Legg-Calvé-Perthes disease and slipped femoral capital epiphysis in the skeletal remains of the Mediaeval Necropolis of Santa Maria (Sintra, Portugal)

نویسندگان

  • Sofia N. Wasterlain
  • Cláudia Umbelino
چکیده

This paper discusses the differential diagnosis of unusual and distinct pathological changes in two left femurs and one left pelvic bone fragment from the Necropolis of Santa Maria, Sintra (Portugal), dated from the 14-17 centuries. The differential diagnosis of the lesions gave rise to several possible pathological conditions, namely, slipped femoral capital epiphysis, Legg-CalvéPerthes disease, developmental dysplasia of the hip, and trauma. Various macroscopic and radiological aspects led us to consider slipped femoral capital epiphysis as the most probable diagnosis in one case and Legg-Calvé-Perthes disease in the other. Given the scarcity of reports of both conditions in the osteoarchaeological literature, the identification of new cases becomes important. In fact, this appears to be the first report of slipped femoral capital epiphysis in nonWasterlain and Umbelino /Cadernos do GEEvH 2 (2) 2013: 27-39 28 identified Portuguese human skeletal remains and adds to the only two cases of Legg-CalvéPerthes disease detected until now.

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تاریخ انتشار 2014