Slipped capital femoral epiphysis : A population-based study
(2017) In BMC Musculoskeletal Disorders 18(1).- Abstract
Background: Slipped capital femoral epiphysis (SCFE) is the most common hip disorder in children 9-15 years old. This is a population-based study in Sweden presenting the epidemiology for SCFE. Methods: In a prospective cohort study, we analysed pre- and postoperative radiographs, medical records for all children treated for SCFE in Sweden 2007-2013, demographic data, severity of slip and surgical procedures performed. Results: We identified 379 Swedish children with primary SCFE 2007-2013; 162 girls, median age 11.7 (7.2-15.4) years, and 217 boys, median age 13 (3.8-17.7) years. The average annual incidence was 4.4/10000 for girls and 5.7/10000 for boys 9-15 years old. Obesity or overweight was found in 56% of the girls and in 76% of... (More)
Background: Slipped capital femoral epiphysis (SCFE) is the most common hip disorder in children 9-15 years old. This is a population-based study in Sweden presenting the epidemiology for SCFE. Methods: In a prospective cohort study, we analysed pre- and postoperative radiographs, medical records for all children treated for SCFE in Sweden 2007-2013, demographic data, severity of slip and surgical procedures performed. Results: We identified 379 Swedish children with primary SCFE 2007-2013; 162 girls, median age 11.7 (7.2-15.4) years, and 217 boys, median age 13 (3.8-17.7) years. The average annual incidence was 4.4/10000 for girls and 5.7/10000 for boys 9-15 years old. Obesity or overweight was found in 56% of the girls and in 76% of the boys. As an initial symptom, 66% of the children had hip/groin pain and 12% knee pain. At first presentation, 7% of the children had bilateral SCFE. Prophylactic fixation was performed in 43%. Of the remaining children, 21% later developed a contralateral slip. Fixation with implants permitting further growth was used in >90% of the children. Femoral neck osteotomy was performed for 11 hips. Conclusions: The annual average incidence 2007-2013 in Sweden showed a mild increase for girls. The male-to-female ratio was lower than previous regional data from Sweden. Overweight or obesity is one major characteristic for boys with SCFE but to a less extent for girls. Knee pain as initial symptom cause a delay in diagnosis. Most hospitals in Sweden treat <2 children annually.
(Less)
- author
- Herngren, Bengt LU ; Stenmarker, Margaretha ; Vavruch, Ludek and Hagglund, Gunnar LU
- organization
- publishing date
- 2017-07-18
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Epidemiology, Hip, Incidence, Slipped capital femoral epiphysis, Slipped upper femoral epiphysis
- in
- BMC Musculoskeletal Disorders
- volume
- 18
- issue
- 1
- article number
- 304
- publisher
- BioMed Central (BMC)
- external identifiers
-
- pmid:28720145
- wos:000405856000002
- scopus:85024499743
- ISSN
- 1471-2474
- DOI
- 10.1186/s12891-017-1665-3
- language
- English
- LU publication?
- yes
- id
- c4e37394-1368-4101-91a1-561052f40de7
- date added to LUP
- 2017-08-02 10:19:16
- date last changed
- 2024-09-17 05:16:19
@article{c4e37394-1368-4101-91a1-561052f40de7, abstract = {{<p>Background: Slipped capital femoral epiphysis (SCFE) is the most common hip disorder in children 9-15 years old. This is a population-based study in Sweden presenting the epidemiology for SCFE. Methods: In a prospective cohort study, we analysed pre- and postoperative radiographs, medical records for all children treated for SCFE in Sweden 2007-2013, demographic data, severity of slip and surgical procedures performed. Results: We identified 379 Swedish children with primary SCFE 2007-2013; 162 girls, median age 11.7 (7.2-15.4) years, and 217 boys, median age 13 (3.8-17.7) years. The average annual incidence was 4.4/10000 for girls and 5.7/10000 for boys 9-15 years old. Obesity or overweight was found in 56% of the girls and in 76% of the boys. As an initial symptom, 66% of the children had hip/groin pain and 12% knee pain. At first presentation, 7% of the children had bilateral SCFE. Prophylactic fixation was performed in 43%. Of the remaining children, 21% later developed a contralateral slip. Fixation with implants permitting further growth was used in >90% of the children. Femoral neck osteotomy was performed for 11 hips. Conclusions: The annual average incidence 2007-2013 in Sweden showed a mild increase for girls. The male-to-female ratio was lower than previous regional data from Sweden. Overweight or obesity is one major characteristic for boys with SCFE but to a less extent for girls. Knee pain as initial symptom cause a delay in diagnosis. Most hospitals in Sweden treat <2 children annually.</p>}}, author = {{Herngren, Bengt and Stenmarker, Margaretha and Vavruch, Ludek and Hagglund, Gunnar}}, issn = {{1471-2474}}, keywords = {{Epidemiology; Hip; Incidence; Slipped capital femoral epiphysis; Slipped upper femoral epiphysis}}, language = {{eng}}, month = {{07}}, number = {{1}}, publisher = {{BioMed Central (BMC)}}, series = {{BMC Musculoskeletal Disorders}}, title = {{Slipped capital femoral epiphysis : A population-based study}}, url = {{http://dx.doi.org/10.1186/s12891-017-1665-3}}, doi = {{10.1186/s12891-017-1665-3}}, volume = {{18}}, year = {{2017}}, }