Perthes disease

Case contributed by Paresh K Desai
Diagnosis almost certain

Presentation

Painless limp.

Patient Data

Age: 10 years
Gender: Male
x-ray

Subchondral lucency of the left femoral epiphysis (crescent sign) with medial joint space widening and minimal joint effusion.

Case Discussion

Perthes disease usually presents with painful limp. Preceding history of trauma is usual.

These radiographs depict typical radiographic findings of Perthes disease.

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