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Legg-Calvé-Perthes Disease

Reviewed 06/2018
 


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, containment treatment to reconstructive hip surgery (7)[A]. 

GENERAL MEASURES

Primary goals of trea...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Ambulatory status depends on extent and stage of disease.

  • Limit weight bearing in cases of hip pain.

Patient Monitoring

  • Close pediatric orthopedic follow-up initiall...

REFERENCES

1
Woratanarat P, Thaveeratitharm C, Woratanarat T, et al. Meta-analysis of hypercoagulability genetic polymorphisms in Perthes disease. J Orthop Res.  2014;32(1):1–7. [View Abstract on ...

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.

  • Herring JA, Kim HT, Browne R. Legg-Calve-Pert...

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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