Factors that have been cited in the etiology of SCFE include endocrinopathies, nutritional deficiencies, and history of radiation therapy. Although the routine evaluation of hormonal disorders in patients with SCFE continues to be controversial, most orthopaedic surgeons opt to evaluate a patient for hypothyroidism and osteodystrophies if the patient presents with bilateral slips or is under the age of 10 years.
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