Abstract
The incidence of slipped capital femoral epiphysis (SCFE) among children living in the Netherlands has never been published. The national hospitalization registration system of the Netherlands was searched for the incidence of surgical procedures for SCFE in the Netherlands among different pediatric age groups between 1998 and 2010. International Classification of Diseases, 9th Revision codes were used. The incidence of surgical procedures for SCFE during the last decade was 11.6 per 100,000 children aged 5 to 19years. No statistical difference in the incidence of SCFE was found between boys and girls, although the incidence of SCFE did significantly increase in girls during the study period. Based on our analysis, the Netherlands appears to be the first country in which no difference in the incidence of SCFE among boys and girls has been reported. However, during the study period there has been a concomitant increase in the number of girls with SCFE.
Highlights
Slipped capital femoral epiphysis (SCFE) is a disorder of the proximal femur that occurs mainly in peripubertal children
No statistical difference in the incidence of slipped capital femoral epiphysis (SCFE) was found between boys and girls, the incidence of SCFE did significantly increase in girls during the study period
The total number of surgical procedures for SCFE was 609 in the period 1998–2010 for children between 5 and years in the Netherlands. This translated into an incidence of 11.6 surgical procedures per 100,000 children over that period in the combined NT and traumatic SCFE (T SCFE) group
Summary
Slipped capital femoral epiphysis (SCFE) is a disorder of the proximal femur that occurs mainly in peripubertal children. It is defined as the displacement of the femoral neck and shaft relative to the femoral head in the growth plate in which the proximal femoral neck and shaft move anteriorly and rotate externally relative to the femoral head, while the femoral head remains in the acetabulum. Boys are more susceptible than girls in developing this disorder (Table 1). We performed a Dutch population-based search to determine the incidence of SCFE in the Netherlands and whether there was a difference between boys and girls. We compared our results with those of other studies that provide a local incidence of SCFE (Table 1)
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