J Pediatr Orthop B. 2018 May;27(3):279-282. doi: 10.1097/BPB.0000000000000474.

Asynchronous slipped capital femoral epiphysis in a patient with a seizure disorder: case report and review of the literature.

Journal of pediatric orthopedics. Part B

Diana C Patterson, Andrew E Price

PMID: 28657919 DOI: 10.1097/BPB.0000000000000474

Abstract

Debate remains about the appropriate treatment of the asymptomatic side following treatment of a unilateral slipped capital femoral epiphysis (SCFE). A 12-year-old boy with a seizure disorder presented with an unstable SCFE on the left hip following a seizure. He underwent percutaneous pinning of the left only. At 8 months postoperatively, he returned with an unstable slip of the right hip, again following a seizure. No literature discussing the treatment of patients with risk of SCFE and seizure disorders was identified. Further study may identify an increased incidence of contralateral slip following an initial slip in this population. If a greater risk exists, contralateral prophylactic fixation at time of index surgery may be indicated.

MeSH terms

• Child
• Epilepsy / complications
• Epilepsy / diagnostic imaging
• Epilepsy / surgery
• Follow-Up Studies
• Humans
• Male
• Slipped Capital Femoral Epiphyses / diagnostic imaging
• Slipped Capital Femoral Epiphyses / etiology
• Slipped Capital Femoral Epiphyses / surgery

Publication Types

• Case Reports
• Journal Article
• Review