This 2006 JAAOS review by Aronsson et al synthesizes epidemiology, classification, pathophysiology, imaging, and treatment of SCFE in adolescents — asking which management strategy best prevents complications across stable and unstable presentations.
When an overweight adolescent presents with groin, thigh, or knee pain and a limp, get AP and frog-leg lateral pelvis radiographs and check Klein's line — missing SCFE on the AP alone is a classic trap since the slip is posterior.
Once diagnosed, the stable/unstable distinction drives everything: stable gets elective single-screw in situ fixation, while unstable demands urgent aspiration and reduction to prevent osteonecrosis.
This 2006 JAAOS review by Aronsson et al synthesizes epidemiology, classification, pathophysiology, imaging, and treatment of SCFE in adolescents — asking which management strategy best prevents complications across stable and unstable presentations.
When an overweight adolescent presents with groin, thigh, or knee pain and a limp, get AP and frog-leg lateral pelvis radiographs and check Klein's line — missing SCFE on the AP alone is a classic trap since the slip is posterior.
Once diagnosed, the stable/unstable distinction drives everything: stable gets elective single-screw in situ fixation, while unstable demands urgent aspiration and reduction to prevent osteonecrosis.