Abstract
We present a familial case of valgus slipped capital femoral epiphysis (SCFE). Charts of members of the same family having the condition were retrieved. Clinical and radiological examinations were conducted after 10 years of the initial presentation and treatment. Two siblings, brother and sister, were initially diagnosed with valgus SCFE and treated surgically. Normal clinical examination was found for both siblings and both, treated and untreated hips. A radiological examination for the parents revealed signs of valgus SCFE in both hips of the mother. No association with metabolic, hormonal or neurological conditions was found. The review of the literature demonstrated that varus SCFE has a strong familial tendency. Our case series would suggest that, as in the classical SCFE, genetic inheritance could also be a contributing factor to valgus SCFE. Future radiological studies are needed to look for the true incidence of valgus SCFE in first- and second-degree relatives.
Similar content being viewed by others
References
Müller W (1926) Die Entstehung von Coxa valga durch Epiphysenverschiebung. Beitr Z Klin Chir 137:148–164
Loder RT, O’Donnell PW, Didelot WP et al (2006) Valgus slipped capital femoral epiphysis. J Pediatr Orthop 26:594–600
Koczewski P (2013) Valgus slipped capital femoral epiphysis. J Pediatr Orthop B 22(6):548–552
Shank CF, Thiel EJ, Klingele KE (2010) Valgus slipped capital femoral epiphysis: prevalence, presentation and treatment options. J Pediatr Orthop 30:140–146
Docquier PL, Mousny M, Jouret M et al (2004) Orthopaedic concerns in children with growth hormone therapy. Acta Orthop Belg 70:299–305
Aronsson DD, Loder RT, Breur GJ et al (2006) Slipped capital femoral epiphysis: current concepts. J Am Acad Orthop Surg 14:666–679
Venkatadass K, Shetty AP, Rajasekaran S (2011) Valgus slipped capital femoral epiphysis: report of two cases and a comprehensive review of literature. J Pediatr Orthop B 20:291–294
Segal LS, Weitzel PP, Davidson R (1996) Valgus slipped capital femoral epiphysis. Fact or fiction? Clin Orthop Relat Res 322:91–98
Klein A, Joplin RJ, Reidy JA et al (1952) Slipped capital femoral epiphysis. Early diagnosis and treatment facilitated by normal roentgenograms. J Bone Joint Surg Am 34:233–239
Aronson DD, Loder RT (1992) Slipped capital femoral epiphysis in black children. J Pediatr Orthop 12:74–79
Hägglund G, Hansson LI, Ordeberg G (1984) Epidemiology of slipped capital femoral epiphysis in southern Sweden. Clin Orthop Relat Res 191:82–94
Ninomiya S, Nagasaka Y, Tagawa H (1976) Slipped capital femoral epiphysis. A study of 68 cases in the eastern half area of Japan. Clin Orthop Relat Res 119:172–176
Rennie AM (1967) Familial slipped upper femoral epiphysis. J Bone Joint Surg Br 49(3):535–539
Gorin RL (1977) Slipped capital femoral epiphyses in identical twins: report of case. J Am Osteopath Assoc 77(2):124–128
Gajraj HA (1986) Slipped capital femoral epiphyses in identical twins. J Bone Joint Surg Br 68(4):653–654
Bednarz PA, Stanitski CL (1998) Slipped capital femoral epiphysis in identical twins: HLA predisposition. Orthopedics 21(12):1291–1293
Allen CPF, Calvert PT (1990) Simultaneous slipped upper femoral epiphysis in identical twins. J Bone Joint Surg Br 72:928–929
Flores M, Satish SG, Key T (2006) Slipped capital femoral epiphysis in identical twins: is there an HLA predisposition? Report of a case and review of the literature. Bull Hosp Jt Dis 63(3–4):158–160
Skelley NW, Papp DF, Leu D et al (2011) Three cases of slipped capital femoral epiphysis in one family. Orthopedics 34(8):e408–e412
Hägglund G, Hansson LI, Sandström S (1986) Familial slipped capital femoral epiphysis. Acta Orthop Scand 57(6):510–512
Fittig O (1990) Die Epiphysenlosung des Schenkelhalses und ihre Folgen. Arch klin Chir 89:912–948
Griffith MJ (1976) Slipping of the capital femoral epiphysis. Ann Roy Coll Surg Engl 58:34–42
Loder RT, Nechleba J, Sanders JO et al (2005) Idiopathic slipped capital femoral epiphysis in Amish children. J Bone Joint Surg Am 87(3):543–549
Chung CH, Ko KR, Kim JH et al (2019) Clinical and radiographic characteristics of atypical slipped capital femoral epiphysis. J Pediatr Orthop. https://doi.org/10.1097/bpo.0000000000001339
Yngve D, Moulton D, Evans E (2005) Valgus slipped capital femoral epiphysis. J Pediatr Orthop B 14(3):172–176
Shea K, Apel P, Hutt N et al (2007) Valgus slipped capital femoral epiphysis without posterior displacement: two case reports. J Pediatr Orthop B 16(3):201–203
Kalhor M, Gharanizadeh K, Rego P et al (2018) Valgus slipped capital femoral epiphysis: pathophysiology of motion and results of intracapsular realignment. J Orthop Trauma 32(Suppl 1):S5–S11
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
Ethical approval was obtained from the institutional board.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Assi, C., Mansour, J., Samaha, C. et al. A familial case series of valgus slipped capital femoral epiphysis. Eur J Orthop Surg Traumatol 29, 1461–1466 (2019). https://doi.org/10.1007/s00590-019-02472-w
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00590-019-02472-w