King Saud Bin Abdul-Aziz University for Health Sciences,Saudi Arabia
Anas A. Alghamdi has completed the Bachelor's of Medicine from college of medicine of King Saud University at Riyadh, Saudi Arabia. Membership of Saudi Diabetes & Endocrine Association. Currently on postgraduation residency training program at King Fahad Medical City.
The aim of reporting this case is to highlight the association of two disorders: primary hyperparathyroidism and slipped capital femoral epiphysis. They are usually seen in two different age groups and rarely together. Primary hyperparathyroidism is a rare cause of slipped capital femoral epiphysis and only ten cases have been reported in the literature worldwide. The patient in our report is a 13-year-old girl who presented to our clinic with bilateral knee pain and a waddling gait. Subsequent investigations showed that she had primary hyperparathyroidism and slipped capital femoral epiphysis with low bone mass. On admission, a parathyroidectomy was performed; then, the slipped femoral epiphyses were fixed with satisfactory results. A systematic algorithmic approach that was illustrated in a previously published case was used. Such cases should be managed in a systematic approach based on the patient’s clinical status to prevent future morbidity. A literature review was conducted by performing a Medline search of all reported cases of primary hyperparathyroidism and slipped capital femoral epiphyses.