[Slipped Capital Femoral Epiphysis]

Slipped capital femoral epiphysis is the most common hip disease during infancy and adolescence. The incidence of this disease increases continuously. The reason is the likewise increasing body mass index of these age groups. Early diagnostic and treatment are necessary to avoid complications and consequential damages. Primary aims of the treatment are to avoid a further slip of the epiphysis and to reduce the resulting cam-deformity by reposition or osteotomy. After the end of physiological remodelling the rest of cam-deformity should be treated before an early osteoarthritis after slipped capital femoral epiphysis can be developed. There are open as well as arthroscopic surgical procedures for recontouring the femoral neck. The question at hand is to find out which surgical procedure will lead to an improvement of the long term results of slipped capital femoral epiphysis.