What is the appropriate treatment for a child with slipped capital femoral epiphysis?

The treatment for a child with slipped capital femoral epiphysis (SCFE) focuses on stabilizing the hip joint and preventing further displacement. Surgical fixation is the most appropriate treatment in these cases. This typically involves using screws or pins to secure the femoral head in its proper position with respect to the femur.

Immediate referral for surgical intervention is essential, particularly to avoid complications such as avascular necrosis, which can occur if the blood supply to the femoral head is compromised due to the slip. Crutches may be provided to help keep weight off the affected hip during this time, making it a supportive measure rather than a definitive treatment on its own.

Other options like physiotherapy and weight management, observation with gradual activity return, or joint injections are not adequate standalone treatments for SCFE. They do not address the underlying mechanical problem that could lead to significant long-term complications and pain in children as they grow. Thus, immediate surgical intervention through fixation serves as the most effective approach to manage the condition.