MRI is increasingly replacing this, in an effort to eliminate pelvic irradiation. MRI is gaining an increasing role in a number of scenarios: Both arthrography and dynamic MRI assess three main features 3: Treatment in Perthes disease is largely related to symptom control, particularly in the early phase of the disease.Can MRI detect Legg Calvé Perthes?
MRI of Legg-Calvé-Perthes Disease. Legg-Calvé-Perthes (LCP) disease is a common cause of hip pain and limp in preadolescent children. Early in its course, this condition, a form of idiopathic osteonecrosis (or osteochondrosis), may be difficult to diagnose both clinically and radiographically.What is Perthes disease and how is it diagnosed?
Magnetic resonance imaging (MRI) using gadolinium can assess the blood flow to the femoral head and provide more detailed information about how much of the femoral head is affected. Perthes disease goes through 4 stages numbered 1 to 4. These are called Waldenström radiographic stages as it was first described by Dr. Waldenström using x-rays.How is Legg-Calvé-Perthes disease diagnosed?
MRI may show proximal femoral abnormalities before radiography in the setting of Legg-Calvé-Perthes disease, allowing appropriate diagnosis and prompt treatment. MRI can also assess for revascularization, healing, and multiple complications.