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.

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Atrophy of thigh muscles may occur from disuse and an inequality of leg length.

Orphanet: Legg Calve Perthes maladie de Osteochondrite primitive de hanche

The main long-term legg-petrhes-calv with this condition is that it can produce a permanent deformity of the femoral head, which increases the risk of developing osteoarthritis in adults. Only comments seeking to improve the quality and accuracy of information on the Orphanet website are accepted. Performing these exercises during the healing malwdie is essential to ensure that the femur and hip socket have a perfectly smooth interface.

Accessed March 27, Swimming is highly recommended, as it allows exercise of the hip muscles with full range of motion while reducing the stress to a minimum.

Orthoses can start as proximal as the lumbar spine, and extend the length of the limbs to the floor. While running and high-impact sports are not recommended during treatment for Perthes disease, children can remain active through a variety of other activities that limit mechanical stress on the hip joint. Geographic and temporal trends in incidence reflecting differences in degree of deprivation in childhood”.

However, no evidence of this has been found; over the years, many theories have been published, but none has stood up to professional research. The documents contained in this web site are presented for information purposes only.


Articles needing additional references from July All articles needing additional references Infobox medical condition new All articles with unsourced statements Articles with unsourced statements from August Articles with unsourced statements from May Articles with unsourced statements from February To keep the ball part of the joint as round as possible, doctors may use a variety of treatments that keep it snug in the socket portion of the joint. Leroux J, et al. Without an adequate blood supply, this bone becomes unstable, and it may break easily and heal poorly.

LCP disease is an avascular necrosis of the femoral head in small-breed dogs, usually those weighing up to 25 lbs.

Currently, a number of factors have been implicated, including heredity, trauma, endocrine dysfunction, inflammation, nutrition, and altered circulatory hemodynamics.

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Legg–Calvé–Perthes disease – Wikipedia

The lifetime risk of a child developing the disease is about one per 1, individuals. This weakened bone gradually breaks apart and can lose its round shape. Later in the disease course, leg length discrepancy, as well as atrophy of musculature around the hip can be observed.

LCPD affects children between 2 and 12 years of age, but it is more prevalent among children of years, and more common in boys. The range of motion is reduced, particularly in abduction and internal rotation, and the patient presents with a limp. Children affected by LCP disease often display uneven gait and limited range of motion, and they experience mild to severe pain in the groin area.

Children younger than 6 have the best prognosis, since they have time for the dead bone to revascularize and remodel, with a good chance that the femoral head will recover and remain spherical after resolution of the disease.

Legg–Calvé–Perthes disease

Access to the PDF text. Use of bisphosphonate such as zoledronate or ibandronate is currently being investigated, but definite recommendations are not yet available. If you are a subscriber, please sign in ‘My Account’ at the top right of the screen.


Treatment is aimed at minimizing damage while the disease runs its course, not at ‘curing’ the disease. Management and treatment The main aim of treatment is to contain the femoral head within the acetabulum, either using an abduction brace or through surgical interventions femoral or pelvic osteotomy.

Over time, healing occurs by new blood vessels infiltrating the dead bone and removing the necrotic bone which leads to a loss of bone mass and a weakening of the femoral head. Children who have had Legg-Calve-Perthes disease are at higher risk of developing hip arthritis in adulthood — particularly if the hip joint heals in an abnormal shape.

Treatment has historically centered on removing mechanical pressure from the joint until the disease has run its course. Journal page Archives Contents list. Prognosis Prognosis is variable and several factors are of prognostic importance, such as the extent of femoral head necrosis and residual deformity.

LCP disease was first described in veterinary literature by Tutt in Orthop Clin N Am. It is recommended not to use steroids or alcohol as these reduce oxygen in the blood which is needed in the joint.

Mutations in the COL2A1 gene 12qq Perthes’ disease of the hip: The more deformed the femoral head is during healing, the greater the risk of osteoarthritis later in life.

Perthes disease is self-limiting, but if the head of femur is left deformed, long-term problems can occur. If the hip bones don’t fit together well after healing, the joint can wear out early.