Slipped capital femoral epiphysis (SCFE, pronounced “skiffy”) occurs when there is abnormal movement of the femoral metaphysis relative to the epiphysis along the physis (growth plate). Thus, SCFE is technically a growth plate fracture. Because the femoral head is secured by the acetabulum, a sufficiently large force applied across the physis can cause the neck and shaft to “slip” away from the head (Figures 1 and 2). SCFE is most commonly (but not exclusively) seen in overweight, adolescent males. SCFE is usually treated with percutaneous pin fixation, to prevent further slippage.
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