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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 1, 92-94.
doi: 10.1302/0301-620X.90B1.19502  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Changing incidence of slipped capital femoral epiphysis

A RELATIONSHIP WITH OBESITY?

A. W. Murray, MD, FRCS, Consultant Orthopaedic Surgeon1; and N. I. L. Wilson, BSc (Hon), FRCS, Consultant Orthopaedic Surgeon2

1 Department of Orthopaedic Surgery, Royal Hospital for Sick Children, Sciennes Road, Edinburgh EH9 1LF, UK.
2 Department of Orthopaedic Surgery, Royal Hospital for Sick Children, Dalnair Street, Yorkhill, Glasgow G3 8SJ, UK

Correspondence should be sent to Mr N. I. L. Wilson; e-mail: nl.wilson{at}yorkhill.scot.nhs.uk

Obesity is thought to be an aetiological factor for slipped capital femoral epiphysis (SCFE). We analysed changes in the incidence of SCFE in Scotland over the last two decades. During this period rates of childhood obesity have risen substantially and evidence for a relationship between these changes and the incidence of SCFE was sought.

We found that the incidence of SCFE increased from 3.78 per 100 000 children in 1981 to 9.66 per 100 000 in 2000 (R2 = 0.715): a two and a half times increase over two decades. It was seen at a younger age, with a fall in the mean age at diagnosis from 13.4 to 12.6 years for boys (p = 0.007) and 12.2 to 11.6 for girls (p = 0.047). More children under eight years old were seen with SCFE in Scotland in the decade to 2000 than in the previous decade (p = 0.002, R2 = 0.346).

A close correlation was observed between rising childhood obesity over the last 20 years in Scotland and an increasing incidence of SCFE.




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[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General