An uncommon cause for hip pain and limping

Slipped capital femoral epiphysis (SCFE) is characterized by displacement of the capital femoral epiphysis from the femoral neck. An 18-year-old male presented with left hip pain and a limping gait, following a trivial trauma. Radiological examination revealed bilateral SCFE. Clinically and biochemi...

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Bibliographic Details
Published in:Journal of family medicine and primary care 2015-07, Vol.4 (3), p.468-469
Main Authors: Shetty, Sahana, Sathyakumar, Samantha, Kapoor, Nitin, Paul, Thomas Vizhalil
Format: Article
Language:English
Subjects:
Care and treatment
Case Report
Case studies
Diagnosis
Hip fractures
Hypopituitarism
macroprolactinoma
slipped capital femoral epiphysis
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Summary:Slipped capital femoral epiphysis (SCFE) is characterized by displacement of the capital femoral epiphysis from the femoral neck. An 18-year-old male presented with left hip pain and a limping gait, following a trivial trauma. Radiological examination revealed bilateral SCFE. Clinically and biochemically, he had features of hypopituitarism. His prolactin levels were high and magnetic resonance imaging (MRI) scan showed a pituitary macroadenoma, suggesting a diagnosis of macroprolactinoma causing hypopituitarism and presenting as SCFE. He was started on dopamine agonist cabergoline as well as thyroxine and glucocorticoid replacement treatment. He was also scheduled for an orthopedic surgical procedure for his SCFE.
ISSN:2249-4863
2278-7135
DOI:10.4103/2249-4863.161357