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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Enfermedad de Legg-Calve-Perthes
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.
Eventually, the femoral head begins to fragment stage 2with subchondral lucency crescent sign and redistribution of weight-bearing stresses leading to thickening of some trabeculae which become more prominent. This may precipitate the presentation or the realisation of symptoms that in fact had been long standing. Slipped upper femoral epiphysis Slipped upper femoral epiphysis. Case 9 Case 9.
Case 6 Case 6. Case ce Case 3. Edit article Share article View revision history. Boys are five times more likely to be affected than girls. Case petrhes Case 8.
As the disease progresses, fragmentation and destruction of the femoral head occurs. Additionally, tongues of cartilage sometimes extend inferolaterally into the femoral neck, creating lucencies, which must be distinguished from infection or neoplastic lesions 4.
Cases and figures Imaging differential diagnosis.
Prognosis niks 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 5 Case 5. 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.
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Perthes disease | Radiology Reference Article |
Case 2 Case 2. Bracing may be used in milder cases, although femoral neck and acetabular osteotomies may be required to correct more pertes abnormal femoroacetabular malalignment. 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.
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Case 13 Case Case 16 Case The aim of therapy is to try and maintain good femoroacetabular contact and a round femoral head. As changes progress, the width of the femoral neck increases coxa magna in order to increase weight-bearing support.
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Case 18 Case MRI is increasingly replacing this, in an effort to eliminate pelvic irradiation. Some children have a coincidental history of trauma. The radiographic changes to the femoral epiphyses depend on the severity of osteonecrosis enfermdead the amount of time that there has been alteration of psrthes supply:.
Most children present with atraumatic hip pain or limp 3,5,6. Developmental dysplasia of hip Developmental dysplasia of hip. Nioos 17 Case Case 4 Case 4. Read it at Google Books – Find it at Amazon. Epidemiology Clinical presentation Pathology Radiographic features Treatment and prognosis History perthds etymology Differential diagnosis References Images: Case 19 Case Synonyms or Alternate Spellings: The radiographic findings are those of osteonecrosis. Case 20 Case W B Saunders Co.
About Blog Go ad-free. The typical findings of advanced burnt out stage 4 Perthes disease are:. Perthes disease is relatively uncommon and in Western populations has an incidence approaching 5 to Meyer dysplasia Meyer dysplasia. The investigation of atraumatic limp will often include a hip ultrasound to look for effusion, but ultrasound is unlikely to pick up osteonecrosis.
The younger the age at the time of presentation, the more benign disease course is expected and also for same ds, the prognosis is better in boys than girls due to less maturity 5,8. Log in Sign up. Case 12 Case Case 11 Case Check for errors and try again. In a small number of patients with Perthes, the radiograph will be normal and persistent symptoms will trigger further imaging, e.
Blood tests are typically normal in Perthes.