Imaging of Legg-Calvé-Perthes Disease in Children View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2009-10-19

AUTHORS

Neil Vachhani , Andres H. Peña , Diego Jaramillo

ABSTRACT

■ Two-view pelvic radiographs remain the primary diagnostic tool when there is clinical suspicion for Legg–Calvé–Perthes (LCP) (limited evidence). ■ The radiographic evaluation of LCP is based at presentation on the presence or the absence of the lateral pillar (the degree of preservation of the height of the lateral third of the femoral head) and after healing on the degree of deformity of the femoral head (moderate evidence). ■ The pattern of reperfusion as determined by scintigraphy and MRI is an important determinant of the prognosis (moderate evidence). ■ MRI has proven more useful than other modalities to detect the extent of marrow involvement, the damage to the physis and metaphysis, and the femoroacetabular relationships (limited to moderate evidence). ■ CT and US do not have a primary role in diagnosing LCP (moderate evidence). More... »

PAGES

319-328

Book

TITLE

Evidence-Based Imaging in Pediatrics

ISBN

978-1-4419-0921-3
978-1-4419-0922-0

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-1-4419-0922-0_22

DOI

http://dx.doi.org/10.1007/978-1-4419-0922-0_22

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1012174006


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47 schema:description ■ Two-view pelvic radiographs remain the primary diagnostic tool when there is clinical suspicion for Legg–Calvé–Perthes (LCP) (limited evidence). ■ The radiographic evaluation of LCP is based at presentation on the presence or the absence of the lateral pillar (the degree of preservation of the height of the lateral third of the femoral head) and after healing on the degree of deformity of the femoral head (moderate evidence). ■ The pattern of reperfusion as determined by scintigraphy and MRI is an important determinant of the prognosis (moderate evidence). ■ MRI has proven more useful than other modalities to detect the extent of marrow involvement, the damage to the physis and metaphysis, and the femoroacetabular relationships (limited to moderate evidence). ■ CT and US do not have a primary role in diagnosing LCP (moderate evidence).
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