Tag Archive for: Pathomechanics

Slipped capital femoral epiphysis (SCFE) – Epidemiology, Aetiology, Pathomechanics & Outcomes

Volume 5 | Issue 1 | Jan-Apr 2019 | Page: 9-13| K Venkatadass


Authors : K Venkatadass [1]

1 Ganga Hospital Coimbatore, Tamil Nadu India

Address of Correspondence
Dr K Venkatadass

Ganga Hospital Coimbatore, Tamil Nadu India

Email: venkatpedortho@gmail.co


Abstract 

Slipped Capital Femoral Epiphysis is a common paediatric hip disease and the incidence is on rise over the years. Various epidemiological factors have been associated with it and there is also a trend of changing patterns with respect age of presentation and pathomechanics. This article primarily reviews the epidemiology, aetiology, pathomechanics and outcomes in slipped capital femoral epiphysis.

Keywords: Slipped capital femoral epiphysis, epidemiology, Pathomechanics


References 

1. Lehmann CL, Arons RR, Loder RT, Vitale MG. The epidemiology of slipped capital femoral epiphysis: an update. J Pediatr Orthop. 2006 Jun;26(3):286–90.

2. Benson EC, Miller M, Bosch P, Szalay EA. A new look at the incidence of slipped capital femoral epiphysis in new Mexico. J Pediatr Orthop. 2008 Aug;28(5):529–33.

3. Loder RT. The demographics of slipped capital femoral epiphysis. An international multicenter study. Clin Orthop. 1996 Jan;(322):8–27.

4. Song K-S, Oh C-W, Lee H-J, Kim S-D, Multicenter Study Committee of the Korean Pediatric Orthopedic Society. Epidemiology and demographics of slipped capital femoral epiphysis in Korea: a multicenter study by the Korean Pediatric Orthopedic Society. J Pediatr Orthop. 2009 Nov;29(7):683–6.

5. Hägglund G, Hansson LI, Ordeberg G. Epidemiology of slipped capital femoral epiphysis in southern Sweden. Clin Orthop. 1984 Dec;(191):82–94.

6. Noguchi Y, Sakamaki T, Multicenter Sutdy Commitee of the Japanese Pediatric Orthopaedic Association. Epidemiology and demographics of slipped capital femoral epiphysis in Japan: a multicenter study by the Japanese Paediatric Orthopaedic Association. J Orthop Sci Off J Jpn Orthop Assoc. 2002;7(6):610–7.

7. Novais EN, Millis MB. Slipped capital femoral epiphysis: prevalence, pathogenesis, and natural history. Clin Orthop. 2012 Dec;470(12):3432–8.

8. Loder RT, Skopelja EN. The epidemiology and demographics of slipped capital femoral epiphysis. ISRN Orthop. 2011;2011:486512.

9. Nguyen AR, Ling J, Gomes B, Antoniou G, Sutherland LM, Cundy PJ. Slipped capital femoral epiphysis: rising rates with obesity and aboriginality in South Australia. J Bone Joint Surg Br. 2011 Oct;93(10):1416–23.

10. Loder RT, Mehbod AA, Meyer C, Meisterling M. Acetabular depth and race in young adults: a potential explanation of the differences in the prevalence of slipped capital femoral epiphysis between different racial groups? J Pediatr Orthop. 2003 Dec;23(6):699–702.

11. Loder RT, Aronson DD, Greenfield ML. The epidemiology of bilateral slipped capital femoral epiphysis. A study of children in Michigan. J Bone Joint Surg Am. 1993 Aug;75(8):1141–7.

12. Bhatia NN, Pirpiris M, Otsuka NY. Body mass index in patients with slipped capital femoral epiphysis. J Pediatr Orthop. 2006 Apr;26(2):197–9.

13. Aversano MW, Moazzaz P, Scaduto AA, Otsuka NY. Association between
body mass index-for-age and slipped capital femoral epiphysis: the long-term risk for subsequent slip in patients followed until physeal closure. J Child Orthop. 2016 Jun;10(3):209–13.

14. Maffulli N, Douglas AS. Seasonal variation of slipped capital femoral epiphysis. J Pediatr Orthop Part B. 2002 Jan;11(1):29–33.

15. Brown D. Seasonal variation of slipped capital femoral epiphysis in the United States. J Pediatr Orthop. 2004 Apr;24(2):139–43.

16. Loder RT, Greenfield ML. Clinical characteristics of children with atypical and idiopathic slipped capital femoral epiphysis: description of the age-weight test and implications for further diagnostic investigation. J Pediatr Orthop. 2001 Aug;21(4):481–7.

17. Weiner D. Pathogenesis of slipped capital femoral epiphysis: current concepts. J Pediatr Orthop Part B. 1996;5(2):67–73.

18. Aronsson DD, Loder RT, Breur GJ, Weinstein SL. Slipped capital femoral epiphysis: current concepts. J Am Acad Orthop Surg. 2006 Nov;14(12):666–79.

19. Kitadai HK, Milani C, Nery CA, Filho JL. Wiberg’s center-edge angle in patients with slipped capital femoral epiphysis. J Pediatr Orthop. 1999 Feb;19(1):97–105.

20. Sankar WN, Brighton BK, Kim Y-J, Millis MB. Acetabular morphology in slipped capital femoral epiphysis. J Pediatr Orthop. 2011 May;31(3):254–8.

21. Monazzam S, Krishnamoorthy V, Bittersohl B, Bomar JD, Hosalkar HS. Is the acetabulum retroverted in slipped capital femoral epiphysis? Clin Orthop. 2013 Jul;471(7):2145–50.

