Legg-Calve-Perthes disease

Case contributed by Dr Bruno Di Muzio


Pain in the left hip that is exacerbated by leg movement.

Patient Data

Age: 5 years
Gender: Male

Pelvis / hip x-rays

The left superior femoral epiphysis is markedly flattened, sclerotic and appear to be undergoing fragmentation. Alignment is unremarkable and the pelvis and acetabulum appear normal. 

The right hip appears normal. 

Case Discussion

This case demonstrates characteristic advanced features of Perthes disease. One hopes to make the diagnosis before plain film changes are this pronounced, as in all likelihood this patient will require a hip replacement as a young adult for secondary osteoarthritis. 

PlayAdd to Share

Case information

rID: 12153
Published: 25th Oct 2010
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.