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Perthes Disease — Management

Idiopathic avascular necrosis of femoral head in children 4–10 yrs. More common in boys; often unilateral. Clinical: limp, hip/knee pain, limited abduction/internal rotation. Imaging: X-ray shows increased density, fragmentation, collapse, reossification (Waldenström stages). Management: containment (bracing, osteotomy) to keep femoral head within acetabulum.

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Idiopathic avascular necrosis of femoral head in children 4–10 yrs. More common in boys; often unilateral. Clinical: limp, hip/knee pain, limited abduction/internal rotation. Imaging: X-ray shows increased density, fragmentation, collapse, reossification (Waldenström stages). Management: containment (bracing, osteotomy) to keep femoral head within acetabulum.
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