Slipped Capital Femoral Epiphysis Presenting as Quadriceps Strain

Kosar, Matthew; Buggey, Jesse; Kareha, Stephen

doi:10.2519/jospt.2019.8772

Cited by 1 publication

(2 citation statements)

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“…There is scant literature regarding sports activity and SCFE. Case reports of sporting activities associated with SCFE include running, 10 tennis, 11 weight training, 13 and basketball. 32,34 In a classic 1965 study, 42 antecedent trauma was an associated finding in 78 of 240 (33%) children with SCFE and was mostly related to athletics.…”

Section: Discussionmentioning

confidence: 99%

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Slipped Capital Femoral Epiphysis Associated With Athletic Activity

Loder

Gunderson

Sun

et al. 2022

Sports Health: A Multidisciplinary Approach

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Background: Little data exist regarding the association of slipped capital femoral epiphysis (SCFE) and sporting activities. Hypothesis: There is no association between SCFE and sporting activities. Study Design: Retrospective review of all SCFE cases at our institution from 2010 through March 2021. Level of Evidence: Level 3. Methods: All patients with idiopathic SCFE were reviewed looking for the presence/absence of sporting activities and symptom onset. Also collected were the age, symptom duration, and weight/height of the patient, sex, race, and stable/unstable nature of the SCFE. The severity of the SCFE was measured using the lateral epiphyseal-shaft angle. Results: There were 193 children (110 boys, 83 girls) with idiopathic SCFEs. The SCFE was stable in 147, unstable in 45, and unknown in 1. The average age was 12.1 ± 1.8 years, average SCFE angle 38° ± 20° and symptom duration 4.0 ± 5.1 months. An association with a sporting activity was present in 64 (33%). The sporting activity was basketball (18), football (11), baseball/softball (10), and others (23). Football, basketball, and soccer predominated in boys, baseball and running sports were equal between boys and girls, and cheerleading/gymnastics/dancing predominated in girls. Differences showed that those involved in sports had a slightly lower body mass index (BMI) (88th percentile vs 95th percentile, P = 0.00). There were no differences between those involved and those not those involved in sporting activities for symptom duration, SCFE severity, sex, race, or stable/unstable SCFE type. Conclusion: Sporting activities are associated with the onset of symptoms in 1 of 3 of patients with SCFE, refuting the null hypothesis. Clinical Relevance: A high level of suspicion for SCFE should be given when any peripubertal athlete presents with hip or knee pain regardless of BMI/obesity status, and appropriate imaging performed.

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Section: Discussionmentioning

confidence: 99%

“…37 Case reports of SCFE associated with athletic activity also exist. 11,13,32,34 The purpose of this study was to determine the prevalence of sports activities associated with a diagnosis of SCFE and whether there were any differences in the patients with SCFE having symptoms associated with athletics compared with those not associated with athletics.…”

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confidence: 99%