La enfermedad de Legg-Calve-Perthes (LCPD) es una rara enfermedad de la cadera. Ésta afecta a niños de 2 a 12 años de edad. La LCPD es un trastorno de . Legg-Calve-Perthes disease (LCPD) occurs when blood supply to the ball of the thighbone in the hip (femoral head) is disrupted. Without an adequate blood. Inicio Radiología RM en la enfermedad de Legg-Calve-Perthes. Comentario · Articles in press · Current Issue · Archive · Supplements · Most Often Read.
|Published (Last):||20 April 2008|
|PDF File Size:||4.39 Mb|
|ePub File Size:||3.40 Mb|
|Price:||Free* [*Free Regsitration Required]|
From Wikipedia, the free encyclopedia. Currently, a number of factors have been implicated, including heredity, trauma, endocrine dysfunction, inflammation, nutrition, and altered circulatory hemodynamics. The condition is also linked to arthritis of the hip, though this appears not to be an inevitable consequence. In other projects Wikimedia Commons. HPI – Patient started experiencing mild pain two years back.
If MRI or bone scans are necessary, a positive diagnosis relies upon patchy areas of vascularity to the capital femoral epiphysis the developing femoral head. J Am Acad Legg-cslv-perthes Surg. Retrieved 28 February It is generally accepted that one or more infarctions of the femoral head due to interruption of vascular legg-calv-perthds eventually cause the deformity, however, there are several theories concerning the cause legg-xalv-perthes this interruption.
Hip replacements are relatively common as the already damaged hip suffers routine wear; this varies by individual, but generally is required any time after age Differential diagnosis Differential diagnoses include Meyers dysplasia, multiple epiphyseal dysplasia and spondyloepiphyseal dysplasia see these terms.
Treatment is aimed at minimizing damage while the disease runs its course, not at ‘curing’ the disease. For older children onset of Perthes after age 6the best treatment option remains unclear. Children’s orthopaedics and fractures 3rd ed. This content does not have an English version.
Many children, especially those with the onset of the disease before age 6, need no intervention at all and are simply asked to refrain from contact sports or games which impact the hip. This is followed by new bone formation re-ossification in the epiphysis and eventual healing.
Geographic and temporal trends in incidence reflecting differences in degree of deprivation in childhood”. Current treatment options for older children over age 8 include prolonged periods without weight bearing, osteotomy femoral, pelvic, or shelfand the hip distraction method using an external fixator which relieves the hip from carrying the body’s weight. The pain is usually in the hip, but can also be felt in the knee referred pain. Retrieved from ” https: Ferri’s Clinical Advisor How would you manage this patient?
The journal is indexed in: J Bone Joint Surg Br. Pathophysiology Juvenile idiopathic avascular necrosis of femoral head Results from a partial interruption of the blood supply to the femoral head Repeat episodes result in infarction and necrosis of the femoral head Subchondral Stress Fracture s with remodeling over ensuing years Femoral head flattens and subluxes.
SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. What is the next most appropriate step in treatment?
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. Differential diagnoses include Meyers dysplasia, multiple epiphyseal dysplasia and spondyloepiphyseal dysplasia see these terms. All articles undergo a rigorous double-blind review process.
The initial symptoms are usually a limping gait, pain in the hip, thigh or knee, and a reduced range of hip motion. What is the likely diagnosis?
MRI results are more accurate, i. Please vote below and help us build the most advanced adaptive learning platform in medicine. Management and treatment The main aim of treatment is to contain the femoral head within the acetabulum, either using an abduction brace or through surgical interventions femoral or pelvic osteotomy.
Management Orthopedic Consultation in all cases within 1 week Non-weight bearing initially NSAID s may be used for pain Difficult management Long-term treatment Limited activity Bracing and Casting for up to years Maintains femoral head within the acetabulum Surgical osteotomy to improve Hip Joint congruity Indicated in failed conservative management Allows child back to activity in months.
Legg–Calvé–Perthes disease – Wikipedia
Legg-Calve-Perthes LEG-kahl-VAY-PER-tuz disease is a childhood condition that occurs when blood supply to the ball part femoral head of the hip joint is temporarily interrupted and the bone begins to die. Classification – Lateral Pillar has best agreement, and most predictive. Every hospital in England, Scotland, and Wales which treats Perthes’ disease is collecting details of new cases. Pain is usually mild. Genetics legg-calv-perthex not appear to be a determining factor, but a deficiency of blood factors with anticoagulant property used to disperse blood enffermedad may lead to blockages in the vessels supplying the joint.
Views Read Edit View history. Physiotherapy generally involves a series of daily exercises, with weekly meetings with a physiotherapist to monitor progress. This will minimize the long-term effects of the disease. If your child has a fever or can’t bear weight on the leg, seek emergency medical care. The documents contained in this web site are presented for information purposes only.
Patients should address specific medical concerns with their physicians. The hip joint is a ball-and-socket joint. International Perthes Study Group. 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.
Advertising revenue supports our not-for-profit mission. Usually, plain radiographic changes are delayed 6 weeks or more from clinical onset, so bone scintigraphy and MRI are done for early diagnosis. Legg-Calve-Perthes disease usually involves just one hip. Hip and joint components The hip joint is a ball-and-socket joint. Paediatric Orthopaedics in Clinical Practice.