{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:50:34Z","timestamp":1787755834529,"version":"build-2784847793"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report a 15-year-old boy with primary hyperparathyroidism and hypercalcemia, caused by a parathyroid adenoma, identified during evaluation for slipped capital femoral epiphyses (SCFEs). Atypical SCFE presentation, including late pubertal presentation, nephrolithiasis, and normal BMI, prompted metabolic investigation. Hypercalcemia was managed with fluids, calcitonin, pamidronate, and cinacalcet, followed by parathyroidectomy and SCFE surgery, leading to normalized calcium levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case highlights the importance of metabolic evaluation in SCFE patients with an atypical presentation as addressing endocrine abnormalities can optimize outcomes and prevent complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00240","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T19:00:13Z","timestamp":1757617213000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Slipped Capital Femoral Epiphysis Associated with 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Missouri,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9071-7202","authenticated-orcid":false,"given":"Caleb","family":"Grote","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Children's Mercy Adele Hall, Kansas City, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7]]},"reference":[{"issue":"4","key":"bib1-20250911","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1097\/01241398-200107000-00013","article-title":"Clinical characteristics of children with atypical and idiopathic slipped capital femoral epiphysis: description of the age\u2013weight test and implications for further diagnostic investigation","volume":"21","author":"Loder","year":"2001","journal-title":"J Pediatr 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