What are the indications for urgent referral to orthopaedics for a patient suspected of having SCFE?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 17 August 2025Updated: 17 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Urgent referral to orthopaedics is indicated if slipped capital femoral epiphysis (SCFE) is suspected . For children older than 9 years of age, urgent specialist assessment should be arranged if they present with painful or restricted hip movements, particularly internal rotation, to exclude slipped upper femoral epiphysis (SUFE) ,. SUFE is considered a key diagnosis that requires early intervention and treatment ,.

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