What structure is affected by Legg Calve Perthes disease?

What structure is affected by Legg Calve Perthes disease?

In LCPD, the growing end of the upper portion of the thigh bone (femur) is affected. The upper section of the thigh bone is known as the head or “the ball” and connects to the hip in a depression or “socket”. This is the hip joint, which is a ball and socket joint.

What causes slipped capital femoral epiphysis?

The exact cause of SCFE is not known. There are, however, many factors that are associated with this condition. These factors lead to weakening of the growth plate (also called the “physis”) which then causes the femoral head (ball of the femur) to slip off the neck of the femur. Obesity is a major risk factor.

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.

What are the symptoms of Perthes disease?

The symptoms of Perthes’ disease include:

• an occasional limp in the earlier stages.
• stiffness and reduced range of movement in the hip joint.
• pain in the knee, thigh or groin when putting weight on the affected leg or moving the hip joint.
• thinner thigh muscles on the affected leg.

Is Legg-Calve-Perthes the same as avascular necrosis?

Legg-Calvé-Perthes disease (LCPD) is avascular necrosis (AVN) of the proximal femoral head resulting from compromise of the tenuous blood supply to this area. LCPD usually occurs in children aged 4-10 years. The disease has an insidious onset and may occur after an injury to the hip.

Is Legg-Calve-Perthes Disease avascular necrosis?

Legg-Calve-Perthes disease (LCPD) is idiopathic osteonecrosis or idiopathic avascular necrosis of the capital femoral epiphysis of the femoral head.

How do you test for slipped capital femoral epiphysis?

SCFE is diagnosed through physical exam including rotation of the affected leg, observation while walking and X-rays. A MRI may be ordered if the diagnosis is not able to be made with X-rays and your healthcare provider still suspects your child has SCFE.

What is a possible complication of capital femoral epiphysis?

Complications following SCFE include avascular necrosis (degeneration of the femoral head), chondrolysis (rapid onset of painful arthritis), and impingement.

How do you test for Perthes disease?

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 is the best treatment for 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 the treatment for Perthes disease?

What happens if Perthes disease is not treated?

If left untreated, the femoral head can deform and not fit well within the acetabulum, which can lead to further hip problems in adulthood, such as early onset of arthritis. There are many treatment options for Perthes disease.