• disorder of the proximal femoral epiphysis

caused by weakness of the perichondrial

ring and slippage through the hypertrophic
zone of the growth plate
• neck displaces anteriorly and externally
rotates.
 Trethowan's sign

articular portion of
metaphysis
 Treatment

• Goals:
1. Pain relief
2. Prevent slip progression
3. Accelerate epiphysiodesis
4. Avoid Complications
5. correct any residual deformity
 Treatment Options
• Pinning in-situ
• Reduction and pinning
• Bone peg epiphyseodesis
• Osteotomy