La traction au lit dans le traitement de la maladie de Legg-Perthes-Calvé: Revue de la litératureBed rest and skin traction for Perthes’ disease: review of the. Download Citation on ResearchGate | On Dec 1, , M. Dutoit and others published La maladie de Legg-Perthes-Calvé }. Request PDF on ResearchGate | La traction au lit dans le traitement de la maladie de Legg-Perthes-Calvé | Long-term bed rest with skin traction, which isolates.
|Published (Last):||4 June 2011|
|PDF File Size:||12.31 Mb|
|ePub File Size:||3.7 Mb|
|Price:||Free* [*Free Regsitration Required]|
Accessed March 27, It is predominantly a disease of boys 4: Atrophy of thigh muscles may occur from disuse and an legg-erthes-calv of leg length. The socket acts as a mold for the fragmented femoral head as it heals.
Aseptic necrosis of the capital femoral epiphysis Osteochondritis of the capital femoral epiphysis Osteochondrosis of the capital femoral epiphysis Perthes disease Prevalence: Diagnosis is made by conventional radiography in frontal and lateral projections. A younger age at diagnosis is generally accepted to be associated with a better outcome. Only comments written in English can be processed.
There was a problem providing the content you requested
Journal page Archives Contents list. J Bone Joint Surg Am. The condition is most commonly found in children between the ages of 4 and 8, but it can occur in children between the ages of 2 and Conservative and surgical treatment aims to prevent deformities of the femoral head accompanied or not by articular incongruency, responsible for hip arthritis from the fourth decade.
In other projects Wikimedia Commons. It is also referred to as idiopathic avascular osteonecrosis of the capital femoral epiphysis of the femoral head since the cause of the interruption of the blood supply of the head of the femur in the hip joint is unknown.
Differential diagnosis Differential diagnoses include Meyers dysplasia, multiple epiphyseal dysplasia and spondyloepiphyseal dysplasia see these terms.
Physiotherapy generally involves a series of daily exercises, with weekly meetings with a physiotherapist to monitor progress. If you want to subscribe to this journal, see our rates You can purchase this item in Pay Per View: Contact Help Who are we?
If MRI or bone scans are necessary, a positive diagnosis relies upon patchy areas of vascularity to the capital femoral epiphysis the developing femoral head. Perthes is generally diagnosed between 5 and 12 years of age, although it has been diagnosed as early as 18 months. These exercises focus on improving and legg–perthes-calv a full range of motion of the femur within the hip socket.
Both hips are affected in some children, usually at different times. Accessed March 12, A recent study suggested that femoral osteotomy gives dr better results than treatment with braces specifically the Scottish Rite abduction orthosis. leggg-perthes-calv
Orphanet: Legg Calve Perthes maladie de Osteochondrite primitive de hanche
Cycling is another good option as it also keeps stress to a minimum. Check this box if you wish to receive a copy of your message. Osteonecrosis, Hip, Growth, Children. Use of bisphosphonate such as zoledronate or ibandronate is currently being investigated, but definite recommendations are not yet available.
Legg-Calve-Perthes disease usually involves just one hip. The place of conservative and surgical treatment as well as their complications are described; it aims to guide the spontaneous recovery with as little as possible, deformation of the femoral epiphysis. The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.
Bilateral Perthes, which means both hips are affected, should always be investigated thoroughly to rule out multiple epiphyseal dysplasia.
The prognosis is good in almost every case before 5 years old, without any treatment; 2 the prognosis is not good after 9 years, also, very often, after surgical treatment; 3 area of the epiphyseal necrosis, particularly of the lateral pillar; 4 extrusion of the hip at any age.
You can move this window by clicking on the headline. Usually, plain radiographic changes are delayed 6 weeks or more from clinical onset, so bone scintigraphy and MRI are done for early diagnosis. Orthoses can start as proximal as the lumbar spine, and extend the length of the limbs to the floor. From Wikipedia, the free encyclopedia. Mayo Foundation for Medical Education and Research; In some cases, pain is felt in the unaffected hip and leg, [ citation needed ] due to the children favoring their injured side and placing the majority of their weight on their “good” leg.
Clinical results of the Scottish Rite orthosis have not been good according to some studies, and its use has gone out of favor. If the hip bones don’t fit together well after healing, the joint can wear out early. Please help improve this article by adding citations to reliable sources. Swimming is highly recommended, as it allows exercise of the hip muscles with full range of motion while reducing the stress to a minimum.
Orthop Clin N Am.
The condition is also linked to arthritis of the hip, though this appears not to be an inevitable consequence. Stans AA expert opinion. Who’s who in orthopedics. Outline Masquer le plan. X-rays usually demonstrate a flattened, and later fragmented, femoral head. The disease is theorized to include the artery of the ligmentum teres femoris being constricted or even blocked too early, not allowing for time when the medial circumflex femoral artery takes over.
Mayo Clinic, Rochester, Minn. In the UK ina nationwide study began collecting details of every case of Perthes’ disease as part of the British Orthopaedic Surgery Surveillance Study. Nelson Textbook of Pediatrics.
Retrieved from ” https: Mayo Clinic does not endorse companies or products. To maintain activities of daily living, custom orthotics may be used. Legg-Calve-Perthes disease occurs when too little blood is supplied to the ball portion of the hip joint femoral head.