Age at onset of symptoms, duration, patient’s activity level, and risk factors for osteonecrosis are important.
Age at onset before 6 years has better prognosis than after 6 years.
Most...
Treatment principles:
Restore and maintain good hip motion, especially abduction.
Prevent collapse and lateral extrusion of the femoral epiphysis.
Initial treatment for symptomatic patients inc...
Patient should be seen every 3 to 4 months to assess disease progression and compliance to treatment during the active phase of disease.
Activity and weight-bearin...
Frick SL. Evaluation of the child who has hip pain. Orthop Clin North Am. 2006;37(2):133–140. [View Abstract on OvidInsights]
Kim HK. Legg-Calvé-Perthes disease. J Am Acad Orth...
M91.10 Juvenile osteochondrosis of head of femur, unspecified leg
M91.11 Juvenile osteochondrosis of head of femur, right leg
M91.12 Juven...
Q: When should I get radiographs?
A: Diagnosis of Perthes requires radiographic confirmation. AP pelvis and frog-leg lateral radiographs should be obtained when a child presents with intermittent t...
Sign up for a 10-day FREE Trial now and receive full access to all content.