What is the best treatment for Slipped Capital Femoral Epiphysis?

• A. Bed rest and spica cast for 6 weeks
• B. Motrin and activity restriction at school for 4 weeks
• C. No specific treatment at this time since the bones will remodel on their own
• D. Non-weightbearing and schedule for in-situ pinning

Answer: (D)

The most effective treatment for Slipped Capital Femoral Epiphysis (SCFE) is non-weightbearing activity combined with in-situ pinning. This approach addresses the underlying issue by stabilizing the femoral head while allowing for appropriate healing. In-situ pinning involves surgically placing a pin or screws to secure the femoral head in its correct position, preventing further slippage and reducing the risk of complications such as avascular necrosis.

Non-weightbearing helps to alleviate stress on the hip joint, which is crucial during the healing process to prevent further dislocation or complications. This method is particularly important in the treatment of SCFE due to the potential for significant long-term impacts if the condition is not treated appropriately.

The other methods listed do not effectively manage SCFE. Bed rest and spica casting may immobilize the joint but do not address the slippage and can lead to complications or further deformities. Simple pain management and activity restriction might alleviate symptoms temporarily but do not provide the necessary intervention to prevent progression of the condition. Allowing the bones to remodel without specific treatment is not advisable as it may lead to worsening of the slip and serious long-term consequences, including osteoarthritis or chronic pain issues. Therefore, in-situ pinning