pediatrics
Legg Calvé Perthes Disease
Diagnosis of Legg Calvé Perthes Disease
Usually x-rays Sometimes MRI Diagnosis of Legg-Calvé-Perthes disease is suspected based on symptoms. X-rays are usually obtained and, if needed, an MRI is done to confirm the diagnosis and extent of the lesion. X-rays initially may not be diagnostic, because they can be normal or show minimal flattening. Later x-rays can show fragmentation of the femoral head, which contains areas of lucency and sclerosis. In bilateral or familial cases, an x-ray skeletal survey to exclude hereditary skeletal disorders, particularly multiple epiphyseal dysplasia, is mandatory because prognosis and optimal management differ. Diagnosis , 