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Legg-Calve-Perthes disease is a transient avascular necrosis of the femoral head that typically affects young boys between ages 5-7. It is characterized by limping, hip or groin pain, and decreased range of motion in the hip. Diagnosis involves history, physical exam, and x-rays which can show fragmentation and collapse of the femoral head. The goal of treatment is to contain the femoral head within the hip socket using braces, casting, or surgery like femoral or pelvic osteotomies. Most patients eventually recover fully but may develop degenerative hip changes later in life requiring total hip arthroplasty.
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Nitin perthes
This document provides information on Legg Calve Perthes disease, including:
- A brief history of its discovery and description by Legg, Calve, and Perthes.
- Its definition as osteonecrosis of the femoral epiphysis in children caused by non-genetic factors.
- Presentation, diagnosis using imaging like x-rays and MRI, and classifications of severity.
- Management involves containment of the femoral head through bracing, casting, or surgery depending on the stage and prognosis. The goal is to prevent secondary arthritis by achieving a spherical femoral head.
Legg-Calvé-Perthes Disease
The document discusses Legg-Calvé-Perthes disease, which is avascular necrosis of the femoral head that typically affects children between the ages of 3-12. It causes the loss of blood supply to the capital femoral epiphysis. The document covers the background, etiology, pathology, presentation, investigations, classifications, treatment options and long term outcomes of Legg-Calvé-Perthes disease.
Legg Calve Perthes disease
This document defines Legg-Calvé-Perthes disease as a condition that disrupts the blood supply to the femoral head, causing bone death. It progresses through stages of bone resorption and remodeling. Treatment aims to restore mobility and prevent deformity through symptomatic care, bracing, or surgery depending on the child's age and stage of disease. Surgical options include osteotomies and shelf procedures to contain the femoral head within the acetabulum.
Perthes ’ disease
This document provides information about Perthes' disease, including:
- It is characterized by avascular necrosis of the femoral head in children.
- Risk factors include being male and between ages 5-10 years old.
- Imaging studies like x-rays are used to diagnose and monitor the stages of avascular necrosis, fragmentation, ossification, and remodeling.
- Differential diagnosis depends on whether the condition is unilateral or bilateral.
- Treatment aims to prevent deformity through nonsurgical or surgical methods depending on the severity.
CURRENT TRENDS IN MANAGEMENT OF PERTHES DISEASE BY DR.GIRISH MOTWANI
This document discusses Perthes disease and its management. It begins with an overview of the 4 stages of the disease based on the evolution: avascular necrosis, revascularization/fragmentation, ossification/healing, and remodeling. It then examines various classification systems used to assess the extent of involvement, including Catterall, Salter-Thompson, Herring, and Elizabethtown classifications. Containment methods like bracing and surgical options like femoral and pelvic osteotomies are covered. The talk emphasizes the importance of assessing the structural integrity of the femoral head, especially the lateral pillar, when determining treatment and prognosis.
Perthes Disease LCPD
This document provides information on Legg Calve Perthes disease, which is a childhood condition causing necrosis of the femoral head. It begins by defining the disease and providing synonyms. It then discusses the history of who first described it. The document outlines various etiological factors for the disease like vascular supply issues, increased intra-articular pressure, and genetic factors. It also describes the stages of the disease based on Waldenstrom's classification and details what clinical findings and imaging studies are associated with each stage. The natural history, differential diagnosis, investigations, and prognosis are summarized.
Classification & management of legg calve perthes disease
This document discusses Legg-Perthes disease (LPD), a childhood condition causing temporary osteonecrosis of the femoral head. It provides details on:
1. Diagnostic imaging techniques used including X-rays, MRI, bone scans, and arthrography. X-rays can classify LPD into stages and assess head shape.
2. Classification systems for LPD staging and outcome prediction including Waldenstrom, Catterall, Herring, and Stulberg systems. These consider factors like head shape, containment, and congruency.
3. Non-surgical and surgical treatment options from observation to hip bracing to osteotomies. The goal is containment of the femoral
Legg- Calve – Perthes disease
This case study describes a 10-year-old female patient presenting with right hip pain and limp. An MRI revealed avascular necrosis of the right femoral epiphysis, classified as Legg-Calve-Perthes disease. Legg-Calve-Perthes disease involves necrosis of the femoral head epiphysis and predominantly affects children aged 3-12 years old. The document further discusses the classification, imaging findings, diagnosis, treatment and differential diagnosis of Legg-Calve-Perthes disease.
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Nitin perthes
This document provides information on Legg Calve Perthes disease, including:
- A brief history of its discovery and description by Legg, Calve, and Perthes.
- Its definition as osteonecrosis of the femoral epiphysis in children caused by non-genetic factors.
- Presentation, diagnosis using imaging like x-rays and MRI, and classifications of severity.
- Management involves containment of the femoral head through bracing, casting, or surgery depending on the stage and prognosis. The goal is to prevent secondary arthritis by achieving a spherical femoral head.
