Slipped capital femoral epiphysis

SCFE is the most common hip abnormality in adolescence. The subsequent development and severity of degenerative changes is related to the degree of slippage and to delay in diagnosis. Awareness of this diagnostic possibility in the population at greatest risk and knowledge of subtle and early radiographic findings will allow prompt diagnosis and treatment of SCFE. Follow-up radiographic examination should be used to evaluate for physeal fusion and any complications, including progression of the slip, hardware complications, chondrolysis, avascular necrosis, and secondary osteoarthritis.