Think of the ball as being like a scoop of ice cream that falls off its “cone,” the thighbone. Children may not have had any injury before the pain starts.
The magnitude of the association, temporal relationship, and dose response added to the plausible mechanism offer the strongest evidence available to support a causal association.
An association between slipped capital femoral epiphysis and childhood obesity has long been suggested, although there have been no robust attempts to explore this association.
There were 4.26 million child-years at risk for SCFE.
Among children with obesity at 5 to 6 years old, 75% remained obese at 11 to 12 years old.