Case report shows excellent recovery from atypical slipped capital femoral epiphysis in an adolescent with hypogonadism, highlighting the importance of combined treatment.
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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Lingaiah et al. (2026) studied this question.
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