Slipped Capital Femoral Epiphysis (SCFE)
is well associated with an underlying endocrine pathology.
The clinical implication is multiplied: avoiding anesthesia
complication in SCFE surgical treatment, assessing the need
of prophylactic pinning at contralateral hip, and early detection
of underlying disease. This case report will discuss the lessons
learned from the management of endocrine-related SCFE with
coexisting pituitary tumor, along with the long-term clinical
Materials and methods
A 17-year-old male was diagnosed with unstable
SCFE and underwent in situ pinning of the femoral head using
3 cannulated screws.
Hormonal examination showed hypogonadism,
hyperprolactinemia, and growth hormone deficiency. Brain
scan displayed macroadenoma of pituitary gland. Five years
later, the patient reported overall satisfaction of the treatment.
Clinical manifestation of delayed sexual maturation was the result of deficiency of the sex hormones and also related to the pathogenesis of SCFE. It is recommended to screen for endocrine disorders in SCFEs patients.