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Legg-Calvé-Perthes Disease

Lee A. Mancini, CSCS*D, CSN, CAQSM, MD, Adam Ridley, MD, DO and Angela Rufo, DO Reviewed 05/2023
 


BASICS

DESCRIPTION

  • Legg-Calvé-Perthes Disease (LCPD) is a hip disorder secondary to idiopathic ischemic osteonecrosis of the femoral head.

  • Eventually leads to impaired growth of epiphysis and deformity ...

DIAGNOSIS

HISTORY

  • Insidious onset with no known trauma or injury. A traumatic event, however, may exacerbate or unveil symptomatology.

  • Limp during child’s activity or play

  • Primarily, pain is localized to...

TREATMENT

Depending on severity of the disease, the treatment options range from observation and rest to reconstructive hip surgery. It should be noted that there is no single agreed upon treatment at...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Ambulatory status depends on extent and stage of disease.

  • Patient will need to follow closely with pediatric orthopedist.

Patient Monitoring

  • Close pediatric orthoped...

REFERENCES

1
Ibrahim T, Little DG. The pathogenesis and treatment of Legg-Calvé-Perthes disease. JBJS Rev. 2016;4(7):01874474-201607000-00003.
2
Karimi  MT, McGarry  T. A comparis...

ADDITIONAL READING

  • Hardesty  CK, Liu  RW, Thompson  GH. The role of bracing in Legg-Calve-Perthes disease. J Pediatr Orthop.  2011;31(Suppl 2):S178–S181. [View Abstract...

CODES

ICD10

  • M91.90 Juvenile osteochondrosis of hip and pelvis, unspecified, unspecified leg

  • M91.91 Juvenile osteochondrosis of hip and pelvis, unspecified, right leg

  • M91.92 Juvenile osteochondrosis of hi...

CLINICAL PEARLS

  • LCPD is a common cause of hip pain in children.

  • Pediatric patient with limp or knee pain, hip joint radiograph should be done.

  • Serial radiographs (with application of an appropriate clas...

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