What is the most likely diagnosis?
- 9 year-old male with pain in the hip and a limp
Frontal view of the pelvis and both hips
- Septic arthritis
- Spondylo-epiphyseal dysplasia
- Legg-Calve-Perthes Disease
- Sprung pelvis
- Slipped capital femoral epiphysis
Additional Images - Frog-leg lateral of both hips
Additional Images
Frog-leg lateral of both hips
Answer:
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3. Legg-Calve-Perthes Disease
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Legg-Calve-Perthes Disease
General Considerations
- Idiopathic avascular necrosis of the femoral head
- Peak incidence is five years with a range of 2-14 years
- Occurs in males greater than females, more often in Caucasians
- Bilateral 10-20% of time. Most often one after the other rather than simultaneously
- Bilateral involvement in females is very rare
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