Incidence and gender differences of slipped capital femoral epiphysis in the Netherlands from 1998–2010 combined with a review of the literature on the epidemiology of SCFE

Witbreuk, M.M.E.H.; Royen, Barend J. van; Kemenade, Folkert J. van; Witte, Birgit I.; Sluijs, J.A. van der

doi:10.1007/s11832-012-0479-y

Cited by 17 publications

(24 citation statements)

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“…A more severe slip is associated with increased pain and a further limitation in the range of motion [ 18 , 21 , 22 ]. Epidemiological data for SCFE from different countries have been presented, but only a few are based on a total national population [ 2 , 23 – 26 ]. The incidence reported is related to ethnicity and sex.…”

Section: Introductionmentioning

confidence: 99%

“…A seasonal variation has also been described but with uncertainty concerning the role in the ethiology of SCFE [ 2 , 27 – 32 ]. A male-to-female ratio between 1.1:1 and up to 4.1:1 has been reported [ 1 , 2 , 23 , 25 , 28 , 33 , 34 ]. Previous reports with a total national population are based on data from national registers, e.g.…”

Section: Introductionmentioning

confidence: 99%

“…Previous reports with a total national population are based on data from national registers, e.g. Kids’ Inpatient database in the USA [ 2 ] or the national hospital registration system of The Netherlands [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

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Slipped capital femoral epiphysis: a population-based study

Herngren

Stenmarker

Vavruch

et al. 2017

BMC Musculoskelet Disord

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BackgroundSlipped 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.MethodsIn 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.ResultsWe 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.ConclusionsThe 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.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Slipped capital femoral epiphysis: a population-based study

Herngren

Stenmarker

Vavruch

et al. 2017

BMC Musculoskelet Disord

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“…Witbreuk et al 1 reported the Dutch incidence of 11.6 per 100 000 children aged between five and 19 years of age. Interestingly, whilst there was no significant difference in gender, the number of affected female children was found to be increasing.…”

Section: Discussionmentioning

confidence: 99%

“…1 However, incidence rates vary between studies and by geographical location. 1-9 The exact pathophysiological mechanism is widely reported and multifactorial. 1-9…”

Section: Introductionmentioning

confidence: 99%

Temporal changes in slipped upper femoral epiphysis at a regional level: A declining incidence and literature review

Tucker¹,

Ballard²,

Cosgrove³

2019

Journal of Children's Orthopaedics

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Purpose Slipped upper femoral epiphysis (SUFE) is one of the most common adolescent hip pathologies in children with potential for life-long morbidity secondary to avascular necrosis (AVN). The primary aim is to determine an up-to-date demographic of SUFE, as well as current trends in presentation and radiological characteristics. Secondary aims are to quantify prophylactic fixation and subsequent contralateral SUFE. Methods Between 01 January 2013 and 31 December 2015, all cases of SUFE were identified in Northern Ireland. Patient demographics, slip characteristics and outcomes are presented and the incidence rates were calculated using census data. Temporal changes in incidence, compared with a previous cohort, are demonstrated. Results A total of 56 patients (80 hips) were identified. Based on census data, SUFE incidence has declined from 7.14 to 4.69/100,000 population aged < 16 years. Male cases predominated by > 2:1 ratio, and tended to be older than female cases. Approximately 75% of patients were above the 75th centile for age-sex adjusted body weight. Knee pain as a presenting symptom led to a delay in diagnosis. Prophylactic fixation was performed in 25.9%, with contralateral slips occurring in 27.5%. AVN occurred in 7.4% and remained static. Conclusion The incidence of SUFE has declined ~34% in our region. When SUFE occurs, knee pain often results in a delay in definitive diagnosis, and commands clinical vigilance to avoid delays in diagnosis. Patients in our region should be aware of a 1-in-4 contralateral slip rate. Overall, AVN rates remain static and are acceptable, despite the declining incidence of SUFE. Level of evidence Level III - Retrospective Cohort Study

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