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Case report
Slipped capital femoral epiphysis in a healed Perthes hip
  1. Kumar Amerendra Singh1,
  2. Arkesh Madegowda2 and
  3. Hitesh Shah1
  1. 1Department of Pediatric Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
  2. 2Department of Orthopaedics, Kasturba Medical College, Mangalore, Manipal Academy of Higher Eduction, Manipal, Karnataka, India
  1. Correspondence to Professor Hitesh Shah; hiteshshah12{at}gmail.com

Abstract

Perthes disease and slipped capital femoral epiphysis (SCFE) in the same child is a rare occurrence. A 7-year-old boy with the left hip Perthes’ disease was managed with femur osteotomy. The femur head healed with a spherical congruent hip. After 3 years, he developed right tibia vara which was treated with growth modulation. The deformity was corrected after one and a half years. At age of 15 years, he presented with left side painful limp and typical features of SCFE. The left hip was managed with modified Dunn’s osteotomy. The hip range of movements was painless and near-normal range at final follow-up. Though this is the first case of ipsilateral SCFE following healed Perthes in a non-syndromic child, one must always consider SCFE in adolescents with hip or knee pain or altered gait, even if they have had other conditions like Perthes disease in the past.

  • orthopaedic and trauma surgery
  • groin pain

https://doi.org/10.1136/bcr-2021-243977

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    Footnotes

    • Contributors KAS was involved in planning, conduct, report and writing first draft of case report. AM was involved in planning, conduct, acquisition of data, editing first draft of report. HS was involved in conception, planning, reporting, analysis and interpretation, editing the final draft of report.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.