Diagnosis and Management of Unstable Slipped Capital Femoral Epiphysis

»: An unstable slipped capital femoral epiphysis (SCFE) is characterized by the inability to walk and is associated with a high risk of osteonecrosis. »: An unstable SCFE is less common than a stable SCFE; however, the demographics are similar in both groups of patients with SCFE. »: The diagnosis of an unstable SCFE is characterized by a history of antecedent pain and the inability to walk on examination, and it is confirmed by radiographic assessment. »: Management of an unstable SCFE includes closed reduction, open reduction, and capital realignment, which have all been noted to have lower rates of osteonecrosis than reported in historic reports. »: All management approaches have certain advantages and disadvantages, and comparative studies are needed to guide clinical decision-making.