Legg-Calvé-Perthes Disease
The document discusses Legg-Calvé-Perthes disease, which is avascular necrosis of the femoral head that typically affects children between the ages of 3-12. It causes the loss of blood supply to the capital femoral epiphysis. The document covers the background, etiology, pathology, presentation, investigations, classifications, treatment options and long term outcomes of Legg-Calvé-Perthes disease.
Legg Calve Perthes disease
This document defines Legg-Calvé-Perthes disease as a condition that disrupts the blood supply to the femoral head, causing bone death. It progresses through stages of bone resorption and remodeling. Treatment aims to restore mobility and prevent deformity through symptomatic care, bracing, or surgery depending on the child's age and stage of disease. Surgical options include osteotomies and shelf procedures to contain the femoral head within the acetabulum.
Perthes ’ disease
This document provides information about Perthes' disease, including:
- It is characterized by avascular necrosis of the femoral head in children.
- Risk factors include being male and between ages 5-10 years old.
- Imaging studies like x-rays are used to diagnose and monitor the stages of avascular necrosis, fragmentation, ossification, and remodeling.
- Differential diagnosis depends on whether the condition is unilateral or bilateral.
- Treatment aims to prevent deformity through nonsurgical or surgical methods depending on the severity.
CURRENT TRENDS IN MANAGEMENT OF PERTHES DISEASE BY DR.GIRISH MOTWANI
This document discusses Perthes disease and its management. It begins with an overview of the 4 stages of the disease based on the evolution: avascular necrosis, revascularization/fragmentation, ossification/healing, and remodeling. It then examines various classification systems used to assess the extent of involvement, including Catterall, Salter-Thompson, Herring, and Elizabethtown classifications. Containment methods like bracing and surgical options like femoral and pelvic osteotomies are covered. The talk emphasizes the importance of assessing the structural integrity of the femoral head, especially the lateral pillar, when determining treatment and prognosis.
Perthes Disease LCPD
This document provides information on Legg Calve Perthes disease, which is a childhood condition causing necrosis of the femoral head. It begins by defining the disease and providing synonyms. It then discusses the history of who first described it. The document outlines various etiological factors for the disease like vascular supply issues, increased intra-articular pressure, and genetic factors. It also describes the stages of the disease based on Waldenstrom's classification and details what clinical findings and imaging studies are associated with each stage. The natural history, differential diagnosis, investigations, and prognosis are summarized.
Classification & management of legg calve perthes disease
This document discusses Legg-Perthes disease (LPD), a childhood condition causing temporary osteonecrosis of the femoral head. It provides details on:
1. Diagnostic imaging techniques used including X-rays, MRI, bone scans, and arthrography. X-rays can classify LPD into stages and assess head shape.
2. Classification systems for LPD staging and outcome prediction including Waldenstrom, Catterall, Herring, and Stulberg systems. These consider factors like head shape, containment, and congruency.
3. Non-surgical and surgical treatment options from observation to hip bracing to osteotomies. The goal is containment of the femoral
Legg- Calve – Perthes disease
This case study describes a 10-year-old female patient presenting with right hip pain and limp. An MRI revealed avascular necrosis of the right femoral epiphysis, classified as Legg-Calve-Perthes disease. Legg-Calve-Perthes disease involves necrosis of the femoral head epiphysis and predominantly affects children aged 3-12 years old. The document further discusses the classification, imaging findings, diagnosis, treatment and differential diagnosis of Legg-Calve-Perthes disease.
Legg+Calve+Perthes+Disease
Legg Calve Perthes Disease (LCPD) is osteonecrosis of the femoral head that typically affects children between the ages of 4-10. For patients under 6 years old with minimal involvement, the prognosis is generally good and treatment involves rest and anti-inflammatories. For patients between 6-8 years old with more involvement, containment of the femoral head through bracing or surgery is often recommended. Patients presenting after age 9 usually have a poor prognosis due to more advanced involvement and are treated with early containment procedures, though stiffness can be a complication.
Perthes disease ADOLESCENT COXA VARA
This document discusses Perthes disease, which results from loss of blood supply to the femoral head, typically affecting children ages 3-10 years old. It covers the stages of the disease from initial avascular necrosis to healing. Diagnosis involves examining radiographic changes over time as well as using imaging modalities like MRI, CT, bone scans and arthrography. Treatment aims to contain the femoral head within the acetabulum during healing to prevent deformity. Differential diagnoses and related conditions are also reviewed.
Perthes disease by DR.NAVEEN RATHOR
Presentation contain etiology, blood supply of femoral head & neck,pathogenesis ,classification system ,clinical features,diagnosis,managment, pelvic & femoral osteotomies in detail
Legg calve perthes disease-UMY
This document summarizes Legg-Calvé-Perthes disease, a childhood hip disorder characterized by temporary loss of blood supply to the femoral head. It describes the disease stages including initial sclerosis, fragmentation as new bone forms, and healing. Risk factors include age 4-8 years and delayed bone age. Symptoms include limping and pain. Treatments aim to contain the femoral head through bracing or surgery to prevent joint damage. Prognosis depends on age and deformity, with older children and severe deformity having worse outcomes.
