Associated Medical conditions:

Endocrine disorders:

-hypothyroidism (↑TSH)
-panhypopituitarism
-hypogonadism
-osteodystrophy of chronic renal failure (deranged BUN & creatinine)
-Growth hormone abnormalities (h/o-Growth hormone(GH) treatment)

Bilateral  SCFE- more common in the younger patients with metabolic/endocrine disorders

Indications for endocrine workup-
-child is < 10 years old
-weight is < 50th percentile