Management aims to stabilize which structure in SCFE?

• A. The femoral head.
• B. The acetabulum
• C. The sacrum
• D. The pelvis

Answer: (A)

The key idea is addressing the actual site of slippage. In slipped capital femoral epiphysis, the weakness at the proximal femoral growth plate allows the femoral head to slip relative to the neck. The main goal of management is to stabilize this capital femoral epiphysis to halt further displacement and, critically, to protect the blood supply to the femoral head, thereby reducing the risk of avascular necrosis. That’s why stabilizing the femoral head—the capital femoral epiphysis—is the best answer. The other structures—the acetabulum, sacrum, and pelvis—are not the parts that slip or require stabilization in this condition. Stabilization is typically achieved with in-situ fixation across the growth plate to fix the epiphysis in place.