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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It should not be confused with Perthes lesion of the shoulder. MRI is increasingly replacing this, in an effort to eliminate pelvic irradiation. Thank you for updating your details.
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Case 10 Case Case 18 Case Check for errors and try again. Treatment in Perthes disease is largely related to symptom control, particularly in the early phase of the disease. Loading Stack – 0 images remaining.
Case 6 Case 6. 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.
Some children have a coincidental history of trauma.
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 16 Case Slipped upper femoral epiphysis Slipped entermedad femoral epiphysis. There is a separate system for staging of Perthes disease see Catterall classification.
You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Case 20 Case In a small number of patients with Perthes, the radiograph will be normal and persistent symptoms will trigger further imaging, e.
Perthes disease | Radiology Reference Article |
Case 13 Case Edit article Share article View revision history. Case 11 Case Most children present with atraumatic hip pain or limp enn. Cases and figures Imaging differential diagnosis. The aim of therapy is to try and maintain good femoroacetabular contact and a round femoral head.
Boys are five times more likely to be affected than girls. W B Saunders Co. Log in Sign up. Read it at Google Books – Find it at Amazon.
Enfermedad de Legg-Calve-Perthes
Case 8 Case 8. 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. Case 17 Case Osteonecrosis generally occurs secondary to abnormal or damaged blood supply to the femoral epiphysis, leading to fragmentation, bone loss, and eventual structural collapse of the prrthes head.
As the disease progresses, fragmentation and destruction of the femoral head occurs. 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. Case 19 Case Case 12 Case It is important to be certain that there is no other cause of osteonecrosis e.
Synonyms or Alternate Spellings: 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.
The typical findings of advanced burnt out stage 4 Perthes disease are:. The radiographic findings are those of osteonecrosis. Case 9 Enfermedzd 9. Case 3 Case 3. This may precipitate the presentation or the realisation of symptoms that niios fact had been long standing.