背景:滑脱股骨骨phy(SCFE)是小儿骨科的常见疾病。大多数关于SCFE的研究都集中在高危人群或整个人群上,针对成年SCFE患者的研究很少。在本研究中,我们报告一例成人SCFE患者。
方法:一名37岁的男子出现在我们的诊所,他的两个臀部的持续性疼痛都很差,腹股沟区域,和大腿超过1年。
方法:进行双侧髋部X线检查,发现股骨干两侧未融合。低水平的生长激素(GH),胰岛素样生长因子-1(IGF-1),三碘甲状腺原氨酸(T3),甲状腺素(T4),促卵泡激素,黄体生成素,雌二醇,和睾丸激素,和高水平的促甲状腺激素,催乳素,和皮质醇。
方法:规定了激素替代疗法(左甲状腺素钠治疗甲状腺功能减退,庚酸睾酮治疗性腺功能减退)。进行全髋关节置换术以治疗股骨骨phy滑脱。
结果:术后6个月随访,患者的步态明显改善,双侧髋部疼痛缓解。
结论:当使用SCFE治疗成人时,临床医生必须警惕内分泌失调。全面的影像学评估对于准确诊断和选择适当的治疗方法至关重要。
BACKGROUND: Slipped capital femoral epiphysis (SCFE) is a common disease in pediatric orthopedics. Most research on SCFE has focused on high-risk groups or the whole population, and studies focusing on adult SCFE patients are rare. In the present study, we report the case of an adult patient with SCFE.
METHODS: A 37-year-old man presented to our clinic with persistent pain that was poorly localized to both hips, groin regions, and thighs for more than 1 year.
METHODS: A bilateral hip X-ray examination was performed, and the femoral epiphyses were found to be unfused on both sides. Low levels of growth hormone (GH), insulin-like growth factor-1 (IGF-1), triiodothyronine (T3), thyroxine (T4), follicle-stimulating hormone, luteinizing hormone, estradiol, and testosterone, and high levels of thyroid-stimulating hormone, prolactin, and cortisol.
METHODS: Hormone-substitution therapies (levothyroxine sodium to treat hypothyroidism and testosterone enanthate to treat hypogonadism) were prescribed. Total hip arthroplasty was performed to treat femoral epiphysis slippage.
RESULTS: After 6 months of postoperative follow-up, the patient\'s gait improved significantly, and bilateral hip pain was relieved.
CONCLUSIONS: When treating adults with SCFE, clinicians must be alert to endocrine disorders. Comprehensive imaging evaluation is crucial for the accurate diagnosis and selection of an appropriate treatment.