Slipped capital femoral epiphysis is a relative infrequent entity but it is responsiblefor early degenerative arthritis. The aetiology still remains unknown. Only in a few cases,endocrine factors decreasing the resistance of the physis to shear strength can be detected. Inmost patients, mechanical factors seem to be implicated, and recent pathological studies haveconfirmed this hypothesis. At early stages, the clinical diagnosis continues to be essential in orderto obtain a good outcome. The detection of radiological findings has been said to be crucialin the first stage of the disease, and therefore an adequate examination should be performed.The goal of treatment is to stop slipping of the femoral epiphysis which can be achieved by internalfixation with techniques. Intraarticular osteotomies should be reserved for cases withgreat displacement. The improvement of surgical techniques and a more precise indications havecontributed to a lower rate of complications such as condrolysis and femoral head necrosis.Understanding of the aetiology and signs for early detection of the disease are demanding furtherresearch.

Slipped capital femoral epiphysis is a relative infrequent entity but it is responsiblefor early degenerative arthritis. The aetiology still remains unknown. Only in a few cases,endocrine factors decreasing the resistance of the physis to shear strength can be detected. Inmost patients, mechanical factors seem to be implicated, and recent pathological studies haveconfirmed this hypothesis. At early stages, the clinical diagnosis continues to be essential in orderto obtain a good outcome. The detection of radiological findings has been said to be crucialin the first stage of the disease, and therefore an adequate examination should be performed.The goal of treatment is to stop slipping of the femoral epiphysis which can be achieved by internalfixation with techniques. Intraarticular osteotomies should be reserved for cases withgreat displacement. The improvement of surgical techniques and a more precise indications havecontributed to a lower rate of complications such as condrolysis and femoral head necrosis.Understanding of the aetiology and signs for early detection of the disease are demanding furtherresearch.