Legg-Calvé-Perthes disease

Case contributed by Dr Ali Abougazia

Presentation

Left hip pain with limping.

Patient Data

Age: 3
Gender: Male
MRI

The left capital femoral epiphysis is seen collapsed and sclerotic with low signal in all sequences and irregular contour as well as metaphyseal cystic lesion. Thickening of the articular cartilage is also noted with subsequent widening of the joint space. Bilateral hip joint effusions is seen, more on the left side. Relative loss of girth of left gluteal and thigh muscles with no abnormal signal within. 

Case Discussion

Findings are those of avascular necrosis of the left capital femoral epiphysis - Legg-Calvé-Perthes disease, with disuse atrophy of left gluteal and thigh muscles.

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Case information

rID: 22659
Case created: 14th Apr 2013
Last edited: 30th May 2017
Tag: femur
Inclusion in quiz mode: Included

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