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Legg‑Calvé‑Perthes — Staging & Prognosis

Idiopathic avascular necrosis of capital femoral epiphysis in 4–8‑year‑olds (boys > girls). Radiographic **Waldenström stages**: Initial, Fragmentation, Re‑ossification, Healed. **Prognosis/Severity**: **Catterall** (I–IV) and **Herring (lateral pillar)** (A–C); age >6 yrs and Herring C predict poorer outcomes. Goal: **containment** of the femoral head within acetabulum to maintain sphericity (abduction bracing or osteotomy). MRI detects early marrow changes; lateral extrusion (loss of containment) indicates need for intervention.

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Idiopathic avascular necrosis of capital femoral epiphysis in 4–8‑year‑olds (boys > girls). Radiographic **Waldenström stages**: Initial, Fragmentation, Re‑ossification, Healed. **Prognosis/Severity**: **Catterall** (I–IV) and **Herring (lateral pillar)** (A–C); age >6 yrs and Herring C predict poorer outcomes. Goal: **containment** of the femoral head within acetabulum to maintain sphericity (abduction bracing or osteotomy). MRI detects early marrow changes; lateral extrusion (loss of containment) indicates need for intervention.
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Question 1

What is the main goal of treatment in Legg-Calvé-Perthes disease?

Question 2

In which stage of Waldenström's classification is the femoral head observed to have an increased radiodensity?

Question 3

Which classification system is based on the extent of epiphyseal involvement in Legg-Calvé-Perthes disease?

Question 4

Which of the following factors is associated with poorer outcomes in Legg-Calvé-Perthes disease?

Question 5

What is the typical age range for children affected by Legg-Calvé-Perthes disease?

Question 6

What imaging modality is particularly useful for detecting early marrow changes in Legg-Calvé-Perthes disease?

Question 7

Which of the following describes the final shape of the femoral head after healing in Legg-Calvé-Perthes disease?

Question 8

What does a loss of containment indicated by lateral extrusion in Legg-Calvé-Perthes disease suggest?

Question 9

In the Catterall classification, which group indicates total epiphyseal involvement?

Question 10

Which age factor is significant for the prognosis of Legg-Calvé-Perthes disease?