Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 3 Issue 10

A Narrative Review of Body Mass Index in Pediatrics and its Relationship with Stability of Slipped Capital Femoral Epiphysis

Phong Truong1*, Long Truong1, Kristina Kuklova2, Natalie Brush3, Luke Vincent3 and Jonathan Schneider1

1Department of Orthopedic Surgery, Larkin Community Hospital, South Miami, FL, USA
2American University of Antigua College of Medicine, St. Johns, Antigua and Barbuda
3University of Central Florida College of Medicine, Orlando, FL, USA

*Corresponding Author: Phong Truong, Department of Orthopedic Surgery, Larkin Community Hospital, South Miami, FL, USA.

Received: August 24, 2020; Published: September 25, 2020

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Abstract

Purpose: To present a narrative review of the literature related to body mass index of children and adolescents and whether it relates to stability in slipped capital femoral epiphysis.

Method: A review of literature was conducted. Using the MEDLINE database and Google Scholar search engine, publications in the English language were queried in regards to body mass index in children as well as any effects of body mass index on stability of slips in slipped capital femoral epiphysis.

Results: Being overweight or obese is a risk factor for having slipped capital femoral epiphysis in adolescence; however, underweight or normal weight adolescent children have higher risk of unstable slips when compared to their overweight or obese peers. Perhaps bony changes in obese children play a protective role in decreasing risk of unstable slips. Epiphyseal cupping is a process in which the superior aspect of the capital femoral physis extends laterally towards the metaphysis. However, there has been no correlation shown between obesity and increased epiphyseal cupping.

Conclusion: This calls for more research related to possible structural changes in the proximal femur of obese adolescents that may play a role in protecting against unstable slips in slipped capital femoral epiphysis.

Keywords: Slipped Capital Femoral Epiphysis (SCFE); Body Mass Index; Orthopedic Surgery; Stability; Stable; Unstable

