Slipped Capital Femoral Epiphysis (SCFE)

Laskar Pradnyan Kloping, Sulis Bayusentono, Komang Agung Irianto✉
DOI: https://doi.org/10.25077/mka.v44.i2.p134-146.2021

Abstract

Slipped Capital Femoral Epiphysis (SCFE) adalah kelainan pada regio hip dimana didapatkan pergeseran dari epifisis kaput femoris mulai dari area metafisis hingga fisis. Prevalensi SCFE berbeda-beda mengikuti kelompok etnis tertentu, kondisi geografis, lokasi, dan perubahan musim. SCFE sering dijumpai pada anak-anak Hispanik dan Afrika dengan jumlah mencapai 3,94 hingga 2,53 kali dibandingkan anak-anak Kaukasia. Rasio antara anak laki-laki dibandingkan perempuan sebesar 1,6:1, dimana rasio ini mewakili usia puncak pertumbuhan mereka, yaitu usia 10 hingga 16 tahun, dengan usia rata-rata 12 tahun pada anak perempuan dan 13,5 tahun pada anak laki-laki. Pada pasien usia dewasa muda, SCFE dikaitkan dengan gangguan metabolisme endokrin. Faktor lain seperti genetika dapat berperan dalam SCFE dimana adanya riwayat di keluarga menyebabkan variabilitas yang lebih besar. Proses penentuan diagnosis yang tertunda dapat menyebabkan perburukan dari kondisi awal pasien, hingga terjadinya gejala proses degenerasi awal yang berujung arthritis sendi pinggul. Tidak jarang, diagnostik yang terlambat berujung pada kecacatan premanen. Dibutuhkan pemeriksaan awal (screening) berskala besar untuk SCFE yang belum pernah dilakukan hingga sekarang, agar proses penetuan diagnosis dapat dibuat lebih cepat.

Keywords

Slipped Capital Femoral Epiphysis (SCFE); sendi pinggul; diagnosis

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