What are the stages and clinical features of Perthes disease?

What are the stages and clinical features of Perthes disease?

In general, Perthes disease produces symptoms that have a gradual onset. Pain and limping are two common symptoms. The limping is often worse with activity or at the end of the day and often usually improves with rest. Pain is usually not specific to the hip.

What is Perthes disease?

Legg-Calve-Perthes disease, also known as Perthes disease, is a disorder of the hip in young children that usually occurs between the ages of 4 and 10. The hip is made up of the femoral head — the “ball,” which is the upper part of the femur — and the acetabulum — the “cup” that fits around the femoral head.

How is Perthes disease diagnosed?

How is Perthes disease diagnosed? If your child is experiencing symptoms of Perthes disease, your healthcare provider will order an X-ray. X-rays are a common way to confirm a diagnosis. Your provider may also order additional studies, such as an MRI, to see how far the disease may have progressed.

What are the features of Legg-Calve-Perthes disease?

Limping. Pain or stiffness in the hip, groin, thigh or knee. Limited range of motion of the hip joint. Pain that worsens with activity and improves with rest.

How many stages are there in Perthes disease?

There are four stages in Perthes disease: Initial / necrosis. In this stage of the disease, the blood supply to the femoral head is disrupted and bone cells die. The area becomes intensely inflamed and irritated and your child may begin to show signs of the disease, such as a limp or different way of walking.

What are the stages of Perthes?

The Perthes stages include: onset stage; fragmentation stage; reconstitution stage; residual stage. Each stage of Perthes disease has key indicators, which signifies the progression of the disease through the various stages.

What is the treatment of Perthes disease?

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.

What is Legg-Calve-Perthes disease?

Legg-Calve-Perthes disease is also known as avascular or aseptic necrosis of the femoral head. This is a condition in which the head of the femur (the ‘ball’ in the ball-and-socket joint that forms the hip) spontaneously begins to degenerate.

Can Perthes disease be bilateral?

Background. Most patients who develop Perthes disease have unilateral hip involvement. Bilateral involvement occurs in approximately 8-24% of cases.

What is Perthe’s disease?

Perthe’s DiseasePerthe’s Disease is a condition which isis a condition which is pathologically characterized by idiopathicpathologically characterized by idiopathic avascular necrosis of the epiphysis of theavascular necrosis of the epiphysis of the femoral head in a child.femoral head in a child.

What is residual deformity after healed Perthes disease?

Patients with residual deformity after healed Perthes disease may have anatomic deformities including femoral-acetabular impingement (FAI) and acetabular dysplasia. These may lead to chondral defects on both sides of the joint and labral tears.

What is the difference between lateral pillar and medial pillar?

The lateral pillar makes up 15% to 30% of the femoral head, while the medial pillar makes up the remaining 20% to 35%. Herring Group A consists of lateral pillars without disease involvement, including no loss of height or density changes.

What are the Catterall and lateral pillar radiographic classifications?

The Catterall and Lateral Pillar radiographic classifications estimate severity of involvement and offer general guidelines for prognosis, with better outcomes typically occurring in those with less severe involvement. Treatment is aimed at maintaining a spherical femoral head within a reduced and concentric joint.