Irritable hip and perthe's disease
Transient synovitis, also known as irritable hip, is the most common cause of acute hip pain in children aged 3-8 years. It involves transient inflammation of the hip synovium that causes pain and limping. Symptoms include unilateral hip or groin pain and limping. Diagnosis is usually made after ruling out trauma and infection via x-rays and physical exam. Treatment focuses on rest, anti-inflammatory drugs, and recovery typically occurs within 2 weeks. Legg-Calvé-Perthes disease involves osteonecrosis of the femoral head and requires containment of the hip through bracing or surgery depending on the age and extent of involvement.
Perthes disease
Perthes disease is a childhood condition that affects the blood supply to the femoral head, causing bone death (avascular necrosis). It most commonly affects boys between ages 4-8. While the disease process is self-limiting, it can have permanent effects on the femoral head shape and hip function. Treatment aims to contain the femoral head within the acetabulum during healing to promote proper reshaping, through nonsurgical means like bracing or surgical options like osteotomies if needed. The long-term outcomes are evaluated using classifications like Stulberg or Mose, with the goal of achieving a spherical femoral head congruent with the acetabulum. Management approaches vary between centers based on each child's severity and prognosis
Legg calve perthes
Legg Calve Perthes disease, also known as osteochondritis of the femoral capital epiphysis, is characterized by idiopathic avascular osteonecrosis of the femoral head in young children, typically ages 4-8 years. It progresses through four stages - initial, fragmentation, reossification, and healed. Common symptoms include limping, hip or thigh pain, and limited range of motion. Imaging such as x-rays, ultrasound, CT, MRI, and bone scans can detect signs like femoral head flattening, sclerosis, fragmentation, and joint effusion that correspond to the disease stages. While the cause is unknown, it is more common in boys and low socioeconomic groups.
Legg calve perthes disease
This document discusses Legg-Calve-Perthes disease, a childhood condition characterized by avascular necrosis of the femoral head. It begins by describing the disease's pathogenesis, including that the cardinal cause is ischemia of the femoral head due to blocked blood flow in children aged 4-7 years. The document then outlines the stages of the disease from initial infarction to healing or remodeling. Clinical features, radiological findings, and classification systems are presented. Treatment aims to contain the femoral head within the acetabulum and may involve bracing, osteotomies or reconstructive surgeries depending on the child's age and stage of disease.
perthes disease
Legg - Calve - Perthes disease is a self-limiting disorder of the hip caused by reduced blood flow and necrosis of the femoral head. It most commonly affects boys ages 4-8 and is characterized by pain and limping. While the exact cause is unknown, factors such as blood clotting disorders, abnormal arterial or venous blood flow, growth delays, trauma, genetics, and environmental influences may play a role in reducing blood supply to the femoral head. Treatment aims to allow the femoral head to remodel itself through non-weight bearing or minimal weight bearing methods.
Perthes disease
Legg-Calve-Perthes disease is a childhood condition caused by avascular necrosis of the femoral head. It leads to deformity of the femoral head and premature osteoarthritis. The exact cause is unknown but it is likely multifactorial, involving both genetic and environmental factors. Treatment depends on the age of the patient, extent of involvement, disease stage, and presence of head deformity. Younger patients often do well with non-operative treatment focusing on range of motion exercises, while older patients or those with more severe deformity may require surgical containment procedures like osteotomies to reshape the femoral head and acetabulum.
Perthes disease
Perthes disease is a rare childhood condition that affects the hip. It occurs when the blood supply to the rounded head of the femur (thighbone) is temporarily disrupted. Without an adequate blood supply, the bone cells die, a process called avascular necrosis.
legg calve Perthes disease
Legg Calve Perthes disease is avascular necrosis of the femoral head in children, most commonly affecting boys ages 4-8. It has an unknown cause but may be associated with conditions like ADHD. Presentation includes a limp or hip/thigh pain. X-rays show changes in the femoral head over time. Treatment depends on age and classification, ranging from observation to osteotomies, with the goal of containing the femoral head to prevent deformity and future arthritis. Prognosis is worse with older age at onset and decreased hip range of motion. Complications can include femoral head deformity, collapse, and leg length discrepancy.
Legg calve perthes disease
Perthes disease, also known as Legg-Calve-Perthes disease, is caused by impaired blood flow in the femoral head that leads to bone death in children aged 3-12 years old, causing deformity of the femoral head; it is more common in boys and whites and symptoms include limping and hip pain that varies depending on the stage of bone regeneration. Genetic factors and growth abnormalities play a role in its development.
Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB,Fellowship paediatr...
This document discusses avascular necrosis of the femoral head. It begins by outlining how to approach a patient with hip pain, including taking a detailed history and examining pain characteristics and range of motion. It then describes the blood supply of the femoral head and discusses how avascular necrosis develops when this blood supply is disrupted. The document covers clinical presentation, risk factors like corticosteroid use and trauma, sequelae including mechanical failure and degenerative changes, and various investigation methods.
