What is the initial therapy for Legg-Calve-Perthes disease?
What is the initial therapy for Legg-Calve-Perthes disease?
Initial therapy includes minimal weightbearing and protection of the joint, which is accomplished by maintaining the femur abducted and internally rotated so that the femoral head is held well inside the rounded portion of the acetabulum.
What is the treatment for Legg-Calve-Perthes?
The most common surgical procedure for treating Perthes disease is an osteotomy. In this type of procedure, the bone is cut and repositioned to keep the femoral head snug within the acetabulum. This alignment is kept in place with screws and plates, which will be removed after the healed stage of the disease.
Can Legg-Calve-Perthes be cured?
Surgical Treatment Surgery may be warranted to treat Legg-Calve-Perthes disease, but is often not recommended for children under the age of 6. The goal of surgery is containment. The idea is to keep the femoral head within the acetabulum.
What are the stages of Perthes disease?
What is Legg-Calvé-Perthes disease?
- Phase 1 – Initial phase. Blood supply is absent to the femoral head and the hip joint becomes inflamed, stiff, and painful.
- Phase 2 – Fragmentation phase. The body starts absorbing the dead bone and forming new bone.
- Phase 3 – Reossification phase.
- Phase 4 – Healing phase.
Which of the following is a physical assessment test to assist in the diagnosis of Legg-Calve-Perthes disease?
Diagnosis of Legg-Calvé-Perthes disease involves the use of many different imaging techniques including X-ray, bone scan, and magnetic resonance imaging (MRI). Physical measurements of the thigh muscles and exams to assess the kids’ range of motion are also performed as part of diagnosis of this condition.
What causes lack of blood supply to hip?
Trauma. Injuries, such as hip dislocation or fracture, can damage nearby blood vessels and reduce blood flow to bones. Steroid use. Use of high-dose corticosteroids, such as prednisone, is a common cause of avascular necrosis.
How long does Legg Calve Perthes last?
The body absorbs the dead bone cells and replaces them with new, healthier bone cells. The femoral head begins to re-form into a round shape. The joint is still irritated and painful. This phase can last from 1 to 3 years.
What are the treatment options for Legg Calve Perthes disease?
Surgical treatment during the acute disease can help to control symptoms and to contain the hip. Hip arthroscopy has been shown to be therapeutic for patients with Legg Calve Perthes disease. Removal of loose bodies and debridement of cartilage flaps provide most of the therapeutic benefit.
What is Legg-Calve-Perthes disease and how is it treated?
Legg-Calve-Perthes Disease is an idiopathic juvenile avascular necrosis resulting in malformation of the femoral head. It’s a self-healing condition and the long term outcome and therapy strongly depends on the severity of the osteonecrosis and the ultimate shape of the femoral head.
What are the treatment options for Perthes disease?
Physical therapy is usually the first treatment for children with mild symptoms of Perthes disease and typically begins as soon as a child has been diagnosed. Physical therapy can help to restore range of motion in the hip joint, reduce inflammation and pain, and protect the joint as it heals.
Does Legg Calve Perthes show up on Xray?
X-rays. Initial X-rays might look normal because it can take one to two months after symptoms begin for the changes associated with Legg-Calve-Perthes disease to become evident on X-rays. Your doctor will likely recommend several X-rays over time, to track the progression of the disease.
