Presentation
Bilateral hip pain for 2 years.
Patient Data
Age: 14 years
Gender: Female
From the case:
Legg-Calvé-Perthes disease - bilateral
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Sclerotic changes of both femoral epiphysis with the crescent sign.
From the case:
Legg-Calvé-Perthes disease - bilateral
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Right hip
Sclerotic changes of the right femoral epiphysis with a crescent sign involving more than 50% of the femoral head
Loss of the normal bright signal in both T1WI and T2WI in the involved regions.
No significant cystic changes are noted in the metaphysis.
Left hip
Sclerotic changes of the left femoral epiphysis with a crescent sign involving less than 50% of the femoral head.
Loss of the normal bright signal in both T1WI and T2WI in the involved regions.
Case Discussion
The features suggest bilateral Legg-Calvé-Perthes disease: Right group B & left group A according to Salter-Thompson classification.
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