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Primary hyperparathyroidism presenting as slipped capital femoral epiphysis
  1. Gautam Kumar1,
  2. Vivek Mathew2,
  3. Julio Chacko Kandathil3,
  4. Bipin Theruvil1
  1. 1Orthopaedics, VPS Lakeshore Hospital and Research Centre, Kochi, India
  2. 2Endocrinology, VPS Lakeshore Hospital and Research Centre, Kochi, India
  3. 3Radiology, VPS Lakeshore Hospital and Research Centre, Kochi, India
  1. Correspondence to Dr Bipin Theruvil, Department of Orthopaedics, VPS Lakeshore Hospital, Kochi, India; theruvil{at}gmail.com

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A 15-year-old boy presented with insidious onset bilateral thigh pain for 6 months. Examination of hips showed restricted internal rotation. Pelvis radiograph (figure 1) showed bilateral slipped capital femoral epiphysis (SCFE) with subchondral bone resorption in right inferior pubic rami and ilium . Hand radiograph (figure 2) showed subperiosteal bone resorption along the radial aspect of middle phalanges.

Figure 1

Anteroposterior view of pelvis shows whole epiphysis lying inferior to the line (Klein’s line) suggestive of SCFE. In normal hip, one-third of physis should be above the line. Subperiosteal resorption along the ilium (black arrow) …

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