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Legg-Calve-Perthes disease; Perthes disease is a degenerative disease of the hip joint, where growth / loss of bone mass leads to some degree of collapse. Characterized by idiopathic avascular osteonecrosis of the capital femoral epiphysis. This leads to an interruption of the blood supply of the head of the femur close to the hip joint. Caucasians are affected more frequently than other races Males are affected 3-4
Legg-Calve-Perthes disease; Perthes disease is a degenerative disease of the hip joint, where growth / loss of bone mass leads to some degree of collapse. Characterized by idiopathic avascular osteonecrosis of the capital femoral epiphysis. This leads to an interruption of the blood supply of the head of the femur close to the hip joint. Caucasians are affected more frequently than other races Males are affected 3-4
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Legg-Calve-Perthes disease; Perthes disease is a degenerative disease of the hip joint, where growth / loss of bone mass leads to some degree of collapse. Characterized by idiopathic avascular osteonecrosis of the capital femoral epiphysis. This leads to an interruption of the blood supply of the head of the femur close to the hip joint. Caucasians are affected more frequently than other races Males are affected 3-4
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Legg-Calve-Perthes medial circumflex Erythrocyte disease; Perthes femoral artery to take sedimentation rate - Phases of Perthes Disease Complications disease over. elevated if infection Phase 1: Osteoarthritis may Is a degenerative For example, a child present Necrosis - Blood develop later in life, disease of the hip joint, may be 6 years old Treatment supply is absent to the although the where growth/loss of chronologically but may The aim of treatment is femoral head and the development of bone mass leads to have grown to 4 years to protect the bone and hip joint becomes osteoarthritis may be some degree of old in terms of bone joint from further stress inflamed, stiff, and minimized with prompt collapse of the hip joint maturity. The child may and injury while the painful. Portions of the recognition and proper and to deformity of the then engage in activity healing process takes bone turn into dead treatment. ball of the femur and the appropriate for a child of place. tissue. The ball of the surface of the hip 6 but may not yet have rest thigh bone becomes Prognosis socket. The disease is the bone strength of an activity restrictions less round in The outcome is usually characterized by older child, leading to appearance on x-rays. good with treatment. medications idiopathic avascular flattening or fracture of This phase can last Most bone will heal with bed rest and traction osteonecrosis of the the hip joint. from several months up minimal lasting casting or bracing (to to one year. capital femoral deformity. Symptoms hold the femoral head in epiphysis of the femoral Phase 2: Children younger than 6 the hip socket, permit head leading to an Knee pain (may be the Fragmentation - The have the best prognosis limited joint movement, interruption of the blood only symptom, initially) body cleans up the since they have time for and allow the femur to supply of the head of Persistent thigh or groin dead bone cells and the dead bone to remold itself into a the femur close to the pain replaces them with new, revascularize and round shape again) hip joint. Atrophy (wasting) of healthier bone cells. remodel. Children that physical therapy (to muscles in the upper The femoral head have been diagnosed Risk Factors keep the hip muscles thigh begins to remodel into a with Perthes' Disease strong and to promote Occurs most frequently Slight shortening of the round shape again. The after the age of 10 are hip movement) in boys 3 to 12 years leg, or legs of unequal joint is still irritated and at a very high risk of crutches or wheelchair painful. This phase can developing old. length (in some cases) last from one to three osteoarthritis Caucasians are affected Hip stiffness restricting Surgery years. more frequently than movement in the hip other races surgery (to hold the Phase 3: Difficulty walking, femoral head in the hip Reossification - The Reported by: Males are affected 3-4 walking with a limp socket) femoral head continues Jay Francis Corcelles times more often than (which is often painless) females Inominate osteotomy; to model itself back into Melson Flores Limited range of motion varus osteotomy; a round shape with new Causes osteotomy of the bone. This phase lasts Diagnostic Test proximal femur, for one to three years. Although no-one has X-rays acetabulum (Salter identified the cause of Bone scans Phase 4: Remodeling - innominate), or a Perthes disease it is Magnetic Resonance Normal bone cells combination of these known that there is a Imaging (MRI) replace the new bone may be required reduction in blood flow Arthrograms - a cells and the to the joint. It is thought Other than surgery; diagnostic imaging test remodeling continues. that the artery of the NSAIDs such as Motrin to study the non-bony This last phase can last ligamentum teres help with the pain structures of joints. a few years to complete femoris closes too early, inflicted. the healing process.