Legg calve perthes
This document summarizes the pathogenesis and treatment of Legg-Calve-Perthes disease, a childhood hip condition caused by interrupted blood supply to the femoral head. The disease leads to bone death and deformity of the femoral head. Treatment options are controversial but generally involve either nonoperative casting or operative procedures like osteotomies, depending on the age, stage of disease, and extent of involvement. Current evidence suggests operative treatments may slightly increase the chance of a spherical femoral head developing, but the effect is modest and more research is still needed to develop more effective therapies.
perthes disease
This document provides an overview of Legg Calve Perthes disease, including its definition, demographics, risk factors, pathogenesis, clinical features, investigations, classifications, management, and surgical procedures. Some key points:
- It is avascular necrosis of the femoral head in children, most common in ages 4-8 years. Positive family history and low birth weight are risk factors.
- Clinical features include hip/thigh pain aggravated by movement. Imaging shows stages from avascular necrosis to fragmentation to regeneration/healing.
- Conservative management includes bracing for young/mild cases. Surgical containment is used for more severe/older cases to encourage spherical remodeling.
- Procedures
Lcpd
Legg Calve Perthes disease is a disorder of the hip that affects young children, usually between the ages of 4-8 years old. It involves the loss of blood supply to the femoral head, which leads to bone death. There are three stages of the disease: initial bone death, revascularization and repair, and remodeling. Symptoms include decreased range of motion of the hip and limping. Imaging such as x-rays are used to diagnose and monitor the progression of the disease. Treatment depends on the stage and severity, ranging from conservative measures like exercise and bracing to contain the hips, to surgical procedures like osteotomies. Younger age of onset generally correlates with better prognosis.
Legg calve perthes disease donnely 2001 5afad2fc5e0b007027c03a29b821eb3c
This document provides an overview of Legg Calve Perthes disease, which affects the hip in young children ages 4-8. It causes fragmentation of the femoral head epiphysis. The exact cause is unknown but is thought to involve compromised blood supply to the area. It progresses through four radiographic stages from initial changes to healing. Presentation is often a limp and pain in the groin or thigh. Treatment involves bracing the hip to contain it during healing if caught early, or surgery like osteotomies if collapse has occurred. Long term effects can include deformities and arthritis of the hip.
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This document discusses several common pediatric hip conditions: developmental dysplasia of the hip (DDH), transient synovitis, slipped capital femoral epiphysis (SCFE), and Legg-Calvé-Perthes disease. It provides details on the epidemiology, clinical presentation, investigations, and management for each condition. DDH is a hip joint abnormality more common in girls, while transient synovitis causes acute hip pain in children aged 3-10 years. SCFE occurs during puberty and is associated with obesity and endocrine disorders. Legg-Calvé-Perthes disease results from impaired blood supply to the femoral head between ages 4-10 years. Management depends on the specific condition but
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Legg calve perthes disease
Legg-Calve-Perthes disease is a condition characterized by osteonecrosis of the femoral head typically seen in children between the ages of 4-8 years old. It results from disrupted blood supply to the femoral capital epiphysis, leading to bone death and deformity of the femoral head over time. Treatment involves relieving pain, protecting weight bearing, restoring range of motion, and minimizing femoral head deformity. Younger children with milder involvement are often treated conservatively with bracing and activity restriction while older children or those with more severe involvement may require surgical procedures like varus derotation osteotomy to improve containment of the femoral head within the acetabulum. The goals of treatment are to improve mobility
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Legg+Calve+Perthes+Disease
Legg Calve Perthes Disease (LCPD) is osteonecrosis of the femoral head that typically affects children between the ages of 4-10. For patients under 6 years old with minimal involvement, the prognosis is generally good and treatment involves rest and anti-inflammatories. For patients between 6-8 years old with more involvement, containment of the femoral head through bracing or surgery is often recommended. Patients presenting after age 9 usually have a poor prognosis due to more advanced involvement and are treated with early containment procedures, though stiffness can be a complication.
Perthes disease ADOLESCENT COXA VARA
This document discusses Perthes disease, which results from loss of blood supply to the femoral head, typically affecting children ages 3-10 years old. It covers the stages of the disease from initial avascular necrosis to healing. Diagnosis involves examining radiographic changes over time as well as using imaging modalities like MRI, CT, bone scans and arthrography. Treatment aims to contain the femoral head within the acetabulum during healing to prevent deformity. Differential diagnoses and related conditions are also reviewed.
Perthes disease by DR.NAVEEN RATHOR
Presentation contain etiology, blood supply of femoral head & neck,pathogenesis ,classification system ,clinical features,diagnosis,managment, pelvic & femoral osteotomies in detail
Legg calve perthes disease-UMY
This document summarizes Legg-Calvé-Perthes disease, a childhood hip disorder characterized by temporary loss of blood supply to the femoral head. It describes the disease stages including initial sclerosis, fragmentation as new bone forms, and healing. Risk factors include age 4-8 years and delayed bone age. Symptoms include limping and pain. Treatments aim to contain the femoral head through bracing or surgery to prevent joint damage. Prognosis depends on age and deformity, with older children and severe deformity having worse outcomes.
