{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:40:03Z","timestamp":1756276803427,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,7,12]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>Perthes disease and slipped capital femoral epiphysis (SCFE) in the same child is a rare occurrence. A 7-year-old boy with the left hip Perthes\u2019 disease was managed with femur osteotomy. The femur head healed with a spherical congruent hip. After 3\u2009years, he developed right tibia vara which was treated with growth modulation. The deformity was corrected after one and a half years. At age of 15 years, he presented with left side painful limp and typical features of SCFE. The left hip was managed with modified Dunn\u2019s osteotomy. The hip range of movements was painless and near-normal range at final follow-up. Though this is the first case of ipsilateral SCFE following healed Perthes in a non-syndromic child, one must always consider SCFE in adolescents with hip or knee pain or altered gait, even if they have had other conditions like Perthes disease in the past.<\/jats:p>","DOI":"10.1136\/bcr-2021-243977","type":"journal-article","created":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T13:35:26Z","timestamp":1627047326000},"page":"e243977","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Slipped capital femoral epiphysis in a healed Perthes hip"],"prefix":"10.1136","volume":"14","author":[{"given":"Kumar Amerendra","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Pediatric Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arkesh","family":"Madegowda","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Kasturba Medical College, Mangalore, Manipal Academy of Higher Eduction, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2940-3108","authenticated-orcid":false,"given":"Hitesh","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,7,23]]},"reference":[{"key":"2025082622583533000_14.7.e243977.1","doi-asserted-by":"publisher","DOI":"10.1542\/pir.2017-0197"},{"key":"2025082622583533000_14.7.e243977.2","doi-asserted-by":"crossref","first-page":"280","DOI":"10.2106\/00004623-197557020-00030","article-title":"Legg-Calv\u00e9-Perthes disease coexistent with slipped capital femoral epiphysis. A case report","volume":"57","author":"Crawford","year":"1975","journal-title":"J Bone Joint Surg Am"},{"key":"2025082622583533000_14.7.e243977.3","doi-asserted-by":"crossref","first-page":"666","DOI":"10.2106\/00004623-194931030-00030","article-title":"Legg-Perthes disease and slipped epiphysis in the same patient; a case report","volume":"31A","author":"Markheim","year":"1949","journal-title":"J Bone Joint Surg Am"},{"key":"2025082622583533000_14.7.e243977.4","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1097\/01241398-198701000-00012","article-title":"Coexistent Legg-Calv\u00e9-Perthes disease and slipped capital femoral epiphysis in the same child","volume":"7","author":"Graziano","year":"1987","journal-title":"J Pediatr Orthop"},{"key":"2025082622583533000_14.7.e243977.5","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.3928\/0147-7447-19920901-14","article-title":"Legg-Calve-Perthes disease and slipping of the capital femoral epiphysis in the same child","volume":"15","author":"Ruoff","year":"1992","journal-title":"Orthopedics"},{"key":"2025082622583533000_14.7.e243977.6","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/S0030-5898(20)31501-7","article-title":"Cheilectomy of the hip","volume":"11","author":"McKay","year":"1980","journal-title":"Orthop Clin North Am"},{"key":"2025082622583533000_14.7.e243977.7","article-title":"Does early and aggressive management of significant extrusion of the femoral head affect the outcome of Perthes' disease with the age of onset younger than 7 years?","author":"Singh","year":"2021","journal-title":"Musculoskelet Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-243977","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T05:58:45Z","timestamp":1756274325000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-243977"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":7,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2021,7,23]]},"published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1136\/bcr-2021-243977"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-243977","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}