CASE 20: MRI HIP

Findings reveal

Signal changes seen in the femoral head and subchondral aspect

Fluid in the hip joint space

Diagnosis

Perthe's Disease

RADPEARLS

Legg Calve Perthe (LCP) disease is almost exclusively in children between 2-14 Y

Approximately 6070% of hips affected by LCP disease heal spontaneously

Usually unilateral, though 15% can be bilateral

No known cause, butcorrelated with lower socioeconomic status and delayed skeletal age

Further Reading