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Review Question - QID 7265

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QID 7265 (Type "7265" in App Search)
A 4-year-old boy has had an isolated painful limp for the past month. He is diagnosed with Legg-Calve-Perthes disease (LCPD) that involves nearly all of his capital femoral epiphysis. Which of the following best describes his prognosis?

A spherical, painless hip at maturity

18%

38/209

An incongruous hip joint at maturity

30%

63/209

Likely spontaneous hip fusion

2%

4/209

A 30% to 40% chance of a poor outcome

43%

90/209

Rapid recovery with minimal sequelae

5%

10/209

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This young child with total head involvement LCPD is at some risk of a poor outcome due to the extent of his disease. Most children of this age will recover well with a good outcome. He is more likely to end up with a spherical femoral head than an older child with the same extent of involvement.

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