What is already known on this topic?
- Slipped capital femoral epiphysis (SCFE) is an important cause of disability in children and young adults.
- Delay between onset of SCFE symptoms and treatment may worsen the prognosis.
- There is an association between SCFE and obesity, but this might be explained by reduced activity levels following onset of symptoms.
What this study adds?
- Diagnosis of SCFE is often delayed and there is evidence of missed opportunities for diagnosis in primary care.
- Children with atypical symptoms (particularly knee pain) are at greatest risk of misdiagnosis, despite this being a recognised presentation of SCFE.
- SCFE is strongly associated with area-level socioeconomic deprivation and premorbid obesity.
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