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Semin Musculoskelet Radiol 1999; 3(4): 379-390
DOI: 10.1055/s-2008-1080081
© 1999 by Thieme Medical Publishers, Inc.

Legg-Calve-Perthes Disease: Imaging Evaluation and Management

George W. Gross1 , Glenn A. Articolo2 , J. Richard Bowen3
  • 1Department of Medical Imaging, A. I. duPont Hospital for Children, Wilmington, Delaware
  • 2Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
  • 3Department of Orthopedic Surgery, A. I. duPont Hospital for Children, Wilmington, Delaware
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Publication History

Publication Date:
18 June 2008 (online)

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ABSTRACT

Legg-Calve-Perthes disease reflects avascular necrosis of the proximal femoral epiphysis and growth plate in children age 4 to 8 years typically. The most likely etiology is vascular deficiency to the epiphysis and growth plate. The pathologic stages consist of necrosis, resorption, reossification, and remodeling.

Radiologic findings reflect the pathologic stages. Containment of the femoral head with the acetabulum is the most important component of treatment, with preservation of range of motion also indicated in most patients. Surgical options for treatment include varus or valgus femoral osteotomy, innominate osteotomy, and shelf arthroplasty.

KEYWORDS

Legg-Calve-Perthes disease - imaging - avascular necrosis - orthopedics

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