Perthes disease

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Hip pain. Limp.

Patient Data

Age: 8 years
Gender: Female
x-ray
Frontal
Lateral
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Info

Right femoral epiphysis is asymmetrically smaller than the left. There is also a subchondral lucency in keeping with avascular necrosis.

Case Discussion

This patient was followed over a number of years and the femoral epiphysis continued to collapse, and eventually required a femoral osteotomy to correct femoral malalignment.

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