Walking with Swagger
Author: Derek Hatfield, MD
Peer-reviewer: Brandon Godfrey, MD
Final editor: Alex Tomesch, MD
A 5-year-old male is brought into the emergency department by his father after his father noted that he has been limping for the past few weeks. The patient endorses mild pain in the left hip with no other systemic symptoms. You note decreased internal rotation and abduction of the hip on exam and laboratory workup is unremarkable.
Image 1. Case courtesy of Dr Mohammad Osama Hussein Yonso, Radiopaedia.org, rID: 22448
References
[1] Tintinalli, J. (2015). Tintinalli's emergency medicine A comprehensive study guide. McGraw-Hill Education.
[2] Laine JC, Martin BD, Novotny SA, Kelly DM. Role of Advanced Imaging in the Diagnosis and Management of Active Legg-Calvé-Perthes Disease. J Am Acad Orthop Surg. 2018 Aug 01;26(15):526-536.
[3] Hefti F, Clarke NM. The management of Legg-Calvé-Perthes' disease: is there a consensus? : A study of clinical practice preferred by the members of the European Paediatric Orthopaedic Society. J Child Orthop. 2007;1(1):19-25. doi:10.1007/s11832-007-0010-z
[4] Mazloumi SM, Ebrahimzadeh MH, Kachooei AR. Evolution in diagnosis and treatment of Legg-Calve-Perthes disease. Arch Bone Jt Surg. 2014;2(2):86-92.
[5] https://radiopaedia.org/cases/legg-calve-perthes-disease-5?lang=us