{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:57:58Z","timestamp":1785437878631,"version":"3.56.0"},"reference-count":14,"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>\n                      A 13-year-old boy presented with a painful limp for 2 weeks without trauma and guarded (L) hip movements with spasm. Radiographs revealed a valgus slipped capital femoral epiphysis (SCFE) of the left hip with generalized osteosclerosis. Elevated serum calcium, phosphate, and parathyroid hormone levels were noted. Whole-exome sequencing identified a homozygous\n                      <jats:italic toggle=\"yes\">FGF23<\/jats:italic>\n                      variant, confirming hyperphosphatemic tumoral calcinosis. He was managed with phosphate binders, dietary restriction, and in situ fixation of both hips. At the 2-year follow-up, alignment and function were normal.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Association of valgus SCFE with metabolic or sclerosing bone dysplasia requires careful assessment to achieve favorable outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.26.00054","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:01:03Z","timestamp":1785434463000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Valgus Slipped Capital Femoral Epiphysis Associated With Osteosclerotic Dysplasia Due to Hyperphosphatemic Tumoral Calcinosis"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3241-262X","authenticated-orcid":false,"given":"Jonathan","family":"Reddy","sequence":"first","affiliation":[{"name":"Department of Pediatric Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siddarth","family":"Kamath","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9442-4258","authenticated-orcid":false,"given":"Kumar Amerendra","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2940-3108","authenticated-orcid":false,"given":"Hitesh","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7]]},"reference":[{"issue":"issue 6, supplement 1 suppl 1","key":"bib1-20260730","doi-asserted-by":"crossref","first-page":"S23","DOI":"10.1097\/BPO.0000000000001369","article-title":"Natural history of slipped capital femoral epiphysis","volume":"39","author":"Mathew","year":"2019","journal-title":"J Pediatr Orthop."},{"issue":"5","key":"bib2-20260730","doi-asserted-by":"crossref","first-page":"e20181067","DOI":"10.1542\/peds.2018-1067","article-title":"Childhood obesity and slipped capital femoral 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