| Journal of Medical Case Reports | |
| Slipped capital femoral epiphysis and hypothyroidism in a young adult: a case report | |
| Hugo Vilchis1  Eric Harb1  Danao Marquez1  | |
| [1] Departamento de Ortopedia, Hospital General “Dr. Manuel Gea González”, Secretaria de Salud México, 4800 Calzada de Tlalpan, Seccion XVI, Tlalpan, DF 14080, México | |
| 关键词: Slipped; Hypothyroidism; Femoral; Female; Epiphysis; Capital; Adult; | |
| Others : 1231496 DOI : 10.1186/1752-1947-8-336 |
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| received in 2014-03-20, accepted in 2014-07-12, 发布年份 2014 | |
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【 摘 要 】
Introduction
Slipped capital femoral epiphysis is the most common hip disorder affecting the adolescent population, usually individuals between 8 and 15 years old. However, there are few case reports of older patients in the literature to date. It is believed that the etiology is multifactorial and may include obesity, trauma and, less frequently, endocrine pathologies comprising hypothyroidism, hypogonadism and panhypopituitarism.
Case presentation
We present the case of a 28-year-old Latino woman diagnosed with hypothyroidism secondary to arachnoidocele associated with skeletal immaturity and slipped capital femoral epiphysis.
Conclusions
It is important to conduct clinical and radiographic studies in these patients to rule out endocrine pathologies, especially hypothyroidism in those of sexual maturity.
【 授权许可】
2014 Marquez et al.; licensee BioMed Central Ltd.
【 预 览 】
| Files | Size | Format | View |
|---|---|---|---|
| 20151109183549461.pdf | 1139KB | ||
| Figure 6. | 59KB | Image | |
| Figure 5. | 136KB | Image | |
| Figure 4. | 49KB | Image | |
| Figure 3. | 65KB | Image | |
| Figure 2. | 56KB | Image | |
| Figure 1. | 63KB | Image |
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【 参考文献 】
- [1]Loder RT: Slipped capital femoral epiphysis. Am Fam Physician 1998, 57:2135-2142. 2148–2150. A published erratum appears in Am Fam Physician 1998, 58:52
- [2]Gholve PA, Cameron DB, Millis MB: Slipped capital femoral epiphysis update. Curr Opin Pediatr 2009, 21:39-45.
- [3]Heyerman W, Weiner D: Slipped epiphysis associated with hypothyroidism. J Pediatr Orthop 1984, 4:569-573.
- [4]Lehmann CL, Arons RR, Loder RT, Vitale MG: The epidemiology of slipped capital femoral epiphysis: an update. J Pediatr Orthop 2006, 26:286-290.
- [5]Loder RT: The demographics of slipped capital femoral epiphysis. An international multicenter study. Clin Orthop Relat Res 1996, 322:8-27.
- [6]Crawford AH: Slipped capital femoral epiphysis. J Bone Joint Surg Am 1988, 70:1422-1427.
- [7]AL-Aswad BI, Weinger JM, Schneider AB: Slipped capital femoral epiphysis in a 35-year-old man. Clin Orthop Relat Res 1978, 134:131-134.
- [8]Primiano GA, Hughston JC: Slipped capital femoral epiphysis in a true hypogonadal male (Klinefelter’s Mosaic XY/XXY). J Bone Joint Surg Am 1971, 53:597-601.
- [9]Loder RT, Wittenberg B, DeSilva G: Slipped capital femoral epiphysis associated with endocrine disorder. J Pediatr Orthop 1995, 15:349-356.
- [10]Wells D, King JD, Roe TF, Kaufman FR: Review of slipped capital femoral epiphysis associated with endocrine disease. J Pediatr Orthop 1993, 13:610-614.
- [11]Mann DC: Endocrine disorders and orthopedic problems in children. Curr Opin Pediatr 1996, 8:68-70.
- [12]Puri R, Smith CS, Malhotra D, Williams AJ, Owen R, Harris F: Slipped upper femoral epiphysis and primary juvenile hypothyroidism. J Bone Joint Surg Br 1985, 67-B:14-20.
- [13]Hirano T, Stamelos S, Harrivs V, Dumbovic N: Association of primary hypothyroidism and slipped capital femoral epiphysis. J Pediatr 1978, 93:262-264.
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