Flattened Femoral Heads

Description

Professor Dan Perry gives his expert insights and discusses the diagnostic considerations when evaluating a child presenting with flattened femoral heads, particularly focusing on the importance of differentiating conditions such as Perthes disease from skeletal dysplasias like multiple epiphyseal dysplasia (MED) and spondyloepiphyseal dysplasia (SED). It highlights that Perthes disease typically manifests with asynchronous hip involvement, whereas bilateral synchronous findings may suggest a skeletal dysplasia. The necessity for accurate diagnosis in the context of a child's short stature and waddling gait is emphasized, as it guides further investigation and management.




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DOI: 10.1302/3114-251164

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