Imaging of Legg-Calvé-Perthes Disease

  • Sergio Lopes Viana
  • Maria Custódia Machado Ribeiro
  • Bruno Beber Machado


Legg-Calvé-Perthes disease (LCPD) is an idiopathic form of avascular necrosis of the immature proximal femoral epiphysis. As it occurs in the growing skeleton, there are peculiarities that distinguish it from the adult type of avascular necrosis of the femoral head. It is important to keep in mind that this epiphysis bears a substantial remodeling potential in skeletally immature patients, which can correct architectural changes caused by ischemia; the younger the patient, the greater is this ability. Nevertheless, abnormal epiphyseal development and deformation of the femoral head do occur in cases of poor evolution, and the cascade of phenomena that occur after bone necrosis is paralleled by the evolution of imaging findings. This chapter provides an overview of the role of imaging in the assessment of LCPD.


Imaging Joints Radiology Children Adolescents Pediatrics Radiographs X-rays Ultrasonography Computed tomography Magnetic resonance imaging Legg-Calvé-Perthes disease Osteonecrosis Avascular necrosis 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sergio Lopes Viana
    • 1
  • Maria Custódia Machado Ribeiro
    • 2
  • Bruno Beber Machado
    • 3
  1. 1.Hospital da Criança de Brasília José Alencar, Hospital Ortopédico e Medicina Especializada (HOME) and Diagnóstico Clínica de Imagens MédicasBrasíliaBrazil
  2. 2.Hospital da Criança de Brasília José AlencarBrasíliaBrazil
  3. 3.Gastren Clínica Médica e Radiológica (Iúna-ES), Clínica Radiológica Med Imagem, Clínica Radiológica Radial, Santa Casa de Misericórdia and Unimed Sul CapixabaCachoeiro de ItapemirimBrazil

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