Perthes disease

Case contributed by Ahmed Abdalmoneim Elaktaie
Diagnosis almost certain

Presentation

Pain in left groin

Patient Data

Age: 10 years
Gender: Male
x-ray

Left hip joint demonstrates fragmentation of femoral head, deformation and widening of femoral neck (coxa magna) and a thin sclerotic line crossing the femoral neck (sagging rope sign), in keeping with left perthes disease.

Case Discussion

Perthes disease is an idiopathic avascular necrosis of the proximal femoral epiphysis.

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