Irritable hip and perthe's disease
Transient synovitis, also known as irritable hip, is the most common cause of acute hip pain in children aged 3-8 years. It involves transient inflammation of the hip synovium that causes pain and limping. Symptoms include unilateral hip or groin pain and limping. Diagnosis is usually made after ruling out trauma and infection via x-rays and physical exam. Treatment focuses on rest, anti-inflammatory drugs, and recovery typically occurs within 2 weeks. Legg-Calvé-Perthes disease involves osteonecrosis of the femoral head and requires containment of the hip through bracing or surgery depending on the age and extent of involvement.
Perthes disease
Perthes disease is a childhood condition that affects the blood supply to the femoral head, causing bone death (avascular necrosis). It most commonly affects boys between ages 4-8. While the disease process is self-limiting, it can have permanent effects on the femoral head shape and hip function. Treatment aims to contain the femoral head within the acetabulum during healing to promote proper reshaping, through nonsurgical means like bracing or surgical options like osteotomies if needed. The long-term outcomes are evaluated using classifications like Stulberg or Mose, with the goal of achieving a spherical femoral head congruent with the acetabulum. Management approaches vary between centers based on each child's severity and prognosis
Legg calve perthes
Legg Calve Perthes disease, also known as osteochondritis of the femoral capital epiphysis, is characterized by idiopathic avascular osteonecrosis of the femoral head in young children, typically ages 4-8 years. It progresses through four stages - initial, fragmentation, reossification, and healed. Common symptoms include limping, hip or thigh pain, and limited range of motion. Imaging such as x-rays, ultrasound, CT, MRI, and bone scans can detect signs like femoral head flattening, sclerosis, fragmentation, and joint effusion that correspond to the disease stages. While the cause is unknown, it is more common in boys and low socioeconomic groups.
Legg calve perthes disease
This document discusses Legg-Calve-Perthes disease, a childhood condition characterized by avascular necrosis of the femoral head. It begins by describing the disease's pathogenesis, including that the cardinal cause is ischemia of the femoral head due to blocked blood flow in children aged 4-7 years. The document then outlines the stages of the disease from initial infarction to healing or remodeling. Clinical features, radiological findings, and classification systems are presented. Treatment aims to contain the femoral head within the acetabulum and may involve bracing, osteotomies or reconstructive surgeries depending on the child's age and stage of disease.
perthes disease
Legg - Calve - Perthes disease is a self-limiting disorder of the hip caused by reduced blood flow and necrosis of the femoral head. It most commonly affects boys ages 4-8 and is characterized by pain and limping. While the exact cause is unknown, factors such as blood clotting disorders, abnormal arterial or venous blood flow, growth delays, trauma, genetics, and environmental influences may play a role in reducing blood supply to the femoral head. Treatment aims to allow the femoral head to remodel itself through non-weight bearing or minimal weight bearing methods.
Perthes disease
Legg-Calve-Perthes disease is a childhood condition caused by avascular necrosis of the femoral head. It leads to deformity of the femoral head and premature osteoarthritis. The exact cause is unknown but it is likely multifactorial, involving both genetic and environmental factors. Treatment depends on the age of the patient, extent of involvement, disease stage, and presence of head deformity. Younger patients often do well with non-operative treatment focusing on range of motion exercises, while older patients or those with more severe deformity may require surgical containment procedures like osteotomies to reshape the femoral head and acetabulum.
Perthes disease
Perthes disease is a rare childhood condition that affects the hip. It occurs when the blood supply to the rounded head of the femur (thighbone) is temporarily disrupted. Without an adequate blood supply, the bone cells die, a process called avascular necrosis.
legg calve Perthes disease
Legg Calve Perthes disease is avascular necrosis of the femoral head in children, most commonly affecting boys ages 4-8. It has an unknown cause but may be associated with conditions like ADHD. Presentation includes a limp or hip/thigh pain. X-rays show changes in the femoral head over time. Treatment depends on age and classification, ranging from observation to osteotomies, with the goal of containing the femoral head to prevent deformity and future arthritis. Prognosis is worse with older age at onset and decreased hip range of motion. Complications can include femoral head deformity, collapse, and leg length discrepancy.
Legg calve perthes disease
Perthes disease, also known as Legg-Calve-Perthes disease, is caused by impaired blood flow in the femoral head that leads to bone death in children aged 3-12 years old, causing deformity of the femoral head; it is more common in boys and whites and symptoms include limping and hip pain that varies depending on the stage of bone regeneration. Genetic factors and growth abnormalities play a role in its development.
Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB,Fellowship paediatr...
