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Primary hyperparathyroidism presenting as slipped capital femoral epiphysis

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A 15-year-old boy presented with insidious onset bilateral thigh pain for 6 months. Examination of hips showed restricted internal rotation. Pelvis radiograph (figure 1) showed bilateral slipped capital femoral epiphysis… Click to show full abstract

A 15-year-old boy presented with insidious onset bilateral thigh pain for 6 months. Examination of hips showed restricted internal rotation. Pelvis radiograph (figure 1) showed bilateral slipped capital femoral epiphysis (SCFE) with subchondral bone resorption in right inferior pubic rami and ilium . Hand radiograph (figure 2) showed subperiosteal bone resorption along the radial aspect of middle phalanges. Figure 1 Anteroposterior view of pelvis shows whole epiphysis lying inferior to the line (Klein’s line) suggestive of SCFE. In normal hip, one-third of physis should be above the line. Subperiosteal resorption along the ilium (black arrow) …

Keywords: primary hyperparathyroidism; epiphysis; slipped capital; femoral epiphysis; capital femoral

Journal Title: Postgraduate Medical Journal
Year Published: 2019

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