Legg-Calve-Perthes disease

Case contributed by Dr Bruno Di Muzio

Presentation

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

Patient Data

Age: 5 years
Gender: Male
X-ray

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. 

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Case information

rID: 12153
Case created: 25th Oct 2010
Last edited: 22nd Dec 2016
Inclusion in quiz mode: Included

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