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References

  1. Mathew Smitha E and A Noelle Larson. “Natural History of Slipped Capital Femoral Epiphysis”. Journal of Pediatric Orthopaedics 6 (2019): S23-S27.
  2. Samelis Panagiotis V., et al. “Factors Affecting Outcomes of Slipped Capital Femoral Epiphysis”. Cureus 2 (2020): 06883.
  3. Vukasinović Zoran., et al. “Complications of Slipped Capital Femoral Epiphysis”. Srpski Arhiv Za Celokupno Lekarstvo1-2 (2007): 105-110.
  4. Lehmann Charles L., et al. “The Epidemiology of Slipped Capital Femoral Epiphysis: An Update”. Journal of Pediatric Orthopaedics3 (2006): 286-290.
  5. Ravinsky Robert., et al. “Epidemiology of Slipped Capital Femoral Epiphysis in Ontario, Canada”. Journal of Pediatric Orthopaedics3 (2019): E165-E167.
  6. Song Kwang Soon., et al. “Epidemiology and Demographics of Slipped Capital Femoral Epiphysis in Korea: A Multicenter Study by the Korean Pediatric Orthopedic Society”. Journal of Pediatric Orthopaedics7 (2009): 683-686.
  7. AR Nguyen., et al. “Slipped Capital Femoral Epiphysis: Rising Rates with Obesity and Aboriginality in South Australia”. The Journal of Bone and Joint Surgery British 93 (2011): 1416-1423.
  8. Loder RT. “The Demographics of Slipped Capital Femoral Epiphysis. An International Multicenter Study”. Clinical Orthopaedics and Related Research 322 (1996): 8-27.
  9. M Poussa., et al. “Body Mass Index and Slipped Capital Femoral Epiphysis”. Journal of Pediatric Orthopaedics B 12 (2003): 369-371.
  10. Bhatia Nitin N., et al. “Body Mass Index in Patients with Slipped Capital Femoral Epiphysis”. Journal of Pediatric Orthopaedics 2 (2006): 197-199.
  11. Manoff Eric M., et al. “Relationship between Body Mass Index and Slipped Capital Femoral Epiphysis”. Journal of Pediatric Orthopaedics 6 (2005): 744-746.
  12. Ng Marie., et al. “Global, Regional, and National Prevalence of Overweight and Obesity in Children and Adults during 1980-2013: A Systematic Analysis for the Global Burden of Disease Study 2013”. The Lancet 9945 (2014): 766-781.
  13. Tosounidis Theodoros., et al. “Prognostic Significance of Stability in Slipped Upper Femoral Epiphysis: A Systematic Review and Meta-Analysis”. Journal of Pediatrics 4 (2010): 674-680.
  14. Yan Lijing L., et al. “BMI and Health-Related Quality of Life in Adults 65 Years and Older”. Obesity Research1 (2004): 69-76.
  15. Defining Childhood Obesity | Overweight and Obesity | CDC (2020).
  16. Z Mei., et al. “Validity of Body Mass Index Compared with Other Body-Composition Screening Indexes for the Assessment of Body Fatness in Children and Adolescents”. The American Journal of Clinical Nutrition 75 (2002): 978-985.
  17. JC Farias Junior., et al. “Sensitivity and Specificity of Criteria for Classifying Body Mass Index in Adolescents”. Revista de Saúde Pública 43 (2009): 53-59.
  18. RT Loder., et al. “Acute Slipped Capital Femoral Epiphysis: The Importance of Physeal Stability”. Journal of Bone and Joint Surgery American 75 (1993): 1134-1140.
  19. Wright Jonathan and Manoj Ramachandran. “Slipped Capital Femoral Epiphysis: The European Perspective”. Journal of Pediatric Orthopedics 38 (2018): 1-4.
  20. DD Aronsson., et al. “Slipped Capital Femoral Epiphysis: Current Concepts”. The Journal of the American Academy of Orthopaedic Surgeons 14 (2006): 666-679.
  21. David D Aronsson., et al. “Stable Slipped Capital Femoral Epiphysis: Evaluation and Management”. The Journal of the American Academy of Orthopaedic Surgeons 4 (1996): 173-181.
  22. DW Boyer., et al. “Slipped Capital Femoral Epiphysis. Long-Term Follow-up Study of One Hundred and Twenty-One Patients”. Journal of Bone and Joint Surgery American 63 (1981): 85-95.
  23. Loder Randall T., et al. “Slipped Capital Femoral Epiphysis”. Instructional Course Lectures 57 (2008): 473-498.
  24. Wensaas Anders., et al. “Long-Term Outcome of Slipped Capital Femoral Epiphysis: A 38-Year Follow-up of 66 Patients”. Journal of Children’s Orthopaedics2 (2011): 75-82.
  25. Lang Pamela., et al. “The Outcome of In-Situ Fixation of Unstable Slipped Capital Femoral Epiphysis”. Journal of Pediatric Orthopaedics Part B5 (2019): 452-457.
  26. Alghamdi Anas A., et al. “Slipped Capital Femoral Epiphysis and Primary Hyperparathyroidism: A Case Report”. Clinical Medicine Insights: Endocrinology and Diabetes 9 (2016).
  27. Song Hae Ryong., et al. “Unstable Slipped Capital Femoral Epiphysis: Reduction by Gradual Distraction with External Fixator. A Case Report”. Journal of Pediatric Orthopaedics Part B6 (2005): 426-428.
  28. Kushare Indranil., et al. “Acute, Unstable Slipped Capital Femoral Epiphysis with Associated Congenital Coxa Vara”. Journal of Pediatric Orthopaedics Part B6 (2015): 511-514.
  29. Zupanc Oskar., et al. “Shear Stress in Epiphyseal Growth Plate Is a Risk Factor for Slipped Capital Femoral Epiphysis”. Journal of Pediatric Orthopaedics4 (2008): 444-451.
  30. Obana Kyle K., et al. “Slipped Capital Femoral Epiphysis in Children without Obesity”. Journal of Pediatrics 218 (2020): 192-197.
  31. Goldstein Rachel Y., et al. “The ‘Skinny’ SCFE”. Pediatrics Meeting Abstract, American Academy of Pediatrics (AAP)1 (2017): 107-107.
  32. Morris William Z., et al. “Capital Femoral Growth Plate Extension Predicts Cam Morphology in a Longitudinal Radiographic Study”. Journal of Bone and Joint Surgery - American 10 (2016): 805-812.
  33. Morris William Z., et al. “Capital Femoral Epiphyseal Extension May Confer Physeal Stability in Slipped Capital Femoral Epiphysis”. Journal of Pediatric Orthopaedics 3 (2019): 119-124.
  34. Morris William Z., et al. “Capital Femoral Epiphyseal Cupping and Extension May Be Protective in Slipped Capital Femoral Epiphysis: A Dual-Center Matching Cohort Study”. Journal of Pediatric Orthopedics7 (2020): 334-339.
  35. Hosseinzadeh Shayan., et al. “Increased Body Mass Index Percentile Is Associated with Decreased Epiphyseal Tubercle Size in Asymptomatic Children and Adolescents with Healthy Hips”. Journal of Children’s Orthopaedics 3 (2020): 167-174.
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Citation

Citation: Phong Truong., et al. “A Narrative Review of Body Mass Index in Pediatrics and its Relationship with Stability of Slipped Capital Femoral Epiphysis".Acta Scientific Orthopaedics 3.10 (2020): 35-38.




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