Class I
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A completely normal hip joint
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Class II
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A spherical femoral head (same concentric circle on anteroposterior and frog-leg lateral radiographs), but with one or more of the following abnormal characteristics of the femoral head, neck, or acetabulum:
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(1) Larger than normal (although spherical) femoral head (coxa magna);
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(2) Shorter-than-normal femoral neck;
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(3) Abnormally steep acetabulum
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Class III
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A non-spherical (ovoid, mushroom-shaped, or umbrella-shaped) but not flat femoral head. Abnormal characteristics of the femoral head, neck, and acetabulum (as described for Class II) are present also.
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Class IV
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A flat femoral head and abnormalities of the femoral head, femoral neck, and acetabulum
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Class V
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A flat femoral head and a normal femoral neck and normal acetabulum
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