Open AccessAn uncommon cause for hip pain and limping
Author(s) -
Sahana Shetty,
Samantha Sathyakumar,
Nitin Kapoor,
Thomas Paul
Publication year - 2015
Publication title -
journal of family medicine and primary care
Language(s) - English
Resource type - Journals
eISSN - 2278-7135
pISSN - 2249-4863
DOI - 10.4103/2249-4863.161357
Subject(s) - medicine , cabergoline , slipped capital femoral epiphysis , hypopituitarism , hip pain , magnetic resonance imaging , surgery , knee pain , femoral neck , orthopedic surgery , epiphysis , radiology , osteoarthritis , prolactin , femoral head , hormone , osteoporosis , alternative medicine , pathology
Slipped capital femoral epiphysis (SCFE) is characterized by displacement of the capital femoral epiphysis from the femoral neck. An 18-year-old male presented with left hip pain and a limping gait, following a trivial trauma. Radiological examination revealed bilateral SCFE. Clinically and biochemically, he had features of hypopituitarism. His prolactin levels were high and magnetic resonance imaging (MRI) scan showed a pituitary macroadenoma, suggesting a diagnosis of macroprolactinoma causing hypopituitarism and presenting as SCFE. He was started on dopamine agonist cabergoline as well as thyroxine and glucocorticoid replacement treatment. He was also scheduled for an orthopedic surgical procedure for his SCFE.