Slipped Capital Femoral Epiphysis (SCFE).

Abstract

Abstract: Slipped capital femoral epiphysis (SCFE) is one of the most common pediatric hip disorders and a frequent cause of diagnostic delay due to its variable and nonspecific presentation. Children often present with groin, thigh, or knee pain, gait abnormalities, or minor trauma, which can obscure early recognition. This case report describes a 10-year-old female who presented to an urgent care setting with hip, groin, and lower extremity pain following minor trauma and was diagnosed with SCFE based on physical examination and radiographic findings. Despite conservative pain management, persistent gait disturbance and limited range of motion prompted further evaluation, revealing posterior and caudal displacement of the proximal femoral epiphysis. This case highlights the importance of maintaining a high index of suspicion for SCFE in pediatric patients with lower-extremity pain and gait abnormalities. Early diagnosis and prompt orthopedic referral are critical to preventing complications such as avascular necrosis, chondrolysis, and early-onset osteoarthritis.