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Perthes disease in a 2-year-old child
Daphne Dhas1, Aparna Viswanath1, Mark David Latimer2
1Department of Orthopaedics, Peterborough and Stamford Hospitals, Peterborough, UK.
BMJ Case Reports
|March 4, 2015
Summary
Perthes disease, a hip condition, typically affects children aged 4-10. This case highlights an unusual presentation in a toddler, emphasizing the need for vigilance in diagnosing pediatric hip disorders.
Area of Science:
- Pediatric Orthopedics
- Pediatric Rheumatology
Background:
- Perthes disease involves temporary disruption of blood flow to the femoral head, leading to collapse and remodeling.
- It commonly affects children between 4 and 10 years old.
Observation:
- A child presented with a painful right hip limp shortly after his second birthday.
- Initial diagnosis considered transient synovitis of the hip.
Findings:
- Persistent limp prompted further investigation.
- The child was diagnosed with Perthes disease, an atypical early presentation.
Implications:
- This case underscores that Perthes disease can occur in younger children than typically observed.
- Early recognition and diagnosis are crucial for appropriate management of pediatric hip conditions.
