ENFERMEDAD DE LEGG-CALVE- PERTHES Y DESLIZADA LA EPÍFISIS CAPITAL FEMORAL: PRINCIPALES CAUSAS DEL DESARROLLO. Se creó para crear conciencia global y brindar apoyo a los niños y las familias que enfrentan la enfermedad de Legg-Calvé-Perthes, un trastorno degenerativo . 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 .
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Synonyms or Alternate Spellings: Case 20 Case Thank you for updating your details.
There is a separate system for staging of Perthes disease see Catterall classification. As changes progress, the width of the femoral neck increases coxa magna in order to increase weight-bearing support. Slipped upper femoral epiphysis Slipped upper femoral epiphysis.
Read it at Google Books – Find it at Amazon. Boys are five times more likely to be affected than girls. Case 4 Case 4. Most children present with atraumatic hip pain or limp 3,5,6. It should not be confused with Perthes lesion of the shoulder. Traditionally arthrography performed under general anesthesia with conventional fluoroscopy is nis to assess congruency between the femoral head and the acetabulum in a variety of positions 3. Osteonecrosis generally occurs secondary to abnormal or damaged blood supply to the femoral epiphysis, leading to fragmentation, bone loss, and eventual structural collapse of the femoral head.
Case 13 Case W B Saunders Co. Cases and figures Imaging differential diagnosis.
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Blood tests are typically normal in Perthes. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Case 9 Case 9. Case 11 Case Case 17 Case About Blog Go ad-free.
Bracing may be used in milder cases, although femoral neck and acetabular osteotomies may be required to correct more severe abnormal femoroacetabular malalignment.
Case 7 Case 7. The presence of metaphyseal involvement not only increases the likelihood of femoral neck deformity but also make early physeal closure with resulting leg length disparity more likely. In a small number of patients with Perthes, the radiograph will be normal and persistent symptoms will trigger further imaging, e.
Unable to process the form. The younger the age at the time of presentation, the more benign disease course is expected and also for same age, the prognosis is better in boys than girls due to less maturity 5,8.
Case 3 Case 3. In this situation, operative management is sometimes required to either ensure appropriate coverage of the femoral head by the acetabulum, or to replace the femoral head in adult life.
MRI is increasingly replacing this, in an effort to eliminate pelvic irradiation. The investigation of atraumatic limp will often include a hip ultrasound to look for effusion, but ultrasound is unlikely to pick up osteonecrosis.
Case 2 Case 2. Loading Stack – 0 images remaining. Presentation is typically at a younger age than slipped upper femoral epiphysis with peak presentation at years, but confidence intervals are as wide as years 8. Perthes disease is relatively uncommon and in Western populations has an incidence approaching 5 to Case 19 Case Case 5 Case 5.
Additionally, tongues of cartilage sometimes extend inferolaterally into the femoral neck, creating lucencies, which must be distinguished from infection or neoplastic lesions 4.
Treatment in Perthes disease is largely related to symptom control, particularly in the early phase of the disease.
Case 12 Case The aim of therapy is to try and maintain good femoroacetabular contact and a round femoral head. Developmental dysplasia of hip Developmental dysplasia of hip. Eventually, the femoral head begins to fragment stage 2with subchondral lucency crescent sign and redistribution of weight-bearing stresses leading to thickening of some trabeculae which become more prominent.
The best initial test for the prrthes of Perthes is a pelvic radiograph. Case 8 Case 8.
Prognosis is also influenced by the percentage of femoral pertjes involvement and degree of primary deformity of the femoral head and the secondary osteoarthritic changes that ensue. Log in Sign up. Case 6 Case 6. Case 16 Case