LEGG-CALVÉ-PERTHES DISEASE

Legg-Calvé-Perthes Disease

Legg-Calvé-Perthes Disease

Syndrome Legg-Calve-Perthes disease is the degenerative disease of hip joint, where growth bone loss leads to the certain degree of collapse of hip joint and deformity of femoral head and surface of hip socket. Disease is characterized by idiopathic avascular osteonecrosis of femoral head of femoral head leading to an interruption of blood supply of head of femur near hip joint. Disease is usually found in young children and can lead to osteoarthritis in adults. Effects of disease can sometimes continue into adulthood. It is also known more simply as Perthes disease, ischemic necrosis of hip, coxa flat, osteochondritis and avascular necrosis of femoral head, or Legg-Perthes disease Legg-Calve-Perthes disease (LCPD).

Common symptoms include hip, knee or groin pain, exacerbated by movement of leg / hip. Pain feels like the toothache, which could be severe. There is the reduced range of motion in hip joint and the painful or antalgic up. There may be atrophy of thigh muscles from disuse and unequal leg length. In some cases, some type of activity can cause severe irritation or inflammation of damaged area as standing, walking, running, kneeling, bending, or repeatedly over the long period of time.

Hip X-rays confirm diagnosis. X-ray usually shows the flattened head and fragmented after femur. Bone scan or MRI may be useful in diagnosis in cases where X-rays are inconclusive. Or bone scan or magnetic resonance imaging provides additional useful information beyond X-ray in an established case. If MRI or bone scan is necessary to the positive diagnosis is based on patchy areas of vascularization of capital femoral epiphysis (femoral head development.)

Goal of treatment is to avoid severe degenerative arthritis. Orthopedic evaluation is crucial. Younger children have the better prognosis than older children.

Treatment has traditionally focused on eliminating pressure of joint until disease has run its course. Options include traction (to separate femur from pelvis and reduce wear) keys (often for several months, with an average of 18 months) to restore range of motion, physical therapy, and surgery when necessary due permanent joint damage. To sustain activities of daily living, orthopedic can be used. These internal devices rotate femoral head and abduct leg (s) to 45 degrees. Orthoses can begin as close as lumbar spine (LSO), and extend length of limbs on ground. More functional reinforcement is done with the waist belt and leg cuffs derived from Scottish-Rite orthosis. These devices are usually prescribed by the ...