Case study of Legg-Calvé-Perthes disease observed in Radom (Poland, 18th–19th century) with literature review

Anna Myszka; Hanna Mańkowska-Pliszka; Ewa Rzeźnicka; Agnieszka Dąbkowska; Jacek Tomczyk

doi:10.18778/1898-6773.86.1.03

Authors

Anna Myszka Institute of Biological Sciences, Cardinal Stefan Wyszynski University, Poland https://orcid.org/0000-0003-1327-3369
Hanna Mańkowska-Pliszka Department of Descriptive and Clinical Anatomy, Warsaw Medical University, Poland https://orcid.org/0000-0003-1237-1418
Ewa Rzeźnicka Department of Descriptive and Clinical Anatomy, Warsaw Medical University, Poland
Agnieszka Dąbkowska Forensic Medicine Department of Medical University of Warsaw, Poland
Jacek Tomczyk Institute of Biological Sciences, Cardinal Stefan Wyszynski University, Poland https://orcid.org/0000-0002-0605-665X

DOI:

https://doi.org/10.18778/1898-6773.86.1.03

Keywords:

Perthes disease, skeletal material, radiology, osteology, palaeopathology

Abstract

The aim of this study is to present the pathological lesions observed in a skeleton (male, about 35–38 years old) from Radom (Poland), dated to the 18th–19th century. Bone changes were observed in both femurs and both pelvic bones. The head of the femur is enlarged and deformed, described as “mushroom-shaped”, with areas of smooth cortex and cavities, or possible cystic residues. The neck of femur is short and thick. The bone shaft and distal epiphysis do not show any changes. The changes were also observed in both acetabularies of the hip joint (marginal bone formation, subchondral bone remodelling). Radiographic images show bilateral necrosis of the femoral head. There is a significant sclerotization of the femoral head, with a discrete visible crescent sign. These macroscopic and radiological changes match the symptoms associated with Legg-Calvé-Perthes disease. This is the first case of the disease described in bioarchaeological materials from Poland.

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