ENFERMEDAD DE LEGG-CALVE- PERTHES Y DESLIZADA LA EPÍFISIS CAPITAL FEMORAL: PRINCIPALES CAUSAS DEL DESARROLLO. Se creó para crear conciencia global y brindar apoyo a los niños y las familias que enfrentan la enfermedad de Legg-Calvé-Perthes, un trastorno degenerativo . La enfermedad de Legg-Calve-Perthes (LCPD) es una rara enfermedad de la cadera. Ésta afecta a niños de 2 a 12 años de edad. La LCPD es un trastorno de .

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Treatment in Perthes disease is largely related to symptom control, particularly in the early phase of the disease. Cases and figures Imaging differential diagnosis.

Case 18 Case Case 3 Case 3. This may precipitate the presentation or the realisation of symptoms that in fact had been long standing.

Enfermedad de Legg-Calve-Perthes | HCA Healthcare

It should not be confused with Perthes lesion of the shoulder. MRI is increasingly replacing this, in an effort to eliminate pelvic irradiation. Prognosis is also influenced by the percentage of femoral head involvement and degree of primary deformity of the femoral head and the secondary osteoarthritic changes that ensue.

Case 17 Case As changes perghes, the width of the femoral neck increases coxa magna in order to increase weight-bearing support. Case 16 Case The typical findings of advanced burnt out stage 4 Perthes disease are:.


Enfermedad de Legg-Calve-Perthes

The radiographic changes to the femoral epiphyses depend on the severity of osteonecrosis and the amount of time that enfemedad has been alteration of blood supply:. The presence of metaphyseal involvement not only increases the likelihood of femoral neck deformity but also make early physeal closure with resulting leg length disparity more likely.

Bracing may be used in milder cases, although femoral neck and acetabular osteotomies may be required to correct more severe abnormal femoroacetabular malalignment. Osteonecrosis generally occurs secondary to abnormal or damaged blood supply to the femoral epiphysis, leading to fragmentation, bone loss, and eventual structural collapse of the femoral head. Case 4 Case 4.

Case 10 Case In this situation, operative management is sometimes required to either ensure appropriate coverage of the femoral head by the acetabulum, or to replace the femoral head in adult life. Case 6 Case 6.

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Perthes disease is relatively uncommon and in Western populations has an incidence approaching 5 to Case 2 Case 2. Boys are five times more likely to be affected than girls.

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Unable to process the form. Slipped upper femoral epiphysis Slipped upper femoral epiphysis. Presentation is typically at a younger age than slipped upper femoral epiphysis with peak presentation at years, but confidence intervals are as wide as years 8.


Enfermedad de Legg-Calvé-Perthes – Síntomas y causas – Mayo Clinic

Case 20 Case Case 9 Case 9. W B Saunders Co. The aim of therapy is to try and maintain good femoroacetabular contact and a round enfdrmedad head. There is a separate system for staging of Perthes disease see Catterall classification. Epidemiology Clinical presentation Pathology Radiographic features Treatment and prognosis History and etymology Differential diagnosis References Images: Case 12 Case The radiographic findings are those of osteonecrosis.

Support Radiopaedia and see fewer ads. Additionally, tongues of cartilage sometimes extend inferolaterally into the femoral perghes, creating lucencies, which must be distinguished from infection or neoplastic lesions 4.

Most children present with atraumatic hip pain or limp 3,5,6. Traditionally arthrography performed under general anesthesia with conventional fluoroscopy is performed to assess congruency between the femoral head and the acetabulum in a variety of positions 3.

Case 8 Case 8. As the disease progresses, fragmentation and destruction of the femoral head occurs. Articles Cases Courses Quiz.