Slipped Capital Femoral Epiphysis (SCFE)

  • Image bilaterally as SCFE is often bilateral even in the absence of bilateral symptoms¬†
  • Patients may present with isolated knee or thigh pain without any hip pain, which can lead to delayed diagnosis and worse outcomes
  • More than 50% of SCFEs can be missed when the chief complaint is knee pain. Always range the hip and note the presence or absence of pain in patients presenting with knee pain
  • SCFE is usually seen in adolescent, obese patients. However, it can also be seen in tall, thin patients who have recently undergone a recent growth spurt



Emergency Medicine Kenya Foundation (EMKF) is a not-for-profit (NGO) public benefit organisation registered in Kenya