A 5-Year Outcome of Closed Reduction and Screw Fixation for an Atypical Slipped Capital Femoral Epiphysis Associated with Hypogonadism: A Case Report.

INTRODUCTION

Slipped capital femoral epiphysis (SCFE) generally occurs during adolescence; however, atypical cases linked to endocrine dysfunctions such as hypogonadism are uncommon and require a multidisciplinary approach.

CASE REPORT: A 17-year-old adolescent presented with a 2-week history of right hip pain and restricted mobility. He had a body mass index of 40 kg/m² and short stature (140 cm). Radiographs confirmed SCFE. Endocrine work-up revealed hypogonadism. Initial traction for 3 days was followed by closed reduction and internal fixation with cannulated cancellous screws. The patient was advised to be non-weight-bearing for 6 months. Concurrent hormonal therapy for hypogonadism resulted in improved skeletal maturation.

RESULT: At the 5-year follow-up, the physis had fused completely with excellent functional recovery.

CONCLUSION

Combined orthopedic stabilisation and endocrine management can yield excellent long-term outcomes in atypical SCFE.