Seasonal Variation in Slipped Capital Femoral Epiphysis: New Findings Using a National Children’s Hospital Database

Loder, Randall T.; Schneble, Christopher A.

doi:10.1097/bpo.0000000000001074

Cited by 14 publications

(14 citation statements)

References 20 publications

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“…These seasonal variations are thought to be linked to differences in vitamin D production and levels at different times of the year. The prevalence of vitamin D insufficiency/deficiency in children and adolescents is higher in blacks and/or obese children than in Caucasian and/or nonobese ones 3. First described in the 16th century,4 SCFE was deeply investigated over the last century, increasing understanding of the anatomy and vascularity of the proximal femur.…”

Section: Introductionmentioning

confidence: 99%

<p>Slipped capital femoral epiphysis: current management strategies</p>

Aprato

Conti²,

Bertolo³

et al. 2019

ORR

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In orthopedic literature, there is little consensus regarding the best management of slipped capital femoral epiphysis (SCFE). Controversies and disparate trends derive from differences in clinical presentation, various classifications, and a variety of surgical procedures that have been described. Currently, there are no evidence-based recommendations. Surgical procedures vary, and they can be divided into fixation in situ, compensatory osteotomies, and direct corrections of the deformity at the head–neck junction. The first and second group of procedures have so far not gained optimal control over the risk of avascular necrosis or cannot achieve an anatomically aligned epiphysis with normal blood supply. On the other hand, the third technique can achieve this target and prevent residual deformity and the development of early hip arthritis, but it is not widely accepted, because of its surgical complexity. The purpose of this work is to present an overview of current knowledge and provide an orientation on clinical and surgical management of the patient suffering from SCFE.

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Section: Introductionmentioning

confidence: 99%

<p>Slipped capital femoral epiphysis: current management strategies</p>

Aprato

Conti²,

Bertolo³

et al. 2019

ORR

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“…Treatment options for SCFE have been described in various ways. Surgical intervention is necessary, however there are major disagreements over the optimal course of action (15) . Osteonecrosis and chondrolysis can be avoided by correcting the deformity and preventing additional slippage (12) .…”

Section: Discussionmentioning

confidence: 99%

“…The natural history of SCFE and the reported outcomes of in situ pinning should be taken into account as treatment options for SCFE evolve (15) . However, in the case of severe, unstable slips, osteotomies, open reduction, and capsular decompression have all been used in addition to in situ pinning as therapeutic options for SCFE (19,20) .…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Single Screw Fixation for Slipped Capital Femoral Epiphysis

Salh¹,

Abdelrahman²,

Abdelwahab³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Several studies have failed to demonstrate a clinical or biomechanical advantage to multiple pins and advocate the using larger-diameter one screw inserted into the center-center position of epiphysis in managing of Slipped Capital Femoral Epiphysis (SCFE). Objective: evaluation of functional outcome of using single screw in fixation of SCFE. Methods: The present study included 18 patients with slipped capital femoral epiphysis who enrolled for single screw fixation at Orthopedic Department, Zagazig University Hospitals. Results: Southwick angle was significantly decreased from 32.38±12.33 to 23.0±10.74. Harris hip score was nonsignificantly increased from 51.05 ± 17.63 to 75.05 ± 12.57. About 5.6% of the studied patients had complication and 94.4% had no complication. There was significant relation between complication and renal failure co-morbidity. Conclusion: single screw fixation has good results with low complication rate and considered as an effective method in managing slipped capital femoral epiphysis. Single-screw in situ fixation is the optimal treatment for a stable SCFE, while immediate mild reduction, decompression, and internal fixation are preferred for an unstable SCFE.

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“…The major problem of this disease is the rapidity of diagnosis and the timing of surgery. The decision between conservative or operative treatment could also be influenced by geographical factors [ 14 ]. The prevalence of SCFE surgery in Europe is not fully defined, and only Sweden reported the nationwide incidence of this disease [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Slipped capital femoral epiphysis: an epidemiological Nationwide study in Italy from 2001 to 2015

Longo

Papalia

Salvatore

et al. 2021

BMC Musculoskelet Disord

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Background Slipped capital femoral epiphysis (epiphysiolysis of the femoral head, SCFE) is the most common pediatric hip disease in 10–14 years old children. The most used procedure to correct a stable form of SCFE is in situ pinning. Instead, the proper treatment for unstable forms is controversial. The first purpose of this study was to estimate annual admissions for SCFE in Italian patients from 2001 to 2015, basing on the hospitalization reports. The second aim was to assess the difference between regions regarding SCFE procedures. Lastly, a statistical prediction of the volume of SCFE procedures performed in Italy based on data from 2001 to 2015 was performed. Methods Data of this study were collected from the National Hospital Discharge Reports (SDO) reported at the Italian Ministry of Health regarding the years of this paper. The yearly number of hospital admission for SCFE, the percentage of males and females, the average age, days of hospitalization, primary diagnoses and primary procedures in the whole Italian population were calculated using descriptive statistical analyses. Results From 2001 to 2015, 4893 hospitalizations for SCFE were recorded in Italy, with a mean incidence of 2.9 (cases/100.000 inhabitants). The majority of patients treated by SCFE were males (70.6%). Conclusion National health statistics for SCFE are attractive for an international audience, as different approaches to screening are reported between countries. These differences allow comparing outcomes internationally. Moreover, sharing national statistics and correlating those to other countries protocols, could be helpful to compare outcomes for different procedures internationally. However, further studies are required to understand the specific reasons for regional variation for SCFE procedures in Italy. Level of evidence III

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Seasonal Variation in Slipped Capital Femoral Epiphysis: New Findings Using a National Children’s Hospital Database

Abstract: Level III.

Cited by 14 publications

References 20 publications

<p>Slipped capital femoral epiphysis: current management strategies</p>

<p>Slipped capital femoral epiphysis: current management strategies</p>

Efficacy of Single Screw Fixation for Slipped Capital Femoral Epiphysis

Slipped capital femoral epiphysis: an epidemiological Nationwide study in Italy from 2001 to 2015

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