Berger Elizabeth, Chen Liang, Sun Zhouyong, Sun Zhanwei
University of North Carolina at Chapel Hill Department of Anthropology, 301 Alumni Building, CB#3115, UNC-CH, Chapel Hill, NC 27599, USA.
Northwest University School of Cultural Heritage, 229 Taibai North Road, Xi'an, China.
Int J Paleopathol. 2017 Mar;16:27-30. doi: 10.1016/j.ijpp.2016.11.001. Epub 2016 Nov 23.
Reports of Legg-Calvé-Perthes disease (LCPD) in the paleopathological literature are rare. Here, the authors present a probable case of LCPD, which presents as abnormal morphology of the proximal femur. The condition was observed in an individual of the Warring States period in Shaanxi Province, China, and the morphology involves a "mushroom head" deformity of the proximal right femur and an enlarged acetabulum, along with a contralateral tibia, talus, and navicular that are enlarged and demonstrate periosteal new bone formation. The authors consider tuberculosis, septic arthritis, trauma, slipped capital femoral epiphysis, and Legg-Calvé-Perthes disease in a differential diagnosis. The authors conclude that the most likely diagnosis for the deformity is Legg-Calvé-Perthes disease. Bony changes in the hip joint and contralateral lower leg suggest that the individual had an altered gait because of the condition.
古病理学文献中关于莱-卡-佩病（LCPD）的报道很少。在此，作者呈现了一例可能的LCPD病例，其表现为股骨近端形态异常。该病例发现于中国陕西省战国时期的一名个体，形态学表现为右股骨近端“蘑菇头”畸形以及髋臼增大，同时对侧胫骨、距骨和舟骨增大，并显示骨膜新生骨形成。作者在鉴别诊断中考虑了结核病、化脓性关节炎、创伤、股骨头骨骺滑脱和莱-卡-佩病。作者得出结论，该畸形最可能的诊断是莱-卡-佩病。髋关节和对侧小腿的骨质改变表明该个体因该病步态发生了改变。
