Presentation
Limping left gait, painless.
Patient Data
Age: 7 years
Gender: Male
From the case:
Perthes disease
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There is flattening & sclerosis of the left femoral capital epiphysis and broadening of the left femoral neck.
Normal hip joint alignment.
Case Discussion
Significant clinical features to suspect Perthes disease in children are:
male sex
ages between 3 and 12 years
atraumatic hip pain
It is important to exclude other possible causes of osteonecrosis as Perthes disease is a diagnosis of exclusion.
General differential diagnoses for a limping child are:
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