22. Gebhart JJ, Bohl MS, Weinberg DS, Cooperman DR, Liu RW. Pelvic Incidence and Acetabular Version in Slipped Capital Femoral Epiphysis. J Pediatr Orthop. 2015 Sep;35(6):565–70.

23. Witbreuk M, van Kemenade FJ, van der Sluijs JA, Jansma EP, Rotteveel J, van Royen BJ. Slipped capital femoral epiphysis and its association with endocrine, metabolic and chronic diseases: a systematic review of the literature. J Child Orthop. 2013 Jun;7(3):213–23.

24. Tresoldi I, Modesti A, Dragoni M, Potenza V, Ippolito E. Histological, histochemical and ultrastructural study of slipped capital femoral epiphysis. J Child Orthop. 2017 Apr;11(2):87–92.

25. Halverson SJ, Warhoover T, Mencio GA, Lovejoy SA, Martus JE, Schoenecker JG. Leptin Elevation as a Risk Factor for Slipped Capital Femoral Epiphysis Independent of Obesity Status. J Bone Joint Surg Am. 2017 May 17;99(10):865–72.

26. Judd J, Welch R, Clarke A, Reading IC, Clarke NMP. Vitamin D Deficiency in Slipped Upper Femoral Epiphysis: Time to Physeal Fusion. J Pediatr Orthop. 2016 May;36(3):247–52.

27. Madhuri V, Arora SK, Dutt V. Slipped capital femoral epiphysis associated with vitamin D deficiency: a series of 15 cases. Bone Jt J. 2013 Jun;95-B(6):851–4.

28. Arkader A, Woon RP, Gilsanz V. Can Subclinical Rickets Cause SCFE? A Prospective, Pilot Study. J Pediatr Orthop. 2015 Nov;35(7):e72–5.

29. Hägglund G, Hansson LI, Sandström S. Familial slipped capital femoral epiphysis. Acta Orthop Scand. 1986 Dec;57(6):510–2.

30. Moreira JF, Neves MC, Lopes G, Gomes AR. Slipped capital femoral epiphysis. A report of 4 cases occurring in one family. Int Orthop. 1998;22(3):193–6.

31. Chung SM, Batterman SC, Brighton CT. Shear strength of the human femoral capital epiphyseal plate. J Bone Joint Surg Am. 1976 Jan;58(1):94–103.

32. Fishkin Z, Armstrong DG, Shah H, Patra A, Mihalko WM. Proximal femoral physis shear in slipped capital femoral epiphysis–a finite element study. J Pediatr Orthop. 2006 Jun;26(3):291–4.

33. Gómez-Benito MJ, Moreo P, Pérez MA, Paseta O, García-Aznar JM, Barrios C, et al. A damage model for the growth plate: application to the prediction of slipped capital epiphysis. J Biomech. 2007;40(15):3305–13.

34. Tayton K. Does the upper femoral epiphysis slip or rotate? J Bone Joint Surg Br. 2007 Oct;89(10):1402–6.

35. Tayton K. The epiphyseal tubercle in adolescent hips. Acta Orthop. 2009 Aug;80(4):416–9.

36. Kandzierski G, Matuszewski L, Wójcik A. Shape of growth plate of proximal femur in children and its significance in the aetiology of slipped capital femoral epiphysis. Int Orthop. 2012 Dec;36(12):2513–20.

37. Zaltz I, Baca G, Clohisy JC. Unstable SCFE: review of treatment modalities and prevalence of osteonecrosis. Clin Orthop. 2013 Jul;471(7):2192–8.

38. Tosounidis T, Stengel D, Kontakis G, Scott B, Templeton P, Giannoudis PV. Prognostic significance of stability in slipped upper femoral epiphysis: a systematic review and meta-analysis. J Pediatr. 2010 Oct;157(4):674–80, 680.e1.

39. Carney BT, Weinstein SL, Noble J. Long-term follow-up of slipped capital femoral epiphysis. J Bone Joint Surg Am. 1991 Jun;73(5):667–74.

40. Boero S, Brunenghi GM, Carbone M, Stella G, Calevo MG. Pinning in slipped capital femoral epiphysis: long-term follow-up study. J Pediatr Orthop Part B. 2003 Nov;12(6):372–9.

41. de Poorter JJ, Beunder TJ, Gareb B, Oostenbroek HJ, Bessems GHJM, van der Lugt JCT, et al. Long-term outcomes of slipped capital femoral epiphysis treated with in situ pinning. J Child Orthop. 2016 Oct;10(5):371–9.

42. Wensaas A, Svenningsen S, Terjesen T. Long-term outcome of slipped capital femoral epiphysis: a 38-year follow-up of 66 patients. J Child Orthop. 2011 Apr;5(2):75–82.

43. Castañeda P, Macías C, Rocha A, Harfush A, Cassis N. Functional outcome of stable grade III slipped capital femoral epiphysis treated with in situ pinning. J Pediatr Orthop. 2009 Aug;29(5):454–8.

44. Castañeda P, Ponce C, Villareal G, Vidal C. The natural history of osteoarthritis after a slipped capital femoral epiphysis/the pistol grip deformity. J Pediatr Orthop. 2013 Aug;33 Suppl 1:S76–82.


How to Cite this Article: K Venkatadass. Slipped capital femoral epiphysis (SCFE) – Epidemiology, Aetiology, Pathomechanics & Outcomes International Journal of Paediatric Orthopaedics Jan-April 2019;5(1):9-13.

 



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