troya, Pablo PhD†; García-Mayor, Ricardo PhD*

doi: 10.1097/TEN.0b013e3181fc2a58
Case Report
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Slipped capital femoral epiphysis typically occurs during periods of high-bone growth and growth plate weakening especially in puberty. It is rare after 16 to 18 years of age. If it does occur, causes of bone age delay should be evaluated. Clinical suspicion is very important in patients with pain in the hip, thigh, or knee. Delayed diagnosis is associated with more complications.

We present a 19-year-old man with panhypopituitarism secondary to a craniopharyngioma, who developed pain in the left hip and knee that proved to be a slipped femoral capital epiphysis. We discuss the factors involved in the late appearance of this problem.

From the Departments of *Endocrinology and Nutrition, and †Orthopaedic, University Hospital of Vigo, Vigo, Spain.

Reprints: Laura Fajar, MD, Pizarro 22, Vigo, Galicia 36204 Spain. E-mail: laura.fajar@gmail.com.

© 2010 Lippincott Williams & Wilkins, Inc.