Slipped Capital Femoral Epiphysis Associated with Congenital Coxa Vara: A Case Report
Year: 2026
Type: article
Abstract: Introduction: Congenital coxa vara is a rare deformity of the proximal femur characterized by a decreased femoral neck-shaft angle and increased vertical orientation of the proximal femoral physis. We report a case of slipped capital femoral epiphysis (SCFE) in a pre-adolescent child with bilateral congenital coxa vara. Case Report: A girl presented with an out-toeing gait at 8 years and 2 months of age. Plain radiographs showed bilateral coxa vara, widening and displacement of the right proximal femoral physis, and a triangular metaphyseal fragment. The Hilgenreiner-epiphyseal angle was 76° on the right and 59° on the left. Magnetic resonance imaging showed signal changes on the right consistent with chronic SCFE, with no evident slip on the left. Bilateral in situ pinning was performed at 9 years and 10 months of age. Post-operatively, weight bearing on the right side was restricted using an ischial weight-bearing orthosis, whereas weight bearing was allowed on the left side. Union of the triangular metaphyseal fragment was confirmed on the right at 3 months and on the left at 6 months. Because of skeletal growth, screw exchange was performed 1 year and 3 months after surgery, and the screws were removed at 14 years and 3 months of age after physeal closure associated with skeletal maturity. At the final follow-up at 14 years and 4 months of age, she had no pain, had a normal gait, and was able to participate in dance activities. Conclusion: We report a case of SCFE associated with congenital coxa vara. In this case, a favorable mid-term outcome was achieved with bilateral in situ pinning and careful post-operative weight-bearing management.
Institutions: University of Tsukuba, Tsukuba Medical Center Hospital
Language: English
Topic: Hip disorders and treatments
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $250
OpenAlex ID: W7225580922
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