Inicio Radiología RM en la enfermedad de Legg-Calve-Perthes. Comentario · Articles in press · Current Issue · Archive · Supplements · Most Often Read. 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. A number sign (#) is used with this entry because of evidence that Legg-Calve- Perthes disease (LCPD), a form of avascular necrosis of the femoral head (ANFH ;.

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Advertising revenue supports our not-for-profit mission. However, no evidence of this has been found; over the years, many theories have been published, but none has stood up to professional research. A very rare disorder of unknown etiology affecting children. Please help improve this article by adding citations to reliable sources. SRJ is a prestige metric based on the idea that not all citations are the same.

Orphanet: Enfermedad de Legg Calve Perthes

Prognosis is variable and several factors are of prognostic importance, such as the extent of femoral head necrosis perthex residual deformity. Based on radiographic cresent sign.

Radiographic differential diagnosis infecitious etiology septic arthritis, osteomyelitis, pericapsular pyomyositis transient synovitis multiple epiphyseal dysplasia MED spondyloepiphyseal dysplasia SED sickle cell disease Gaucher disease hypothyroidism Meyers dysplasia.

Perthess older children onset of Perthes after age 6the best treatment option remains unclear. As sufferers age, problems in the knee and back can arise secondary to abnormal posture and stride adopted to protect the affected joint. From Ce, the free encyclopedia. This page was last edited on 13 Decemberat When an LCP disease diagnosis occurs after age 8, a better outcome results with surgery petrhes than nonoperative treatments. Thank you for rating! Make an appointment with your doctor if your child begins limping or complains of hip, groin or knee pain.


Atrophy of thigh muscles may occur from disuse and an inequality of leg length. The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment.

Legg-Calve-Perthes Disease – Pediatrics – Orthobullets

Si continua navegando, consideramos que acepta su uso. It is most commonly seen in persons aged three to 12 years, with a median of six years of age. The socket perhhes as a mold for the fragmented femoral head as it heals. Specialised Social Services Eurordis directory.

L8 – 10 years in practice.

A bone scan or MRI may be useful in making the diagnosis in those cases where X-rays are inconclusive. 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.

Several contributory factors have also been suggested: The pain is usually in the hip, but can also be felt in the knee referred pain. Legg-Calve-Perthes disease is characterized by loss of circulation to the femoral head, resulting in avascular necrosis in a growing child.

Diagnosis is made by conventional radiography in frontal and lateral projections. The disease occurs more frequently in boys, and most patients tend to be shorter than their peers. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate leg Legg-Calve-Perthes enfermedar occurs when too little blood is supplied to the ball portion of the hip joint femoral head.


The complete process of bone death, fracture cwlve renewal can take several years. We are determined to keep this website freely accessible. Protein C and S deficiency, thrombophilia, and hypofibrinolysis: Lateral Pillar Herring Classification. In 8 patients with this disorder, they found protein C deficiency in 3 and protein S deficiency in 1. This weakened bone gradually breaks apart and can lose its round shape.

How important is this topic for board examinations? In general, children who are diagnosed with Legg-Calve-Perthes after age 6 are more likely to develop hip problems later in life. The child may then engage in activities appropriate for a six-year- old child, but lacking the bone strength of an older child, these activities may lead to flattening or fracture of the hip joint.

Legg-Calve-Perthes Disease

Total hip replacement in early adulthood may be required in some cases. Usually, plain radiographic changes are delayed 6 weeks or more from clinical onset, so bone scintigraphy and MRI are done for early diagnosis.

Avascular necrosis of the femoral head is a debilitating disease that usually leads to destruction of the hip joint in the third to fifth decade of life Mont and Hungerford, Inherited vascular pattern of the femoral head and neck as a predisposing factor to Legg-Calve-Perthes disease. In other projects Wikimedia Commons. J Bone Joint Surg Br.

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