Authors:
N. Chidambaranathan, C. Amarnath, A. Thangalakshmi; Chennai/IN
DOI:
10.1594/essr2017/P-0210
Methods and Materials
14 children (9 to 12 years) who presented with complaints of hip pain with limp and fit in the diagnostic criteria of ICH were studied with 1.5T MRI in standard institutional MRI protocol,
from 2010 to 2014.
Radiograph were taken for all the patients and CT scans were taken for the two advanced cases.
Children having serology positive for Antinuclear antibodies ,
Inflammatory parameters,
Rheumatoid factor ,
Culture from the joint fluid aspirate and other causes of chondrolysis were excluded .
Plain radiograph and MRI studies of fourteen patients were evaluated by two independent radiologists.
Focal T2 hyperintensity centred in the middle one third of the femoral head in coronal images considered as stage I; Superomedial acetabular edema along the triradiate cartilage of the hip in addition to Stage I considered as stage II; Widening of proximal femoral epiphysis,
Collapse of the femoral head,
acetabular involvement, and degenerative changes considered as Stage III.
.