SLIPPED CAPITAL FEMORAL EPIPHYSES IN A PATIENT WITH PRIMARY HYPERPARATHYROIDISM

Slipped capital femoral epiphyses are rarely associated with primary h yperparathyroidism, and only four cases have been documented in the En glish literature. We report such a case. A 13-year-old boy presented w ith bilateral slipped capital femoral epiphyses. Investigation showed that he had primary hyperparathyroidism due to a parathyroid adenoma. The adenoma was removed, and then the epiphyses were pinned in situ 3 weeks later. The pins were removed 3 months postoperatively when the p hyses had closed. The patient had a painless hip 1 year later at follo w-up. We concluded that identification and excision of the hyperparath yroid adenoma and In situ pinning of the slipped epiphyses results in satisfactory treatment of the condition.