What is the best treatment for Perthes disease?
How is Legg-Calve-Perthes disease treated?
- activity restrictions.
- anti-inflammatory medication.
- bed rest and traction.
- casting or bracing to:
- physical therapy, to keep the hip muscles strong and promote hip movement.
Does Perthes need surgery?
If diagnosed with Perthes in the first few months, the majority of patients can be treated with anti-inflammatories and physical therapy, Tis has found. But 1 in 10 children with early Perthes will have a large loss of blood flow and require surgery.
How long is treatment for Legg Calve Perthes disease?
In this x-ray, Perthes disease has progressed to a collapse of the bone in the femoral head (arrow). The other side is normal. A child with Perthes can expect to have several x-rays taken over the course of treatment, which may be 2 years or longer.
Is Perthes disease permanent?
In most cases only one hip joint is affected. Most children with Perthes’ disease eventually recover, but it can take anywhere from two to five years for the femoral head to regrow and return to normal, or close to normal.
Is Perthes disease rare?
Legg-Calve-Perthes disease affects less than 1 percent of the general population and is therefore very rare, but it is four times more common in boys than girls. Studies have also shown that children with parents who have the disease are more likely to get it.
When to have surgery for Legg Calve Perthes disease?
Surgery for Legg-Calvé-Perthes disease, also called Perthes disease, is usually reserved for children ages seven and older whose symptoms are less likely to be managed effectively by physical therapy or a cast.
What happens to a dog with Legg Calve Perthes?
As the disease becomes more advanced, the head of the femur may take on a ‘moth eaten’ appearance as bone is resorbed. In late stages of the disease, the femoral head will become deformed with significant evidence of arthritis in the joint. If my dog is diagnosed with Legg-Calve-Perthes disease, what can be done?
What kind of hip pain does Legg Calve Perthes cause?
Legg-Calve-Perthes is a rare hip condition affecting children younger than 10 years old. The cause of Legg-Calve-Perthes disease is currently unknown. Children with Legg-Calve-Perthes disease often develop a noticeable limp and may have some pain in the hip, pelvic and upper leg areas.
What’s the goal of surgery for Perthes disease?
The goal of surgery is containment. The idea is to keep the femoral head within the acetabulum. To do this, the pediatric orthopaedic surgeon may alter the angle of the bones of the femur and/or acetabulum and fix them in a more anatomically correct position.