The elusive slipped capital femoral epiphysis

Slipped capital femoral epiphysis is sometimes painfully disabling but often children are active during an active slip. A complete hip examination is needed to rule out the epiphysis in the 10-15 years group with a thigh, knee and/or hip pain and no particular trauma history. The treatment stops the spread of the epiphysis and induces growth plate closure by open surgical procedures and in situ pinning of chronic and acute-on-chronic slipped capital femoral epiphysis enabling resumption of sports in 3 to 6 months.