This document discusses avascular necrosis of the femoral head. It begins by outlining how to approach a patient with hip pain, including taking a detailed history and examining pain characteristics and range of motion. It then describes the blood supply of the femoral head and discusses how avascular necrosis develops when this blood supply is disrupted. The document covers clinical presentation, risk factors like corticosteroid use and trauma, sequelae including mechanical failure and degenerative changes, and various investigation methods.
Legg calve perthes
This document summarizes the pathogenesis and treatment of Legg-Calve-Perthes disease, a childhood hip condition caused by interrupted blood supply to the femoral head. The disease leads to bone death and deformity of the femoral head. Treatment options are controversial but generally involve either nonoperative casting or operative procedures like osteotomies, depending on the age, stage of disease, and extent of involvement. Current evidence suggests operative treatments may slightly increase the chance of a spherical femoral head developing, but the effect is modest and more research is still needed to develop more effective therapies.
perthes disease
This document provides an overview of Legg Calve Perthes disease, including its definition, demographics, risk factors, pathogenesis, clinical features, investigations, classifications, management, and surgical procedures. Some key points:
- It is avascular necrosis of the femoral head in children, most common in ages 4-8 years. Positive family history and low birth weight are risk factors.
- Clinical features include hip/thigh pain aggravated by movement. Imaging shows stages from avascular necrosis to fragmentation to regeneration/healing.
- Conservative management includes bracing for young/mild cases. Surgical containment is used for more severe/older cases to encourage spherical remodeling.
- Procedures
Lcpd
Legg Calve Perthes disease is a disorder of the hip that affects young children, usually between the ages of 4-8 years old. It involves the loss of blood supply to the femoral head, which leads to bone death. There are three stages of the disease: initial bone death, revascularization and repair, and remodeling. Symptoms include decreased range of motion of the hip and limping. Imaging such as x-rays are used to diagnose and monitor the progression of the disease. Treatment depends on the stage and severity, ranging from conservative measures like exercise and bracing to contain the hips, to surgical procedures like osteotomies. Younger age of onset generally correlates with better prognosis.
Legg calve perthes disease donnely 2001 5afad2fc5e0b007027c03a29b821eb3c
This document provides an overview of Legg Calve Perthes disease, which affects the hip in young children ages 4-8. It causes fragmentation of the femoral head epiphysis. The exact cause is unknown but is thought to involve compromised blood supply to the area. It progresses through four radiographic stages from initial changes to healing. Presentation is often a limp and pain in the groin or thigh. Treatment involves bracing the hip to contain it during healing if caught early, or surgery like osteotomies if collapse has occurred. Long term effects can include deformities and arthritis of the hip.
pediatric hip dioerders
This document discusses several common pediatric hip conditions: developmental dysplasia of the hip (DDH), transient synovitis, slipped capital femoral epiphysis (SCFE), and Legg-Calvé-Perthes disease. It provides details on the epidemiology, clinical presentation, investigations, and management for each condition. DDH is a hip joint abnormality more common in girls, while transient synovitis causes acute hip pain in children aged 3-10 years. SCFE occurs during puberty and is associated with obesity and endocrine disorders. Legg-Calvé-Perthes disease results from impaired blood supply to the femoral head between ages 4-10 years. Management depends on the specific condition but
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Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB,Fellowship paediatr...
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Legg calve perthes disease donnely 2001 5afad2fc5e0b007027c03a29b821eb3c
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Legg calve perthes disease
Legg-Calve-Perthes disease is a condition characterized by osteonecrosis of the femoral head typically seen in children between the ages of 4-8 years old. It results from disrupted blood supply to the femoral capital epiphysis, leading to bone death and deformity of the femoral head over time. Treatment involves relieving pain, protecting weight bearing, restoring range of motion, and minimizing femoral head deformity. Younger children with milder involvement are often treated conservatively with bracing and activity restriction while older children or those with more severe involvement may require surgical procedures like varus derotation osteotomy to improve containment of the femoral head within the acetabulum. The goals of treatment are to improve mobility
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A 7-year-old boy presented with right groin pain and limping. He was diagnosed with Legg-Calvé-Perthes disease, which is avascular necrosis of the femoral head of unknown cause. It most commonly affects boys ages 4-12. The disease process involves bone death, fragmentation, and reossification of the femoral head, which can lead to deformities like flattening if not properly contained and allowed to heal. Treatment aims to relieve weight bearing and maintain range of motion to preserve the round femoral head shape during healing.
perthes.pptx
This document provides information on Perthes' disease, which is characterized by avascular necrosis of the femoral head in children. It discusses the epidemiology, pathogenesis, clinical presentation, imaging, classifications, management, and prognosis. The summary is as follows:
Perthes' disease most commonly affects boys ages 5-10 and involves temporary vascular insufficiency of the femoral head epiphysis, leading to necrosis. It progresses through stages of necrosis, revascularization/fragmentation, ossification/healing, and remodeling. Imaging plays a key role in diagnosis and classifications systems like Catterall and Herring help determine prognosis. Treatment aims to prevent deformation through containment of the femoral head, either conservatively through bracing
PERTHES DISEASE
Perthes disease is avascular necrosis of the femoral head in children caused by interrupted blood supply. It typically affects children ages 4-8 years old. Presentation includes limping and hip pain. Treatment depends on the stage and aims to contain the femoral head through casting, bracing, or surgery. Containment redirects forces on the femoral head to allow remodeling. Late treatment focuses on improving range of motion and reshaping deformities through osteotomies or salvage surgery. The long term goal is to produce a normal hip joint and prevent arthritis.
