What is the primary treatment for slipped capital femoral epiphysis (SCFE)?

• A. Physical therapy
• B. Surgical pinning
• C. Bone grafting
• D. Rest and observation

Answer: (B)

The primary treatment for slipped capital femoral epiphysis (SCFE) is surgical pinning. This condition involves the displacement of the femoral head due to slippage of the growth plate, which can lead to complications such as avascular necrosis or further slippage if not properly managed. Surgical pinning stabilizes the position of the femoral head, allowing for proper healing and reducing the risk of long-term complications.

The procedure typically involves the insertion of one or more screws to hold the femoral head in place, preventing further displacement. Prompt surgical intervention is crucial in cases of SCFE, particularly in patients who present with symptoms of significant displacement or those who are at risk of developing complications.

Other treatment options, such as physical therapy, rest and observation, or bone grafting, do not adequately address the underlying mechanical instability present in SCFE. While conservative management may be considered in very mild cases or in patients who are not symptomatic, it is not the definitive treatment and does not prevent potential complications resulting from the condition. Therefore, surgical pinning remains the standard and most effective approach to manage SCFE.