Perthes' or Perthes' resembling disease in 13-month-old boy.
Onset of Perthes' disease is reported frequently from the age of 2 years. Latest publications showed cases with onset of this disease in infancy at ages of 17 and 18 months. We report the case of a 13-month-old boy, who presented with left-sided limping. Radiological examination showed reduced height and fragmentation of the femoral head. Magnetic resonance imaging showed the typical signs of an avascular necrosis. Follow-up was done after 3, 7 and 15 months. Plain radiography showed the femoral head in a state of reparation. This is the youngest documented case of Legg-Calvé-Perthes' disease and is discussed under consideration of the current literature.
Maus
Uwe
U
Department of Orthopaedic Surgery, University Hospital of Aachen, RWTH Aachen, Germany. umaus@ukaachen.de
Andereya
Stefan
S
Ihme
Nicola
N
Gravius
Sascha
S
Niedhart
Christopher
C
Ohnsorge
Jörg A K
JA
Niethard
Fritz U
FU
D005270:Femur Head / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D007223:Infant; D007873:Legg-Calve-Perthes Disease / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D008297:Male; D011859:Radiography