What is the primary treatment for slipped capital femoral epiphysis?

The primary treatment for slipped capital femoral epiphysis (SCFE) is surgical pinning. This condition typically occurs in adolescents when the femoral head slips off the neck of the femur at the growth plate. As the condition can lead to serious complications such as avascular necrosis and stiffness, timely intervention is crucial.

Surgical pinning stabilizes the epiphysis and prevents further slippage, allowing for a better chance of normal development of the hip joint. The procedure involves the use of screws to fixate the femoral head back onto the femoral neck, which not only alleviates pain but also prevents further displacement and promotes healing.

While physical therapy may play a supportive role in rehabilitation after surgical intervention, it is not a primary treatment for SCFE. Similarly, weight reduction and observation are not adequate approaches since they do not address the structural issues and risks associated with slippage of the femoral head. Only surgical intervention provides the definitive treatment necessary to preserve hip function and prevent further complications.