Legg-Calve-Perthes Disease: Imaging Evaluation and Management

George W. Gross; Glenn A. Articolo; J. Richard Bowen

doi:10.1055/s-2008-1080081

Seminars in Musculoskeletal Radiology, Inhaltsverzeichnis

Semin Musculoskelet Radiol 1999; 3(4): 379-390
DOI: 10.1055/s-2008-1080081

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

Abstract

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

Volltext