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The Journal of Bone and Joint Surgery, Vol 75, Issue 8 1141-1147, Copyright © 1993 by Journal of Bone and Joint Surgery, Inc
The epidemiology of bilateral slipped capital femoral epiphysis. A study of children in Michigan
RT Loder, DD Aronson and ML Greenfield
Section of Orthopaedic Surgery, University of Michigan School of Medicine, Ann Arbor 48109-0328.
The records of 224 children who had a slipped capital femoral epiphysis and
who had no underlying metabolic or endocrine disorder were studied
retrospectively to investigate the epidemiology of bilateral slipped
capital femoral epiphysis. Eighty-two (37 per cent) of the 224 children
(fifty-one boys and thirty-one girls) had a bilateral slip. Sixty-four of
these children were black and eighteen were white. The age at the time of
the diagnosis of the first slip was 13 +/- 1.7 years (mean and standard
deviation), the duration of the symptoms was 5 +/- 5.0 months, and the
angle of the slip was 26 +/- 16 degrees. Obese children were younger at the
time of the diagnosis of the first slip (12 +/- 1.6 compared with 13 +/-
1.6 years for the children who were not obese, p = 0.001). The diagnosis of
a slipped capital femoral epiphysis was made simultaneously in both hips in
forty-one children and sequentially in forty-one children. Compared with
the children in whom both hips were diagnosed simultaneously, the children
in whom the hips were diagnosed sequentially had had a shorter duration of
the symptoms before the diagnosis of the first slip (3 +/- 2.4 compared
with 7 +/- 5.9 months, p = 0.0003), were younger at the time of the
diagnosis of the first slip (12 +/- 1.9 compared with 13 +/- 1.2 years, p =
0.001), and tended to be more obese (p = 0.025). In 88 per cent of the
patients who had sequential slips, the second slip was diagnosed within
eighteen months after the diagnosis of the first slip.(ABSTRACT TRUNCATED
AT 250 WORDS)
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