Legg-Calvé-Perthes disease (LCPD) is juvenile idiopathic osteonecrosis of the femoral head, which can lead to permanent hip deformity and painful early-onset osteoarthritis. An issue in clinical practice is that there is wide variation in imaging and management of patients with LCPD. In our institution, we have created a rapid access pathway, so those with clinically suspected LCPD are imaged with a pelvic radiograph, seen by an orthopedic specialist in a dedicated LCPD clinic and subsequently a contrast MRI perfusion of the hips is expedited. This rapid pathway ensures imaging and management is not delayed. High quality MRI of the hips is important to prognosticate and guide orthopedic intervention. It was therefore important to standardise how the MRI hips is performed and reported.
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Meeting name:
SPR 2020 Annual Meeting & Postgraduate Course
, 2020
Authors:
Clifford Simon,
Lynham Rosanne,
Green Connor,
Colleran Gabrielle
Keywords:
Perthe's,
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