Author/Editor		Zupanc, Oskar; Schara, Karin; Vengust, Rok; Antolič, Vane
Title		Zdrs glavice stegnenice: incidenca in epidemiologija
Translated title		Incidence and epidemiology of slipped capital femoral epiphysis
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 71, št. 5
Publication year		2002
Volume		str. 299-302
Language		slo
Abstract		Background. In the presented study we rewieved the epidemiology of slipped capital femoral epiphysis (SCFE).The aim of the study was to evaluate the incidence and epidemiology of the disease. Material and methods. Between the years 1970-1994, 156 consecutive patients were admitted to the Department of Orthopaedic Surgery in Ljubljana. The incidence was calculated using the attack rate method, i.e. the sum of annual incidences in each one year group. Mean age and boys: girls ratio were calculated. The affected side was also observed. Results. In our study the attack rate per thousand patients was 0.488% (0.474% for boys, 0.502% for girls). The risk of physiolysis was 1:2110 for boys, 1:1992 for girls and 1:2049 for both sexes. The average age at diagnosis was higher in boys (13.6+-1.6(9.5-16.6) years) than in girls (11.9 +-1.43(8-15.5) years) (p<0.001). There was no difference in boys:girls ratio (1:1). The left hip was affected first in 90 (58%) patients which was significant (p<0.05). There was the preponderance of the left hip being affected slightly more often in boys (30%) than in girls (28%). Conclusions. The calculated incidence for both sexes in our population is 0.054%. In the contrast to other studies the incidence of SCFE among our patients is lower for male patients. The boys:girls ratio is 1:1. The most common age at diagnosis is higher for boys than for the girls. The left hip is more frequently affected than the right one.
Summary		Izhodišča. V našem prispevku smo preučevali epidemiologijo zdrsa glavice stegnenice (ZGS). Naš osnovni namen je bil ugotoviti incidenco bolezni in njene epidemiološke značilnosti. Preiskovanci in metode. Na Ortopedsko kliniko v Ljubljani je bilo v letih od 1970 do 1994 sprejetih 156 bolnikov z ZGS. Incidenco bolezni smo izračunali po metodi "attack rate", ki je vsota letnih incidenc v obdobju nevarnosti za nastanek bolezni za vsako enoletno skupino. Izračunali smo povprečno starost ob diagnozi, razmerje med spoloma, pojavnost desno oziroma levostranskega ali obojestranskega ZGS. Rezultati. Za celoletno obdobje je znašala incidenca na tisoč adolescentov v ogroženih skupinah 0,474% za dečke, 0,502% za oba spola. Nevarnost za nastanek ZGS v celotnem obdobju je bila 1:2110 za dečke, 1:1992 za deklice in 1:2049 za oba spola. Starost dečkov je bila višja (13,6+-1,6(9,5-16,6) leta) kot pri deklicah (11,9+-1,43(8-15,5) leta) (p<0,001). Razmerje dečki:deklice za celotno analizirano obdobje je bilo 1:1. Levi kolk je bil večkrat prizadet kot desni, in sicer pri 90 (58%) bolnikih (p<0,05). Prizadetost levega kolka je bila nekoliko pogostejša pri dečkih (30%) kot pri deklicah (28%). Zaključki. Letna incidenca za oba spola v naši študiji znaša 0,054%. Ugotovili smo nižjo incidenco ZGS pri dečkih in višjo pri deklicah kot v ostalih študijah. Razmerje dečki:deklice znaša 1:1. Povprečna starost dečkov z GZS je višja kot pri deklicah. Pogosteje je prizadet levi kolk.
Descriptors		EPIPHYSES, SLIPPED FEMUR HEAD CHILD INCIDENCE HIP JOINT