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Slipped capital femoral epiphysis: a population-based study
Bengt Herngren1, Margaretha Stenmarker2, Ludek Vavruch3
1Department of Clinical Sciences Lund, Orthopaedics Department of Orthopaedics, Ryhov county hospital, Lund University, SE-551 85, Jonkoping, Sweden. Bengt.Herngren@med.lu.se.
BMC Musculoskeletal Disorders
|July 20, 2017
Summary
This study analyzed slipped capital femoral epiphysis (SCFE) in Swedish children from 2007-2013. Findings show increased incidence in girls and highlight the role of obesity and delayed diagnosis in SCFE.
Area of Science:
- Pediatric Orthopedics
- Epidemiology
- Pediatric Hip Disorders
Background:
- Slipped capital femoral epiphysis (SCFE) is the most common hip disorder in children aged 9-15 years.
- This study presents the epidemiology of SCFE in Sweden.
Purpose of the Study:
- To present the epidemiology of SCFE in Sweden between 2007 and 2013.
- To analyze demographic data, slip severity, and surgical procedures for pediatric SCFE cases.
Main Methods:
- Prospective cohort study analyzing pre- and postoperative radiographs and medical records.
- Inclusion of all children treated for SCFE in Sweden from 2007-2013.
- Data collection on demographics, slip severity, and surgical interventions.
Main Results:
- 379 children identified with primary SCFE (162 girls, 217 boys).
- Average annual incidence: 4.4/10000 girls, 5.7/10000 boys (9-15 years).
- Obesity/overweight: 56% girls, 76% boys. Hip/groin pain (66%) or knee pain (12%) as initial symptoms. Bilateral SCFE at presentation: 7%.
Conclusions:
- Mild increase in SCFE incidence for girls noted from 2007-2013.
- Lower male-to-female ratio compared to previous data.
- Obesity is a key factor, especially in boys; knee pain delays diagnosis. Most Swedish hospitals treat fewer than 2 SCFE cases annually.
