Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2024 Feb 13;2024(2):rjae058.
doi: 10.1093/jscr/rjae058. eCollection 2024 Feb.

Slipped capital femoral epiphysis in a 5-year-old boy with cerebral palsy on valproic acid and levetiracetam for epilepsy: a case report

Osama R Aldhafian  1
Affiliations
Case Reports

Slipped capital femoral epiphysis in a 5-year-old boy with cerebral palsy on valproic acid and levetiracetam for epilepsy: a case report

Osama R Aldhafian. J Surg Case Rep. .

Abstract

This study presents a rare case of unilateral slipped capital femoral epiphysis treated surgically in a 5-year-old boy with cerebral palsy who was born at 27 weeks' gestation and developed grade III intraventricular haemorrhage and periventricular leucomalacia and was on antiepileptic drugs, including valproic acid and levetiracetam for >3 years. The patient had no history of endocrine, renal, and significant familial diseases.

Keywords: cerebral palsy; hip pain; levetiracetam; slipped capital femoral epiphysis; valproic acid.

PubMed Disclaimer

Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
Pelvic anterior–posterior radiograph showing coxa valga deformity in the left hip.
Figure 2
Figure 2
Pelvic anterior–posterior radiograph showing SCFE in the right hip, with Klein’s line not intersecting the capital femoral epiphysis
Figure 3
Figure 3
Pelvic frog-leg lateral view radiograph showing Southwick’s slip angle 50° in the right hip.
Figure 4
Figure 4
Pelvic anterior–posterior radiograph immediately after in situ fixation with single cannulate screw.
Figure 5
Figure 5
Six weeks following post-operative fixation: (A) pelvic anterior–posterior radiograph and (B) pelvic frog-leg lateral view radiograph.
Figure 6
Figure 6
Pelvic anterior–posterior radiograph, 3 months following post-operative fixation.
Figure 7
Figure 7
Pelvic anterior–posterior radiograph, 15 months following post-operative fixation.
Figure 8
Figure 8
Right hip anterior–posterior radiograph, 36 months following post-operative fixation.
See this image and copyright information in PMC

References

    1. Hagglund G, Hannson LI, Sandström S. Slipped capital femoral epiphysis in southern Sweden. Long-term results after nailing/pinning. Clin Orthop Relat Res 1987;217:190–200. 10.1097/00003086-198704000-00017. - DOI - PubMed
    1. Lehmann CL, Arons RR, Loder RT, et al. The epidemiology of slipped capital femoral epiphysis: an update. J Pediatr Orthop 2006;26:286–90. 10.1097/01.bpo.0000217718.10728.70. - DOI - PubMed
    1. Moorefield WG Jr, Urbaniak JR, Ogden WS, et al. Acquired hypothyroidism and slipped capital femoral epiphysis. Report of three cases. J Bone Joint Surg Am 1976;58:705–8. 10.2106/00004623-197658050-00023. - DOI - PubMed
    1. Blethen SL, Rundle AC. Slipped capital femoral epiphysis in children treated with growth hormone. A summary of the National Cooperative Growth Study experience. Horm Res 1996;46:113–6. 10.1159/000185006. - DOI - PubMed
    1. Loder RT, Hensinger RN. Slipped capital femoral epiphysis associated with renal failure osteodystrophy. J Pediatr Orthop 1997;17:205–11. 10.1097/00004694-199703000-00013. - DOI - PubMed

Publication types