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Slipped capital femoral epiphysis: a population-based study
Lund University, Sweden.
Ryhov County Hospital, Sweden.
Linköping University, Department of Clinical and Experimental Medicine, Neurosurgery. Linköping University, Faculty of Health Sciences.
Lund University, Sweden.
2017 (English)In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 18, article id 304Article in journal (Refereed) Published
Abstract [en]

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 amp;gt;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 amp;lt;2 children annually.

Place, publisher, year, edition, pages
BIOMED CENTRAL LTD , 2017. Vol. 18, article id 304
Keywords [en]
Epidemiology; Slipped capital femoral epiphysis; Incidence; Hip; Slipped upper femoral epiphysis
National Category
Orthopaedics
Identifiers
URN: urn:nbn:se:liu:diva-139553DOI: 10.1186/s12891-017-1665-3ISI: 000405856000002PubMedID: 28720145OAI: oai:DiVA.org:liu-139553DiVA, id: diva2:1130130
Note

Funding Agencies|Academy for Health and Care, Jonkoping County Council, Sweden

Available from: 2017-08-08 Created: 2017-08-08 Last updated: 2018-01-13

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CiteExportLink to record
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Citation style
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