Perthes disease - with previous normal imaging

Case contributed by Jeremy Jones
Diagnosis almost certain

Presentation

Right hip pain. Similar episode 1 year ago.

Patient Data

Age: 5 years
Gender: Male

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

Imaging from 1 year ago

x-ray

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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