The initial aim of management should be to prevent slip progression and avoid complication. Patient should be given crutches or put in a wheel chair to prevent further slipping and immediate orthopaedic referral should be arranged (1)
Treatment of SCFE is urgent (2).
There may be a place for the prophylactic fixing of the contralateral epiphysis.
Surgery may aslo be required for discrepancies in limb length. A hip replacement may be required in early adult life because of degenerative joint disease.
Unilateral SCFE patients should be followed up closely due to the possibility of developing contralateral SCFE (2).
Reference:
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