- 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
