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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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 6 Case 6. The investigation of atraumatic limp will often include a hip ultrasound to look for effusion, but ej is unlikely to pick up osteonecrosis.
Perthes disease | Radiology Reference Article |
The radiographic changes to the femoral epiphyses depend on the severity of osteonecrosis and the amount of time that there has been alteration of blood supply:. The radiographic findings are those of osteonecrosis.
Blood tests are typically normal in Perthes.
As the disease progresses, fragmentation and destruction of the femoral head occurs. Additionally, tongues of cartilage enfwrmedad extend inferolaterally into the femoral neck, creating lucencies, which must be distinguished from infection or neoplastic lesions 4.
Developmental dysplasia of hip Developmental dysplasia of hip. Case 11 Case Case 4 Case 4. It is important to be certain that there is no other cause of osteonecrosis e.
Case 9 Case 9. The aim of therapy is to try and maintain good femoroacetabular contact and a round femoral head. Unable to process the form. Epidemiology Clinical presentation Pathology Radiographic features Treatment and prognosis History and etymology Differential diagnosis References Images: Presentation is niod at a younger age than slipped upper femoral epiphysis with peak presentation at years, but confidence intervals are as wide as years 8.
Case 7 Case 7. 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 17 Case Case 3 Case 3. Case 13 Case Synonyms or Alternate Spellings: The typical findings of advanced burnt out stage 4 Perthes disease are:. As changes progress, the width of the femoral neck increases coxa magna in order to increase weight-bearing support.
Case 5 Case 5. Edit article Share article View revision history. Meyer dysplasia Meyer dysplasia. The younger the age at the time of presentation, the more benign disease course is expected and also for same age, the prognosis is better in boys than girls due to less maturity 5,8.
The best initial test for the diagnosis of Perthes is a pelvic radiograph. Check for errors and try again. Osteonecrosis generally occurs secondary to abnormal or damaged blood supply to the femoral epiphysis, leading to nioz, bone loss, and eventual structural collapse of the femoral head.
Case 10 Case Most children present with atraumatic hip pain or limp 3,5,6. Case 16 Case You can also scroll through niks with your mouse wheel or the keyboard arrow keys. Slipped upper femoral epiphysis Slipped upper femoral epiphysis.
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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. W B Saunders Co. Case 20 Case Treatment in Perthes disease bios largely related to symptom control, particularly in the early phase of the disease.
MRI is increasingly replacing this, in an effort to eliminate pelvic irradiation. Articles Cases Courses Quiz. Bracing may be used in milder cases, although femoral neck and acetabular osteotomies may be required to correct more severe abnormal femoroacetabular malalignment.
Perthes disease is relatively uncommon and in Western populations has an incidence approaching 5 to