Journal of pediatric orthopedics
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Slippage of the upper femoral epiphysis can occur in association with multiple endocrine imbalances. This report documents the second case of primary parathyroid adenoma with hyperparathyroidism and symptomatic concomitant slipped capital femoral epiphyses. In the evaluation of children with slipped capital femoral epiphysis, care must be taken to eliminate other treatable disease states that are known to be associated with this phenomenon. The capital femoral physes in this child with hyperparathyroidism promptly closed following removal of the parathyroid adenoma.
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Four cases of unusual complications following traumatic dislocation of the hip in children are presented along with a review of the literature. All patients presented with posterior or posterosuperior dislocations, and two had associated pelvic or acetabular fractures. One patient had a small, shallow acetabulum caused by premature closure of the triradiate cartilage and damage to the superior gluteal nerve. ⋯ One patient presented with a previously unrecognized fracture dislocation. Two patients presented with recurrent dislocations, one with a posterior capsular defect indicated by arthrography. The patient with this defect was treated with surgical repair, whereas the other patient was treated nonsurgically.