Which statement about slipped capital femoral epiphysis is not true?

Which statement about slipped capital femoral epiphysis is not true?

• A. Thought to Be Precipitated by Hormone Changes During Puberty
• B. Unilateral Involvement Is More Common Than Bilateral
• C. More Common Among Males and African Americans
• D. Thought to Be Caused by Repetitive Stresses in Young Athletes Prior to Growth Spurt

Answer: (D)

Slipped capital femoral epiphysis happens when the growth plate at the femoral head becomes vulnerable during adolescence, and the head slips downward and posteriorly relative to the neck. This weakness is tied to the rapid growth and hormonal changes of puberty, with obesity acting as an additional mechanical stress that can precipitate a slip. It most commonly affects one hip, is more frequent in males, and can involve both hips over time. The statement about repetitive stresses in young athletes prior to the growth spurt is not true. SCFE is not primarily caused by pre-growth-spurt overuse; slips typically occur during or after the period of rapid growth when the growth plate is weakest, often triggered by minor trauma or normal activities rather than chronic pre-growth-stretching athletic stress.

Slipped capital femoral epiphysis happens when the growth plate at the femoral head becomes vulnerable during adolescence, and the head slips downward and posteriorly relative to the neck. This weakness is tied to the rapid growth and hormonal changes of puberty, with obesity acting as an additional mechanical stress that can precipitate a slip. It most commonly affects one hip, is more frequent in males, and can involve both hips over time.

The statement about repetitive stresses in young athletes prior to the growth spurt is not true. SCFE is not primarily caused by pre-growth-spurt overuse; slips typically occur during or after the period of rapid growth when the growth plate is weakest, often triggered by minor trauma or normal activities rather than chronic pre-growth-stretching athletic stress.