ArticleJournal of orthopaedic case reports2026
A 5-Year Outcome of Closed Reduction and Screw Fixation for an Atypical Slipped Capital Femoral Epiphysis Associated with Hypogonadism: A Case Report.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Slipped capital femoral epiphysis (SCFE) generally occurs during adolescence; however, atypical cases linked to endocrine dysfunctions such as hypogonadism are uncommon and require a multidisciplinary approach. Case Report: A 17-year-old adolescent presented with a 2-week history of right hip pain and restricted mobility. He had a body mass index of 40 kg/m² and short stature (140 cm). Radiographs confirmed SCFE. Endocrine work-up revealed hypogonadism. Initial traction for 3 days was followed by closed reduction and internal fixation with cannulated cancellous screws. The patient was advised to be non-weight-bearing for 6 months. Concurrent hormonal therapy for hypogonadism resulted in improved skeletal maturation. Result: At the 5-year follow-up, the physis had fused completely with excellent functional recovery. Conclusion: Combined orthopedic stabilisation and endocrine management can yield excellent long-term outcomes in atypical SCFE.
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