Legg-Calvé-Perthes disease

Case contributed by Farhad Farzam
Diagnosis almost certain

Presentation

Chronic hip pain and difficulty in walking. No history of trauma.

Patient Data

Age: 7 Years
Gender: Male
mri
  • significant loss of epiphyseal height of left femoral head with loss of normal signal in all sequences. 
  • irregularity of the left femoral head with its partial collapse
  • mild joint effusion with cystic changes in the metaphysis of left femur
  • right femoral head is normal in morphology and signal intensity with normal cartilaginous surface.

Case Discussion

The features are suggestive of left side Legg-Calvé-Perthes disease, refers to idiopathic osteonecrosis of the femoral epiphysis which is seen in children.

 

Dr. Najibullah Rasouly has also contributed in this case.

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