Perthes disease - with previous normal imaging

Case contributed by Dr Jeremy Jones

Presentation

Right hip pain. Similar episode 1 year ago.

Patient Data

Age: 5
Gender: Male

Loss of height of the femoral epiphysis with irregularity and a areas of lucency and sclerosis.

X-ray

Imaging from 1 year ago

Normal right femur. No loss of height of the femoral epiphysis. No subchondral lucency.

Case Discussion

Features of avascular necrosis and without an accompanying predisposing factor, this is Perthes disease.

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Case information

rID: 42690
Case created: 3rd Feb 2016
Last edited: 3rd Feb 2016
System: Paediatrics
Inclusion in quiz mode: Included

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