Computed tomographic findings of osteochondritis dissecans following Legg-Calvé-Perthes disease.
Routine radiographs in the follow-up study of Legg-Calvé-Perthes disease patient have generally been plain radiographs of the anteroposterior and frog-leg lateral view. Recently, several reports have found that osteochondritis dissecans can develop in 2% to 4% of Legg-Calvé-Perthes disease patients. Early roentgenographic recognition of this lesion is very important for its long-term prognosis. However, follow-up examination of the lesion using plain radiography is sometimes not satisfactory in terms of delineating the lesion. Accordingly, the authors performed computed tomography and three-dimensional reconstruction in 13 hips with osteochondritis dissecans following Legg-Calvé-Perthes disease and were able to obtain more precise information on the extent of the involvement, the degree of healing, the stability of the osteochondral fragment, and the location of the dislocated loose body.
Rowe
Sung Man
SM
Department of Orthopedics, Chonnam National University Hospital, Hakdong 8, Gwangju 501-757, Korea. smrowe@chonnam.ac.kr
Chung
Jae Yoon
JY
Moon
Eun Sun
ES
Yoon
Taek Rim
TR
Jung
Sung Taek
ST
Lee
Keun Bae
KB
D002648:Child; D005260:Female; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D007873:Legg-Calve-Perthes Disease / Q000150:complications*; D008297:Male; D010008:Osteochondritis Dissecans / Q000000981:diagnostic imaging* / Q000209:etiology*; D014057:Tomography, X-Ray Computed