RT Journal
A1 Harel L, Kornreich L, Ashkenazi S, Rachmel A, Karmazyn B, Amir J
T1 MEyer dysplasia in the differential diagnosis of hip disease in young children
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 1999
FD September 1
VO 153
IS 9
SP 942
OP 945
DO 10.1001/archpedi.153.9.942
UL http://dx.doi.org/10.1001/archpedi.153.9.942
AB Objectives 
    To describe a rare developmental disorder of the femoral capital epiphysis in infants and children that is often misdiagnosed and to suggest an evaluation protocol to differentiate it from other hip problems.Design 
    Case series.Setting 
    Tertiary care center.Subjects 
    Five consecutive patients referred for evaluation of acute onset of limping between January 1990 and December 1997.Intervention 
    All clinical and imaging data were collected.Results 
    Two of the 5 patients were initially diagnosed as having osteomyelitis and 3 as having Perthes disease. The diagnosis of Meyer dysplasia was confirmed by plain film of the pelvis, a negative bone scan, or normal bone marrow findings on magnetic resonance imaging. The limping resolved without treatment in all patients within 1 to 3 weeks.Conclusions 
    Meyer dysplasia is a benign condition that should be included in the differential diagnosis of hip disease in infants and children. Awareness of this condition may prevent unnecessary hospitalization and treatment.