Legg-Calvé-Perthes Disease

What is Legg-Calvé-Perthes Disease?

Legg-Calvé-Perthes Disease (LCPD), also known as Perthes disease, is a condition that affects the hip joint in children.

It occurs when blood supply to the femoral head (the "ball" part of the hip joint) is temporarily disrupted, leading to the deterioration of the bone. This condition primarily affects children between the ages of 4 and 10, with boys more commonly affected than girls.

Side effects of Legg-Calvé-Perthes Disease

The main symptoms of Legg-Calvé-Perthes Disease include pain in the hip, thigh, or knee, limping, and limited range of motion in the affected hip joint.

Over time, if untreated or not managed properly, it can lead to joint stiffness, deformity of the hip joint, and arthritis in adulthood.

How is Legg-Calvé-Perthes Disease diagnosed?

Diagnosing Legg-Calvé-Perthes Disease typically involves a combination of physical examination, medical history review, and imaging tests.

X-rays are commonly used to visualize changes in the shape and structure of the femoral head. MRI scans may also be employed to assess the extent of damage and blood flow to the affected area.

Potential treatment of Legg-Calvé-Perthes Disease

Treatment for Legg-Calvé-Perthes Disease aims to relieve symptoms, preserve joint function, and promote normal growth and development of the hip joint. The approach may include:

• Observation and Activity Modification: In mild cases, limiting physical activities that put stress on the hip joint may be sufficient. Regular follow-ups with a healthcare provider are crucial to monitor the progression of the disease.
• Physical Therapy: Gentle exercises and stretches prescribed by a physical therapist can help maintain joint mobility and strengthen the muscles around the hip.
  
• Bracing or Casting: Some children may benefit from wearing a brace or cast to hold the femoral head in a better position and reduce pressure on the joint during healing.
  
• Surgery: In more severe cases or if other treatments have not been successful, surgery may be recommended. Surgical procedures aim to realign the hip joint, improve its function, and delay the onset of arthritis.
  
• Medication: Occasionally, medications such as anti-inflammatory drugs or medications to improve blood flow may be prescribed to manage pain and support healing.
  

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