Slipped capital femoral epiphysis (SCFE): A 12-year review

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Slipped capital femoral epiphysis (SCFE) is a relatively uncommon hip disorder in adolescents and its prevalence in Malaysia has not been studied. This retrospective study is undertaken to provide an overview of a 12-year review of SCFE treated in our institution. Fourteen patients (19 hips) with slipped capital femoral epipaysis (SCPE) admitted to Hospital UKM from 1990 to 2002 were reviewed with respect to demographic profile, functional outcome according to the Iowa Hip Score, and complications. There were ten boys (average age, 12.5 years) and four girls (average age, 12 years). Eight were Malays and six were Indians, The average body mass index was 26.1 (overweight). The left hips (11 hips) were affected more than the right hips (eight hips). Five patients had bilateral slips. Thirteen hips were considered stable while the other six hips were unstable. The majority of cases were moderate slips (12 hips), four hips had severe slips while three hips had mild slips. Several methods of treatment were instituted. These include in situ cannulated screw fixation (11 hips), Knowles pin fixation (three hips) and gentle closed manipulative reduction with cannulated screw fixation (three hips). One patient with bilateral slips refused surgical treatment. Based on the Iowa Hip Score, most patients (nine) had satisfactory results (excellent or good), three had fair results while one patient had a poor result, Avascular necrosis developed in five hips while chondrolysis occurred in one hip. In situ cannulated screw fixation is the treatment of choice, SCFE is an uncommon condition in Malaysia.

Original languageEnglish
Pages (from-to)71-78
Number of pages8
JournalMedical Journal of Malaysia
Volume61
Issue numberSUPPL. A
Publication statusPublished - Feb 2006

Fingerprint

Slipped Capital Femoral Epiphyses
compound A 12
Hip
Malaysia

Keywords

  • Capital femur epiphysis
  • Children
  • Hip

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Slipped capital femoral epiphysis (SCFE) : A 12-year review. / Kamarulzaman, M. A.; Abd Rashid, Abdul Halim; Ibrahim, Sharaf.

In: Medical Journal of Malaysia, Vol. 61, No. SUPPL. A, 02.2006, p. 71-78.

Research output: Contribution to journalArticle

@article{e2efe0ec8cd14427a0bff5bfdac06051,
title = "Slipped capital femoral epiphysis (SCFE): A 12-year review",
abstract = "Slipped capital femoral epiphysis (SCFE) is a relatively uncommon hip disorder in adolescents and its prevalence in Malaysia has not been studied. This retrospective study is undertaken to provide an overview of a 12-year review of SCFE treated in our institution. Fourteen patients (19 hips) with slipped capital femoral epipaysis (SCPE) admitted to Hospital UKM from 1990 to 2002 were reviewed with respect to demographic profile, functional outcome according to the Iowa Hip Score, and complications. There were ten boys (average age, 12.5 years) and four girls (average age, 12 years). Eight were Malays and six were Indians, The average body mass index was 26.1 (overweight). The left hips (11 hips) were affected more than the right hips (eight hips). Five patients had bilateral slips. Thirteen hips were considered stable while the other six hips were unstable. The majority of cases were moderate slips (12 hips), four hips had severe slips while three hips had mild slips. Several methods of treatment were instituted. These include in situ cannulated screw fixation (11 hips), Knowles pin fixation (three hips) and gentle closed manipulative reduction with cannulated screw fixation (three hips). One patient with bilateral slips refused surgical treatment. Based on the Iowa Hip Score, most patients (nine) had satisfactory results (excellent or good), three had fair results while one patient had a poor result, Avascular necrosis developed in five hips while chondrolysis occurred in one hip. In situ cannulated screw fixation is the treatment of choice, SCFE is an uncommon condition in Malaysia.",
keywords = "Capital femur epiphysis, Children, Hip",
author = "Kamarulzaman, {M. A.} and {Abd Rashid}, {Abdul Halim} and Sharaf Ibrahim",
year = "2006",
month = "2",
language = "English",
volume = "61",
pages = "71--78",
journal = "Medical Journal of Malaysia",
issn = "0300-5283",
publisher = "Malaysian Medical Association",
number = "SUPPL. A",

}

TY - JOUR

T1 - Slipped capital femoral epiphysis (SCFE)

T2 - A 12-year review

AU - Kamarulzaman, M. A.

AU - Abd Rashid, Abdul Halim

AU - Ibrahim, Sharaf

PY - 2006/2

Y1 - 2006/2

N2 - Slipped capital femoral epiphysis (SCFE) is a relatively uncommon hip disorder in adolescents and its prevalence in Malaysia has not been studied. This retrospective study is undertaken to provide an overview of a 12-year review of SCFE treated in our institution. Fourteen patients (19 hips) with slipped capital femoral epipaysis (SCPE) admitted to Hospital UKM from 1990 to 2002 were reviewed with respect to demographic profile, functional outcome according to the Iowa Hip Score, and complications. There were ten boys (average age, 12.5 years) and four girls (average age, 12 years). Eight were Malays and six were Indians, The average body mass index was 26.1 (overweight). The left hips (11 hips) were affected more than the right hips (eight hips). Five patients had bilateral slips. Thirteen hips were considered stable while the other six hips were unstable. The majority of cases were moderate slips (12 hips), four hips had severe slips while three hips had mild slips. Several methods of treatment were instituted. These include in situ cannulated screw fixation (11 hips), Knowles pin fixation (three hips) and gentle closed manipulative reduction with cannulated screw fixation (three hips). One patient with bilateral slips refused surgical treatment. Based on the Iowa Hip Score, most patients (nine) had satisfactory results (excellent or good), three had fair results while one patient had a poor result, Avascular necrosis developed in five hips while chondrolysis occurred in one hip. In situ cannulated screw fixation is the treatment of choice, SCFE is an uncommon condition in Malaysia.

AB - Slipped capital femoral epiphysis (SCFE) is a relatively uncommon hip disorder in adolescents and its prevalence in Malaysia has not been studied. This retrospective study is undertaken to provide an overview of a 12-year review of SCFE treated in our institution. Fourteen patients (19 hips) with slipped capital femoral epipaysis (SCPE) admitted to Hospital UKM from 1990 to 2002 were reviewed with respect to demographic profile, functional outcome according to the Iowa Hip Score, and complications. There were ten boys (average age, 12.5 years) and four girls (average age, 12 years). Eight were Malays and six were Indians, The average body mass index was 26.1 (overweight). The left hips (11 hips) were affected more than the right hips (eight hips). Five patients had bilateral slips. Thirteen hips were considered stable while the other six hips were unstable. The majority of cases were moderate slips (12 hips), four hips had severe slips while three hips had mild slips. Several methods of treatment were instituted. These include in situ cannulated screw fixation (11 hips), Knowles pin fixation (three hips) and gentle closed manipulative reduction with cannulated screw fixation (three hips). One patient with bilateral slips refused surgical treatment. Based on the Iowa Hip Score, most patients (nine) had satisfactory results (excellent or good), three had fair results while one patient had a poor result, Avascular necrosis developed in five hips while chondrolysis occurred in one hip. In situ cannulated screw fixation is the treatment of choice, SCFE is an uncommon condition in Malaysia.

KW - Capital femur epiphysis

KW - Children

KW - Hip

UR - http://www.scopus.com/inward/record.url?scp=33746909495&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33746909495&partnerID=8YFLogxK

M3 - Article

C2 - 17042235

AN - SCOPUS:33746909495

VL - 61

SP - 71

EP - 78

JO - Medical Journal of Malaysia

JF - Medical Journal of Malaysia

SN - 0300-5283

IS - SUPPL. A

ER -