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CHANGES SIMULATING LEGG-PERTHES DISEASE (OSTEOCHONDRITIS DEFORMANS JUVENILIS) DUE TO JUVENILE MYXOEDEMA Report of a Case
FULLER ALBRIGHT
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The Medical Service of the Massachusetts General Hospital and the Department of Medicine of Harvard University Medical School
1938 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1938; 20:764-769 
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Abstract

1. In the case of juvenile myxoedema reported, roentgenographic examination showed changes indistinguishable from Legg-Perthes disease. These changes promptly cleared up on thyroid medication.

2. From the literature, it is clear that lesions occur in the epiphyses of cretins, which are similar roentgenographically to those seen in Legg-Perthes disease. From the work of Looser, however, it appears that the pathology in the epiphyses in the two conditions is entirely different.

3. Hypothyroidism and, as suggested by Shelton and Cavanaugh, retarded bone age should be looked for in all cases of apparent Legg-Perthes disease.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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