{
  "abstract": "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. 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. 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.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthopaedic Surgery, University of Tsukuba, Tsukuba, Japan.",
    "Department of Orthopaedic Surgery, Tsukuba Medical Center, Tsukuba, Japan.",
    "Chiba Child and Adult Orthopaedic Clinic, Chiba, Japan."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Shunsuke Ikezawa",
      "orcid": "0009-0003-7328-0031"
    },
    {
      "affs": [
        0
      ],
      "name": "Hiroshi Kamada",
      "orcid": "0000-0003-4976-6683"
    },
    {
      "affs": [
        0
      ],
      "name": "Yuta Tsukagoshi",
      "orcid": "0000-0003-4080-2828"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Yohei Tomaru",
      "orcid": "0000-0002-5693-3366"
    },
    {
      "affs": [
        0
      ],
      "name": "Tomofumi Nishino",
      "orcid": "0000-0002-6755-4900"
    },
    {
      "affs": [
        0
      ],
      "name": "Yasuhiro Homma",
      "orcid": "0000-0002-7891-3024"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/4wg7hx030v2f1.bib",
  "cited_by": 0,
  "doi": "10.13107/jocr.2026.v16.i11.8444",
  "fulltext_url": "https://europepmc.org/articles/PMC13740833",
  "id": "4wg7hx030v2f1",
  "issns": [
    "2250-0685",
    "2321-3817"
  ],
  "landing_url": "https://europepmc.org/article/MED/42997058",
  "language": "eng",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Hip disorders and treatments"
    ]
  ],
  "openalex": "W7225580922",
  "pdf_url": "https://europepmc.org/articles/PMC13740833?pdf=render",
  "pmcid": "PMC13740833",
  "pmid": "42997058",
  "published": "2026-11-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/4wg7hx030v2f1.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42997058",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42997058"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Hip disorders and treatments",
      "subfield": "surgery"
    }
  ],
  "title": "Slipped Capital Femoral Epiphysis Associated with Congenital Coxa Vara: A Case Report.",
  "title_text": "Slipped Capital Femoral Epiphysis Associated with Congenital Coxa Vara: A Case Report.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:34Z",
  "url": "https://research.draconitic.com/paper/4wg7hx030v2f1",
  "venue": "Journal of orthopaedic case reports",
  "versions": []
}