Perthes disease

Case contributed by Andrew Kirby
Diagnosis almost certain

Presentation

Limp for 6 weeks, not improving

Patient Data

Gender: Male

Lt proximal femoral e...

x-ray

Lt proximal femoral epiphysis avascular necrosis

Left proximal femoral epiphysis is irregular with loss of volume compared to the normal right side. The diagnosis is avascular necrosis and is idiopathic in this case: Perthes.

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