Ravinsky Robert, Rofaiel James, Escott Benjamin G, Lim Zachary, Ravi Bheeshma, Howard Andrew
Division of Orthopaedic Surgery.
Medical College of Wisconsin, Milwaukee, WI.
J Pediatr Orthop. 2019 Mar;39(3):e165-e167. doi: 10.1097/BPO.0000000000001254.
Slipped capital femoral epiphysis (SCFE) is a well-characterized disorder of the hip seen in adolescent patients. It is characterized by deformity secondary to failure through the proximal femoral growth plate, which results in posterior-inferior displacement of the epiphysis on the proximal femoral metaphysis. Long-term sequelae of SCFE may include osteonecrosis, residual deformity, leg length discrepancy, degenerative joint disease, and chronic pain. The long-term consequences of SCFE may be the source of significant morbidity for the patient, and depending of the local incidence of this condition, may represent a significant expenditure of health care resources. Historically, the true incidence of SCFE within Ontario has been approximated using US-based studies of arguably comparable patient populations. In our study, we aimed to characterize the epidemiology of SCFE in the province of Ontario.
We used a prospectively collected, not-for-profit Ontario research database to identify recorded cases of SCFE between April 1, 2002 and March 31, 2011. Specifically, we identified all hospital discharges with an ICD-9 or 10 diagnostic codes for SCFE in the Canadian Institute for Health Information Discharge Abstract database.
Over the 10-year study period, there were 648 cases of SCFE with an average annual incidence rate of 5.68/100,000 in Ontario.
We have observed a trend toward decreasing incidence rates of SCFE in Ontario over the last 10 years. The determination for the underlying causes for the changing trends of SCFE may be relevant for initiating public health campaigns directed at reducing the incidence of SCFE LEVEL OF EVIDENCE:: Level IV-epidemiological study.
股骨头骨骺滑脱（SCFE）是一种在青少年患者中表现明确的髋关节疾病。其特征是由于股骨近端生长板发育失败导致的畸形，这会致使骨骺在股骨近端干骺端向后下移位。SCFE的长期后遗症可能包括骨坏死、残留畸形、肢体长度差异、退行性关节病和慢性疼痛。SCFE的长期后果可能是患者严重发病的根源，并且根据该病症的当地发病率，可能意味着卫生保健资源的大量消耗。从历史上看，安大略省内SCFE的真实发病率一直是通过对美国可比较患者群体的研究来估算的。在我们的研究中，我们旨在描述安大略省SCFE的流行病学特征。
我们使用一个前瞻性收集的、非营利性的安大略省研究数据库，来识别2002年4月1日至2011年3月31日期间记录的SCFE病例。具体而言，我们在加拿大卫生信息研究所出院摘要数据库中，通过ICD - 9或10诊断代码识别所有诊断为SCFE的医院出院病例。
在为期10年的研究期间，安大略省有648例SCFE病例，平均年发病率为5.68/100,000。
我们观察到在过去10年中，安大略省SCFE的发病率有下降趋势。确定SCFE变化趋势的潜在原因可能与开展旨在降低SCFE发病率的公共卫生运动相关。证据水平：IV级 - 流行病学研究。
