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Slipped Capital Femoral Epiphysis in a 26-Month-Old Boy with Cerebral Palsy: A Case Report
Michael J DeRogatis1, Patrick J McGlone2, Christopher DeFrancesco3
1Department of Orthopaedic Surgery, St. Luke's University Hospital, Bethlehem, Pennsylvania.
Case:
A 26-month-old child with spastic quadriplegic cerebral palsy, TPN dependence, laryngomalacia, and G6PD deficiency presented with right hip pain with no known recent trauma. Imaging revealed a slipped capital femoral epiphysis (SCFE). The patient underwent hip irrigation and debridement for potential septic arthritis, with SCFE stabilized using buried 2.0 K-wires. A single-leg spica cast was applied. Follow-up showed symptom improvement and no SCFE progression.
Conclusion:
This is the first reported case of SCFE in a child aged younger than 3 years without seizure history. SCFE should be considered in high-risk young patients with metabolic conditions or prior radiation therapy, guided by detailed evaluation and imaging.
