Perthes Disease (Legg-Calve-Perthes disease) – Osteochondropathy femoral head

Legg-Calve-Perthes Disease (LCPD; Osteonecrosis of the Hip; Avascular Necrosis; Ischemic Necrosis; Thigh Plana; Osteochondritis)

What Perthes disease

Legg-Calve-Perthes (BLKP) is a rare disease of the hip in children and 2-12 years. BLKP disease of bone in the upper leg. Some diseases can reduce blood flow to the hip, causing deterioration of bone growth and its deformation. Over time the bone breaks and the child begins to limp. BLKP often observed in only one thigh, and only 10% cases affect both hips.

Causes of Perthes' disease

The exact causes are unknown BLKP. As one of the possible causes of the disease are assumed infections, injury and inflammation.

Risk Factors Perthes' disease

Factors, that may increase the risk of child BLKP include:

• Small height for age;
• Delayed bone growth;
• Too active child;
• Passive smoking;
• Paul: male;
• Age: 4-8 years;
• Blood clotting.

Symptoms of the disease Perthes

The main symptom is BLKP limp when walking. It can occur in children 2-12 years. Peak it comes in 4-8 age. Other symptoms may include:

• Pain in the hip;
• Pain in the groin, hip or knees;
• Reducing the range of motion of the hip joint;
• Short legs, or one leg shorter than the other;
• Muscle weakness in the upper thigh.

Diagnosis of Perthes' disease

The doctor will ask about your symptoms and medical history of the child, and perform a physical examination. During the inspection of the condition being studied hip baby, in order to investigate its range of motion. The doctor may refer the child to a specialist orthopedic specializes in bone and joint diseases.

The doctor may need hip pictures. For their implementation apply:

• Roentgen;
• Magnetic resonance imaging (MRT).

Treatment of Perthes' disease

Methods of treatment of Perthes disease include:

Physiotherapy in Perthes' disease

If mild symptoms, your doctor may prescribe fizioterapiyu.Terapevt will work with the child, range of motion to keep the thigh. Parents can teach specific exercises, you need to perform with the child at home.

Conservative treatment of Perthes' disease

Conservative treatment is used, to prevent further damage to the hip. It may involve the use of crutches, parenthesis, tires or gypsum.

Operation in Perthes' disease

In some cases, child, perhaps, need surgery. It can be done removing bones , to correct or change the position of the hip bone.

Prevention of Perthes' disease

While there is no way to prevent this rare disease.