Atypical slipped capital femoral epiphyseal (SCFE) is associated with endocrine or metabolic disorders and radiation therapy. In this review, we discuss the clinical presentation for endocrinopathies, such as hyperparathyroidism, hypothyroidism, growth hormone deficiency well renal osteodystrophy, radiation-induced, valgus SCFE, pertinent case examples. Routine laboratory screening of all patie...