Catterall classification of Perthes disease

Changed by Owen Kang, 11 Jun 2016

Updates to Article Attributes

Body was changed:

The Catterall classification is based on radiographic appearances of the epiphysis and metaphysis visible in osteonecrosis of the femoral head:

Stage I
  • bone absorption changes visible in the anterior aspect of the epiphysis of femoral head
  • changes are visible best in frog leg lateral view.
  • no sclerosis is seen
Stage II
  • further bone resorption with slight femoral head collapse in the anterior aspect of femoral head.
  • sclerosis
Stage III
  • almost entire femoral head involved in collapse with characteristic head within head appearance.
  • sclerosis
Stage IV
  • complete collapse of femoral head with flattening and formation of dense sclerosis. Additional; additional metaphyseal changes may be visible
  • sclerosis
  • posterior remodelingremodelling
  • -<li>changes are visible best in <a href="/articles/frog-leg-lateral-view">frog leg lateral view</a>.</li>
  • +<li>changes are visible best in <a href="/articles/frog-leg-lateral-view">frog leg lateral view</a>
  • +</li>
  • -<li>further bone resorption with slight femoral head collapse in the anterior aspect of femoral head.</li>
  • +<li>further bone resorption with slight femoral head collapse in the anterior aspect of femoral head</li>
  • -<li>almost entire femoral head involved in collapse with characteristic head within head appearance.</li>
  • +<li>almost entire femoral head involved in collapse with characteristic head within head appearance</li>
  • -<li>complete collapse of femoral head with flattening and formation of dense sclerosis. Additional metaphyseal changes may be visible</li>
  • +<li>complete collapse of femoral head with flattening and formation of dense sclerosis; additional metaphyseal changes may be visible</li>
  • -<li>posterior remodeling</li>
  • +<li>posterior remodelling</li>

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