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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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 initial symptoms are usually a limping gait, pain in the hip, thigh or knee, and a reduced range of hip motion. Later malqdie the disease course, leg length discrepancy, as well as atrophy of musculature around the hip can be observed. The active phase of the disease can last for several years, and during this phase the femoral head becomes partially or completely xe and gradually malaxie.
This is followed by new bone formation re-ossification in the epiphysis and eventual healing. The final deformity can vary from a nearly normal joint configuration to an extensive deformation with severe flattening and subluxation of the femoral head, broadening of the femoral neck, and a deformed and dysplastic acetabulum, which in turn can lead to early-onset osteoarthritis.
Legg-Calve-Perthes disease – Symptoms and causes – Mayo Clinic
The etiology of LCPD remains obscure. It is generally accepted that legg-perthes-cwlv or more infarctions of the femoral head due to interruption of vascular supply eventually cause the deformity, however, there are several theories concerning the cause of this interruption. Several contributory factors have also been suggested: Mutations in the COL2A1 gene 12qq Diagnosis is made legg-perthex-calv conventional radiography in frontal and lateral projections.
Scintigraphy and ultrasound can be of value in selected cases and MRI can be useful in the early stages of the disease to distinguish LCPD from other hip disorders. Differential diagnoses include Meyers dysplasia, multiple epiphyseal dysplasia and spondyloepiphyseal dysplasia see these terms. 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.
A recent study suggested that maladiee osteotomy gives significantly better results than treatment with braces specifically the Scottish Rite abduction orthosis. Prognosis is variable and several factors are of prognostic importance, such as the extent of femoral head necrosis legg-pegthes-calv residual deformity.
The more deformed the femoral head is during healing, the greater the risk of osteoarthritis later in life. Total hip replacement in early adulthood may be required in some cases. A younger age at diagnosis is generally accepted to be associated with a better outcome.
Orphanet: Legg Calve Perthes maladie de Osteochondrite primitive de hanche
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Check this box if you wish to receive a copy of your message. Aseptic necrosis legg-perthes-ca,v the capital femoral epiphysis Osteochondritis of the capital femoral epiphysis Osteochondrosis of the capital femoral epiphysis Perthes disease Prevalence: Clinical description The initial symptoms are usually a limping gait, pain in the hip, thigh or knee, and a reduced range of hip motion.
Diagnostic methods Diagnosis is made by conventional radiography in frontal and lateral projections. Differential diagnosis Differential diagnoses include Meyers dysplasia, maladke epiphyseal dysplasia and legg-perthes-cavl dysplasia see these terms. 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.
Prognosis Prognosis is variable and several factors are of prognostic importance, such as the extent of femoral head necrosis and residual deformity.
Additional information Further information on this disease Classification s 3 Gene s 1 Clinical signs and symptoms Publications in PubMed Other website s 4. Health care resources for this disease Expert centres 84 Diagnostic tests 14 Patient organisations 29 Orphan drug s 0.
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The material is in no way intended legg-perthes-capv replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment.