J Korean Orthop Assoc.  1978 Sep;13(3):463-466. 10.4055/jkoa.1978.13.3.463.

A Case of Slipped Femoral Capital Epiphysis

• KIm SS
• Kim HS
• Lim I

• KMID: 2460356
• DOI: http://doi.org/10.4055/jkoa.1978.13.3.463

Abstract

Slipped femoral capital epiphysis is the condition in which the femoral head begins to slip gradually off the femoral neck. After first discription of Ambrose Pare(1572), the world literature has presented many cases, usually more than one hundred in each clinic. Its incidence in Korea, however, is extremely rare and particularly it is difficult to find out the report of typical case. The author reports here a typical case of billateral slipped femoral capital epiphysis in a 17 year old boy with symptom duration of 2 years on right side and 6 months on left side. Physical examination showed his body stature to be normal and his genital organs to have no abnormalities. However, both hips revealed severe pain and limited range of motion, especially in internal rotation and abduction, which restricted his normal gait. Operative reduction of epiphysio-cervical distorsion was successful in the left hip. After skeletal traction of the left hip, an anatomical repositioning by intraarticular wedge rection osteotomy was maintained by 3 Knowles pins. 3 months postoperatively he resumed partial weight bearing on his left hip with little pain and improved range of motion. Further restoration of function can reasonably be expected.

MeSH Terms

Epiphyses*
Femur Neck
Gait
Genitalia
Head
Hip
Humans
Incidence
Korea
Male
Osteotomy
Physical Examination
Range of Motion, Articular
Traction
Weight-Bearing