Slipped Capital Femoral Epiphysis Associated with Congenital Coxa Vara: A Case Report.
- 1Department of Orthopaedic Surgery, University of Tsukuba, Tsukuba, Japan.
- 2Department of Orthopaedic Surgery, Tsukuba Medical Center, Tsukuba, Japan.
- 3Chiba Child and Adult Orthopaedic Clinic, Chiba, Japan.
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.
Related
- Current classification systems in slipped capital femoral epiphysis: Clinical relevance, limitations, and future directions
- Failure Modes of Screw Fixation in Slipped Capital Femoral Epiphysis: A Proposed Life-Cycle Classification
- Long-term results of the modified Dunn procedure in slipped capital femoral epiphysis : a minimum of ten-year follow-up
- Is there a difference between Fully Threaded and Partially Threaded Cannulated Screws for In Situ Pinning of Slipped Capital Femoral Epiphysis?
- Prophylactic Intramedullary Nailing Following Femoral Lengthening in Congenital Femoral Deficiency: A Retrospective Comparative Study
BibTeX
@article{ikezawa2026slipped,
title = {{Slipped Capital Femoral Epiphysis Associated with Congenital Coxa Vara: A Case Report.}},
author = {Shunsuke Ikezawa and Hiroshi Kamada and Yuta Tsukagoshi and Yohei Tomaru and Tomofumi Nishino and Yasuhiro Homma},
journal = {Journal of orthopaedic case reports},
year = {2026},
month = nov,
doi = {10.13107/jocr.2026.v16.i11.8444},
url = {https://europepmc.org/article/MED/42997058},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Slipped Capital Femoral Epiphysis Associated with Congenital Coxa Vara: A Case Report.
AU - Shunsuke Ikezawa
AU - Hiroshi Kamada
AU - Yuta Tsukagoshi
AU - Yohei Tomaru
AU - Tomofumi Nishino
AU - Yasuhiro Homma
PY - 2026
DA - 2026/11/01
JO - Journal of orthopaedic case reports
DO - 10.13107/jocr.2026.v16.i11.8444
UR - https://europepmc.org/article/MED/42997058
AB - 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.
SN - 2250-0685
SN - 2321-3817
ER -