1. Rev Esp Cir Ortop Traumatol. Jul-Aug;60(4) doi: / Epub May Un grupo de25 pacientes con edades comprendidas entre 5 y 25 añosen el momento del estudio, anteriormente diagnosticadosde enfermedad de Perthes. CATEDRA:TRAUMATOLOGIADr. ROMULO VIDEZ EXPOCITORA: SARA MITA HEREDIA COCHABAMBA-BOLIVIA O FRE.
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Some children have a coincidental history of trauma. In general, children who are diagnosed with Legg-Calve-Perthes after age 6 are more likely to develop hip problems later in life.
Traditionally arthrography performed under general anaesthesia with conventional fluoroscopy is performed to assess congruency between the femoral head and the acetabulum in a variety of positions 3. Case 5 Case 5. Get Access Get Access. Case 3 Case 3.
Case 4 Case 4. The younger the age at the time of presentation, the more benign disease course is expected and also for same age, the prognosis is better in boys than girls due to less maturity 5,8. The hip joint is a ball-and-socket joint.
The younger the child is at the time of diagnosis, the better the chances for the hip joint to heal in a normal, round shape. Legg-Calve-Perthes LEG-kahl-VAY-PER-tuz disease is a childhood condition that occurs when blood supply pertges the ball part femoral head of the hip joint is temporarily interrupted and the bone begins to die. To keep the ball part of the joint as round as possible, doctors may use a variety of treatments that keep it snug in the socket portion of the joint.
Without an adequate blood supply, this bone becomes unstable, and it may break easily and heal poorly. There is a separate system for staging of Perthes disease see Catterall classification.
Case 8 Case 8. Treatment in Perthes disease is largely related to symptom control, particularly in pertges early phase of the disease. Map of IPSG providers. The mean decrease in pain measured with a visual analogue scale VAS after the surgery was 3. Nelson Perhhes of Pediatrics.
Author links open overlay panel J. It has been suggested that the cause of Perthes diseasemay be intravascular thrombosis induced by peryhes potentialcongenital hemostatic disorder leading to conditions ofthrombophilia or hyperfibrinolysis.
Legg-Calve-Perthes Disease – NLM Catalog – NCBI
National Center for Biotechnology InformationU. Overview of hip pain in childhood.
W B Saunders Co. Case 2 Case 2.
Generate a file for use with external citation management software. The radiographic findings are those of osteonecrosis. Make an appointment with your doctor if your child begins limping or complains of hip, groin or knee pain.
Mayo Clinic does not endorse companies or products. Rev Esp Cir Ortop Dw. Larson AN expert opinion. Escrito por el personal de Mayo Clinic.
Hip arthrodiastasis in Legg-Calvé-Perthes disease.
Loading Stack – 0 images remaining. Conclusions Epidemiological and laboratory data from this group ofpediatric patients and from the control group do not supportthe hypothesis that a thrombogenesis defect couldbe the underlying cause of avascular necrosis of the hipjoint. Canale ST, et al. It is important to be certain that there is no other cause of osteonecrosis e. Osteochondrosis or epiphysitis and other miscellaneous affections.
Legg-Calve-Perthes disease – Symptoms and causes – Mayo Clinic
The presence of metaphyseal involvement not only increases the likelihood of femoral neck deformity but also make early physeal closure with resulting leg length disparity more likely.
Advertising revenue supports our not-for-profit mission. The radiographic changes to the femoral epiphyses depend on the severity of osteonecrosis and the amount of perthea that there has been alteration of blood supply:.
A total of 13 patients 9 male, 4 female were included. International Perthes Study Group. Legg-Calve-Perthes disease usually involves just one hip. Prognosis is also influenced by the percentage of femoral head involvement and degree of primary deformity of the femoral head and the secondary osteoarthritic changes that ensue.
References Kliegman RM, et al. Case 19 Case About Blog Go ad-free. Palabras clave Enfermedad de Perthes.
Case 11 Case