Growth Plate Fracture in a 29-Year-Old Man-A Case Report

Hsu-Wei Chiu ； Jiunn-Diann Lin ； Anne Chang ； Chih-Tsueng He ； Chung-Ze Wu

《Formosan Journal of Endocrinology and Metabolism》 11卷1期 (2020/06) Pp. 22-27

https://doi.org/10.6856/FJEM.202006_11(1).0004

摘要

Background: Growth plate fracture is common in children or teens but rare in adults. Various hormones contribute to growth plate disclosure and bone growth during puberty. Methods: We reported a non-traumatic growth plate fracture of femoral head in a 29-year-old man with panhypopituitarism. Results: The patient had a history of craniopharyngioma and received operation twice in his teenage. He did not take any medicine after surgery. He had painful disability of left lower limb in his adulthood. Image studies showed growth plate fracture of left femoral head. A series of measurements of circulating hormones disclosed a panhypopituitarium state, and physical examinations showed major clinical features of hypogonadism. After internal fixation, he received testosterone, cortisol and thyroxine supplement. Conclusion: In patients with panhypopituitarium in teenage, supplement of the hormonal insufficiency, especially sex hormones, is necessary for growth plate closure, bone mineral density and skeletal structure.

關鍵字

panhypopituitarism ； hypogonadism ； growth plate fracture ； testosterone replacement