Slipped Capital Femoral Epiphysis Associated with Hyperparathyroidism: A Case Report.

Creator(s)

Hannah Geoffroy, Children's Mercy Kansas CityFollow
Haya Azouz, Children's Mercy Kansas CityFollow
Jennifer W. Boyd, Children's Mercy HospitalFollow
Caleb W. Grote, Children's Mercy Kansas CityFollow

Document Type

Article

Publication Date

9-11-2025

Identifier

DOI: 10.2106/JBJS.CC.25.00240

Abstract

CASE: We report a 15-year-old boy with primary hyperparathyroidism and hypercalcemia, caused by a parathyroid adenoma, identified during evaluation for slipped capital femoral epiphyses (SCFEs). Atypical SCFE presentation, including late pubertal presentation, nephrolithiasis, and normal BMI, prompted metabolic investigation. Hypercalcemia was managed with fluids, calcitonin, pamidronate, and cinacalcet, followed by parathyroidectomy and SCFE surgery, leading to normalized calcium levels.

CONCLUSION: This case highlights the importance of metabolic evaluation in SCFE patients with an atypical presentation as addressing endocrine abnormalities can optimize outcomes and prevent complications.

Journal Title

JBJS Case Connect

Volume

15

Issue

3

PubMed ID

40934337

Keywords

atypical SCFE; hypercalcemia; ndocrinopathies; parathyroid adenoma; pediatric hip disorders; slipped capital femoral epiphysis

Recommended Citation

Geoffroy H, Azouz H, Boyd J, Grote C. Slipped Capital Femoral Epiphysis Associated with Hyperparathyroidism: A Case Report. JBJS Case Connect. 2025;15(3):e25.00240. Published 2025 Sep 11. doi:10.2106/JBJS.CC.25.00240