Abstract

Болезнь Легга-Кальве-Пертеса и асептический некроз головки бедренной кости: МРТ–семиотика терминальных стадий заболевания с исходом в деформирующий артроз

Highlights

  • The changes that occur in the femoral head in Legg-Calvet-Perthes disease and aseptic necrosis in the early stages have been described sufficiently

  • The nature of changes in the femoral head in patients with Legg-Calve-Perthes disease depends on the stage of the process and the individual characteristics of the course of the disease

  • Many patients refer to doctors when changes in the femoral head go far beyond stages 1-2, and radiographic morphological and magnetic resonance imaging (MRI) changes in the head cannot be assessed using the proposed quantitative schemes

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Summary

Introduction

The changes that occur in the femoral head in Legg-Calvet-Perthes disease and aseptic necrosis in the early stages have been described sufficiently. Materials and methods A retrospective single-centre MRI study (case series) included 15 patients with aseptic necrosis of the femoral head and Legg-Calve-Perthes disease. The incidence of LeggCalve-Perthes disease varies in different countries, and within relatively small areas of one city. It ranges from 0.4 / 100,000 to 29.0 / 100,000 cases [1–5]. Changes that occur in the femoral head in Legg-Calvet-Perthes disease in the early stages have been studied using a complex of modern diagnostic methods (MSCT, MRI, ultrasonography) [9–11]. MRI is the most effective means for detecting the early stage of the disease [10, 15, 16]

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