Perthes disease

Case contributed by Heba Abdelmonem
Diagnosis certain

Presentation

Abnormal gait with right hip pain

Patient Data

Age: 11 years
Gender: Male
x-ray

Abnormal flattening of the right femoral head epiphysis coxa plana.

Circumferential enlargement and deformation of the right femoral neck coxa magna.

Abnormally wide right joint space.

Case Discussion

Perthes disease is idiopathic AVN of the femoral head. In the current study, the patient suffers from stage IV Perthes disease with deformity of the femoral physis as well as metaphysis.

The absence of any postromedial slipping of the femoral physis excludes Slipped upper femoral epiphysis (SUFE).

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