Slipped capital femoral epiphysis: rising rates with obesity and aboriginality in South Australia

J Bone Joint Surg Br. 2011 Oct;93(10):1416-23. doi: 10.1302/0301-620X.93B10.26852.


We analysed the incidence of slipped capital femoral epiphysis (SCFE) in South Australia, investigating possible associations between an increased incidence of SCFE, the local indigenous population and the Australian obesity epidemic during the last 20 years. Data including race, age and gender were collected to obtain a profile of the South Australian SCFE patient, and were then compared with epidemiological data for South Australian adolescents. We concluded that the incidence of both obesity and SCFE is increasing. We also noted that the median weight of SCFE patients has increased and the mean age at diagnosis has decreased. Despite weight profiles comparable with those of the general population, we noted that an indigenous child was three times more likely to develop SCFE than a non-indigenous child. As far as we know there is no published literature on the predisposition of Aboriginal Australians to SCFE.

MeSH terms

  • Adolescent
  • Age Distribution
  • Body Weight
  • Child
  • Epiphyses, Slipped / ethnology*
  • Epiphyses, Slipped / etiology
  • Epiphyses, Slipped / surgery
  • Female
  • Humans
  • Incidence
  • Male
  • Native Hawaiian or Other Pacific Islander / statistics & numerical data*
  • Obesity / complications
  • Obesity / ethnology*
  • Postoperative Complications
  • Retrospective Studies
  • Sex Factors
  • South Australia / epidemiology