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A Rare Combination of Legg-Calve Perthes’ Disease and Slipped Capital Femoral Epiphysis in the Same Child: A Case Report and Literature Review

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Author(s): Annapureddy S R, Parkar A A H, Williamson D M

Journal: Journal of Orthopaedics
ISSN 0972-978X

Volume: 6;
Issue: 3;
Date: 2007;
Original page

Keywords: Legg-Calvé Perthes | Disease | Slipped Capital Femoral Epiphysis | Osteotomy | Retroversion | Rotational mal-alignment.

ABSTRACT
Legg-Calvé Perthes’ disease and Slipped Capital Femoral Epiphysis (SCFE) in the same child occur very rarely. Only eight such cases have been reported in the literature. We report a case of SCFE occurring in a patient with Perthes’ disease who also had proximal femoral osteotomy for the correction of rotational mal-alignment.Also, going through the literature it seems likely that slippage of proximal femoral epiphysis after previous Perthes’ disease in the contra lateral hip is most likely a coincidental occurrence. We believe this case highlights a rare but important clinical scenario which can have serious consequences for the patient if not identified and treated appropriately
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