Vol 20 congenital 1
This document discusses various congenital defects affecting the epiphyses. It begins by classifying dysplasias and discussing epiphyseal defects such as stippled epiphyses, multiple epiphyseal dysplasia (MED), spondyloepiphyseal dysplasia (SED), and metatrophic dwarfism. It then provides detailed descriptions and case examples of each condition, focusing on their characteristic radiographic and clinical features. Stippled epiphyses causes severe dwarfism at birth along with epiphyseal calcification. MED and SED involve epiphyseal abnormalities leading to short stature and joint problems. Metatrophic dwarfism initially presents
Adult Hip Dysplasia Presentation
Hip dysplasia occurs when the ball and socket of the hip joint are misaligned, causing discomfort and pain. It can develop during childhood or adolescence. Treatment options range from physical therapy and medications for mild cases to surgical procedures like hip arthroscopy or osteotomy to realign the socket for more severe cases. The goal is to keep the ball centered in the socket to reduce friction and risk of further damage leading to osteoarthritis.
Limping child medicine collage. (7).pdf
This document discusses the physiology of normal gait and types of abnormal gaits such as antalgic, Trendelenburg, waddling, steppage, and scissoring gaits. It covers differential diagnoses for a limping child including traumatic causes like fractures and non-traumatic causes like infections, inflammation, vascular issues, and congenital abnormalities. The document outlines symptoms of a limping child, clinical assessment including history and examination, potential imaging and lab investigations, and general treatment approaches.
Spondylolysis
spondyloysis
introduction
investigation
treatment
physiotherapy treatment
this is used full in physiotherapy student and mbbs student
Legg calve-perthes disease
Legg-Calve-Perthes disease is a rare childhood condition characterized by avascular necrosis of the femoral head. It most commonly affects boys between the ages of 4-10 years old. The exact cause is unknown, but it is believed to result from interruption of the blood supply to the femoral head. It leads to bone death and distortion of the femoral head. Treatment involves managing pain and exercises to encourage healing, with surgical procedures like osteotomies sometimes needed to correct deformities. Prognosis depends on factors like age of onset and amount of femoral head involved.
PERTHES AND SCFE.ppt
Perthes disease and slipped capital femoral epiphysis (SCFE) are conditions affecting the hip joint in children. Perthes disease causes temporary loss of blood supply to the femoral head, leading to bone death. It most commonly affects boys aged 4-10 years. SCFE is caused by slippage of the femoral epiphysis and is associated with obesity in puberty. Both can be diagnosed on x-ray and treated conservatively with bracing or surgically in severe cases to prevent joint damage.
Disorders of feet-Bunion,Marfan Syndrome,Ehlers–Danlos syndrome,Corn and cal...
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العرج عند الاطفال - Limping child - البروفيسور فريح ابوحسان - استشاري جراحة...
العرج عند الاطفال - Limping child - البروفيسور فريح ابوحسان - استشاري جراحة...Prof Freih Abu Hassan البروفيسور فريح ابوحسان
1) A 3-year-old male presented with right knee pain and inability to bear weight after being kicked. Initial x-rays were negative but symptoms persisted.
2) A 6-year-old girl presented with a 3-week history of right hip pain and fever 10 weeks prior. Exam found increased lumbar lordosis and hip tenderness. Tests found elevated ESR and CRP. MRI and biopsy revealed pelvic osteomyelitis.
3) A 5-year-old male reported right hip pain after falling down stairs, though he was able to play basketball with no pain initially. Exam found normal ROM but pain with movement of the right leg. Radiographs of the pelvisAdolescent hip
This document discusses several common causes of hip pain in adolescents, including transient synovitis, Perthes disease, slipped capital femoral epiphysis, septic arthritis, tuberculous arthritis, and idiopathic chondrolysis. For each condition, the document outlines typical presenting symptoms, potential causes, diagnostic methods like x-rays and blood tests, and treatment approaches such as rest, traction, surgery, or antibiotics. Common complications are also listed. The goal of treatment for many of these hip disorders is to relieve pain, prevent deformity, and restore hip function in adolescent patients.
Kyphosis lordosis
The document discusses different types of spinal curvature abnormalities including kyphosis, lordosis, and scoliosis. It defines each condition and describes their causes, symptoms, diagnostic tests, and treatment options. There are three main types of kyphosis - postural, Scheuermann's, and congenital. Lordosis is an inward curvature of the lumbar or cervical spine that can be caused by factors like poor posture or congenital abnormalities. Scoliosis is a lateral curvature of the spine that can be idiopathic, congenital, or neuromuscular in origin. Treatment depends on the underlying cause but may include exercises, bracing, or corrective surgery.
