Clinical recommendationEvidence ratingReferences
Family physicians should consider SCFE when a child presents with limping and groin, hip, thigh, or knee pain.C1, 4, 79
Physical examination findings in patients with SCFE include antalgic gait or nonambulatory decreased internal rotation of the hip and obligate external rotation.C1, 5, 9
Radiography should include anteroposterior and frog-leg lateral views for stable SCFE, and anteroposterior and cross-table lateral views for unstable SCFE.C1, 10
Single screw fixation is the standard treatment for stable SCFE.C1, 5, 10, 32
Rehabilitation for SCFE includes a five-phase protocol that focuses on protection, pain-free ambulation, neuromuscular control, strengthening, and performance enhancement.C37