Slipped capital femoral epiphysis (SCFE) is a disorder of the growth plate that occurs in adolescence. It may be complicated by chondrolysis or osteonecrosis. Radionuclide imaging is helpful in evaluating the metabolic activity of bone at the epiphyseal plate. We present a case of slipped capital femoral epiphysis, which occurs in an adult with delayed skeletal maturation complicated with endocrine abnormalities. Bone scintigraphy is valuable in assessing the perfusion status of femoral head in SCFE. In a normal growing proximal femur, the physics and adjacent proximal metaphysic have greater activity than the femoral head and the femoral neck. In SCFE, decreased radionuclide uptake in the femoral head on the affected hip is an indication of vascular compromise, whereas an additional increased radionuclide uptake in the physics and adjacent proximal femoral metaphysic reflect the reparative process.