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OCR: Fig. 23.49 Hypothyroidism in childhood hyses This fragmentation of the femoral capital epi fication, AP view of the pelvis shows delay in os e femoral with fragmentation and hypoplasia of th ssification capital epiphyses. Fragmentation of the ist the centres of the femoral heads might sugg wever, diagnosis of bilateral Perthes' disease, h ssively symmetrical involvement would be exo rare in that condition. See also: · Hypothyroidism