A child with unstable SCFE has extreme pain. The pain is similar to what might be felt with a broken bone. The child probably won't be able to move the injured leg. If you think your child has unstable SCFE, don't force the leg to move. That could make the thigh bone slip even more.

How is SCFE diagnosed?

To check for stable or unstable SCFE, your doctor will take x-rays that show the pelvis and thigh area from several angles. Your doctor will then decide which tests are needed and explain each test to you.

How is SCFE treated?

Once SCFE is diagnosed, your doctor will probably refer your child to an orthopedic surgeon (a doctor who fixes bone problems). Surgery is usually the treatment of choice. It's important to get treatment right away.

The most common treatment of SCFE is called "in-situ fixation." With this treatment, the bone is held in place with a single central screw. This screw keeps the thigh bone from slipping and will close the growth plate. The results of this treatment are good. It has few complications.

Other surgical treatments (including in-situ fixation with more than one screw) are used less often. Ask your doctor to explain the potential benefits and risks of the treatment options.