Slipped Capital Femoral Epiphyses Complicating Renal Osteodystrophy: A Report of Three Cases

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Abstract
Three adolescents with bilateral slipped capital femoral epiphyses complicating renal disease are presented. In 1 case, the severity of the deformities necessitated bilateral total hip replacement. Pathological specimens were available for evaluation. In all 3 cases, epiphysiolysis was accompanied by severe subperiosteal reabsorption along the medial aspect of the femoral neck, widening of the cartilaginous growth plate and coxa vara. The radiographic diagnosis of a minimally displaced femoral epiphysis may precede the clinical symptoms. Early recognition of this complication is important, since the treatment of choice is prophylactic surgical stabilization before disabling deformities occur.

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