SCFE is one of the most common of the major disorders of the hip in adolescence. It affects boys somewhat more than girls. The usual age is about ten to sixteen years old. It will usually involve one side, but may occasionally be bilateral. SCFE is caused by multiple factors including local trauma, obesity overcoming the physeal plate, inflammatory factors, and possible endocrine abnormalities. Imaging will generally show the posteromedial slip. SCFE can be broken down into two categories: stable and unstable. A stable slip is defined as one where the child can still bear weight on the affected extremity. A slip is considered unstable if the child cannot bear weight on that extremity. Pain indicates that the physis has split. Treatment of a SCFE usually consists of in situ pinning using a cannulated screw introduced over a guide wire.
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