Presentation1.pptx, radiological imaging of skeletal dysplasia
This document provides radiological images and descriptions of several skeletal dysplasias. It discusses conditions such as cleidocranial dysplasia, which can cause respiratory distress in newborns. Other conditions summarized include osteopoikilosis, mucopolysaccharidoses, multiple epiphyseal dysplasia, metaphyseal dysplasia, spondyloepiphyseal dysplasia, chondroectodermal dysplasia, achondroplasia, fibrous dysplasia, and dysplasia epiphysealis hemimelica. For each condition, the document highlights features visible in imaging and clinical symptoms.
Spine Problem Awareness & Treatment
Dr Susmit Naskar has specialisation in all sorts of spine-related problems including cervical, thoracic and lumbo-sacral spine. Spine surgery is the most demanding Orthopedic procedure which requires prolonged training and supreme discipline. We have listed some awareness tips for those patients who have spine related issues. Feel free to call us at “+91 6290 967 376” or mail us at info@advancespinesurgery.com.
A Case of Paget's Disease
A 45-year-old woman presented with knee pain, low back pain, thigh pain, and breathlessness for the past year. Examination found fixed flexion deformities in the hips and kyphosis. Laboratory tests showed elevated alkaline phosphatase and markers consistent with Paget's disease. A bone biopsy confirmed Paget's disease. Paget's disease is a chronic disorder causing abnormal bone remodeling that can cause pain, deformities, and fractures. Treatment options include bisphosphonates like zoledronate to control symptoms and slow disease progression.
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Disorders of feet-Bunion,Marfan Syndrome,Ehlers–Danlos syndrome,Corn and cal...
Disorders of feet-Bunion,Marfan Syndrome,Ehlers–Danlos syndrome,Corn and cal...
العرج عند الاطفال - Limping child - البروفيسور فريح ابوحسان - استشاري جراحة...
العرج عند الاطفال - Limping child - البروفيسور فريح ابوحسان - استشاري جراحة...
Presentation1.pptx, radiological imaging of skeletal dysplasia
Presentation1.pptx, radiological imaging of skeletal dysplasia
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Olecranon fracture
The olecranon forms part of the elbow joint and transmits force from the triceps muscle. Olecranon fractures have a bimodal distribution, occurring in young people from high-energy injuries and in elderly from falls. Mechanisms include direct blows, falls on an outstretched hand, and triceps contraction. Evaluation involves history, exam, and x-rays. Treatment depends on displacement and patient factors - nonsurgical options include splinting for nondisplaced fractures, while displaced fractures often require open reduction and internal fixation using tension band wiring or a plate. Complications can include hardware irritation, stiffness, and nerve injuries.
Colles fracture
This randomized controlled trial compared operative treatment using volar locking plate fixation versus non-operative treatment with casting for displaced and unstable distal radial fractures in patients aged 65 and older. 73 patients were randomly assigned to either operative fixation or non-operative treatment. At one-year follow up, while operative treatment led to better grip strength and anatomical restoration, there were no significant differences in range of motion, pain levels, or patient-rated wrist/functional scores between the groups. However, operative treatment did result in a higher rate of complications. Therefore, for older patients, this study suggests that operative management may not provide clear functional benefits over non-operative treatment for distal radial fractures.
Back Pain
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Wound Care
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CLPD
- 2. The diseaswasdiscovered in 1910 shortlyafterdevelopment of x-ray
- 3. Epidemiology 1/1200 /year usuallyhappens in youngboys 5-7 yearsold (3-12) thataresmaller in stature and thattend to beveryactive
- 4. Alsoseen in small activedogs
- 5. Pathoanatomy Transient avascularnecrosis of femoral head
- 6. Symptoms and signs Limping Pain in hip, groin or sometimes knee area Stiffness Decrease range of motion in hip Leg length differentiation Pain can vary depending on child, amount of physical activity and how long child goes without seeking professional help some muscle spasms
- 7. Diagnosis History , physical examination and plane x- rays MR scanning not routinely
- 8. Stages 1. Necrosis : Femoral head appears smaller on x-rays 2. Fragmentation and femoral head collapse. (The pain and limp are worse during this stage) 3. Reossifiction: Healing phase starts when new bone formation begins. (The pain decreases) 4. Remodeling :The head is completely healed and the dead bone is now replaced with new bone
- 9. Treatment Main goal is the keep the femoral head inside the socket of the hip 1. Symptomatic treatment and physiotherapy 2. Follow up: Pain and limp. Range of movement and x-rays 3. Containment by braces or casting ( No longer advocated ! ) 4. Containment by surgery
- 13. In case of Hinge abduction (lateral extrusion of the femoral head resulting in the femoral head impinging on the edge of the acetabulum with abduction)
- 14. An abduction-extension proximal femoral osteotomy should be considered
- 15. Most patients with LCPD do well until the fifth or sixth decade of life, at which time degenerative changes in the hip joint are common which may need THA