Feb 21, 2025 · The best initial test for the diagnosis of Perthes is a pelvic radiograph. In a small number of patients with Perthes, the radiograph will be normal and persistent symptoms will trigger further imaging, e.g. MRI.

In this article, we provide an overview of current diagnostic and therapeutic strategies for Perthes disease, in the light of a selective literature review and the findings of our own clinical studies. Perthes disease belongs to the class of aseptic osteochondroses of childhood.

Nov 1, 2003 · Legg-Calvé-Perthes disease (LCP) is a necrosis of the proximal femoral epiphysis. Multiple studies have demonstrated its vascular origin (1). Its diagnosis is based on clinical and radiographic signs. Structural modification of the femoral epiphysis can be …

What is Perthes disease? Perthes disease is a childhood hip disorder caused by a disruption of blood flow to the ball of the hip joint, or femoral head. The loss of blood flow results in bone death, which is referred to as “avascular necrosis” or “ischemic necrosis” of the femoral head.

Dec 5, 2024 · Legg-Calve-Perthes is an idiopathic avascular necrosis of the proximal femoral epiphysis in children. Treatment is typically observation in children less than 8 years of age, …

Jun 15, 2023 · Computed tomography (CT) scans allow early diagnosis of bone collapse and curvilinear zones of sclerosis early in the disease process, when plain radiography is less sensitive. CT scans can...

The nuclide bone-scan will reliably diagnose Perthes' disease with a sensitivity of 0.98 and a specificity of 0.95. The comparable figures for radiographic sensitivity and specificity are respectively 0.92 and 0.78.

Feb 26, 2019 · Diagnosis of Legg-Calvé-Perthes disease involves the use of many different imaging techniques including X-ray, bone scan, and magnetic resonance imaging (MRI).

Legg-Calve-Perthes Disease. AP and frog-lateral views of both hips show a right capital femoral epiphysis which is smaller in size (black arrows) than the left (white arrow), an early sign of this disease.

Mar 18, 2017 · Technetium scanning is a sensitive means of diagnosing LCPD in the early stages before it is evident radiographically. Prior to the availability of magnetic resonance imaging (MRI), bone scan was commonly used to diagnose the condition in the …