- most common presentation is chronic slip (60 % of cases);
- may cause pain refered to hip, distal medial thigh, or knee;
- on exam, look for loss internal rotation, which may be manifested by observing the extended hip move into external rotation as hip is flexed;
- restricted abduction is found w/ severe slips;
- repositioning of epiphysis should not be attempted;
- traction should be maintained before definitive treatment.
- pin placement: in chronic slips, a single pin may prevent further slippage
Natural history of untreated chronic slipped capital femoral epiphysis.