Abstract
Legg-Calvé-Perthes disease is a reserved term for idiopathic avascular necrosis of the juvenile hip. Currently, its etiology is somewhat uncertain, and it tends to occur more frequently in the pediatric population between 2 years and up to 12 years of age. Among the most frequent symptoms they present are gait disorders and pain at the level of the affected hip. This disease is a diagnosis of exclusion where it is imperative to rule out other etiologies in relation to the symptoms presented by the patient, where the clinic and the physical examination guides the doctor to use the different complementary studies to increase the sensitivity and diagnostic specificity. The approach and treatment of this pathology seeks a way to make an early diagnosis and thus prevent irreversible deformation of the head of the femur, managing to preserve the sphericity of the head of the femur and protecting the segment of the affected epiphysis.
Keywords
References
Chaudhry S, Phillips D, Feldman D. Legg-Calvé-Perthes disease: an overview with recent literature. Bulletin of the Hospital for Joint Diseases 2014;72(1):18-27. https://pubmed.ncbi.nlm.nih.gov/25150324/
Karkenny Aj, Tauberg BM, Otsuka NY. Pediatric Hip Disorders: Slipped Capital Femoral Epiphysis and Legg-Calvé-Perthes Disease. Pediatr Rev. 2018;39(9):454-463. https://doi.org/10.1542/pir.2017-0197
Divi SN, Bielski RJ. Legg-calvé-perthes disease. Pediatr ann. 2016 ;45(4): e144-e149. https://doi.org/10.3928/00904481-20160310-03
Leroux J, Abu Amara S, Lechevallier J. Legg-Calvé-Perthes disease. Orthop Traumatol Surg Res. 2018;104(1S):S107-112. https://doi.org/10.1016/j.otsr.2017.04.012
Pavone V, Chisari E, Vescio A, Lizzio C, Sessa G, Testa G. Aetiology of Legg-Calvé-Perthes Disease: A systematic review. World J Orthop. 2019;10(3):145-165. https://doi.org/10.5312/wjo.v10.i3.145
Ibrahim T, Little DG. The Pathogenesis and Treatment of Legg-Calvé-Perthes Disease: JBJS Rev. 2016;4(7):1095-1108. https://doi.org/10.2106/JBJS.RVW.15.00063
Mínguez Rey, María Fe, Salom Taverner. Enfermedad de Legg-Calvé-Perthes. Conceptos actuales. Revista española de cirugía osteoarticular. 2015, 50(261): 79-82. http://www.cirugia-osteoarticular.org/adaptingsystem/intercambio/revistas/articulos/2385_79.pdf
Mazloumi SM, Ebrahimzadeh MH, Kachooei AR. Evolution in diagnosis and treatment of Legg-Calve-Perthes Disease. Arch Bone Joint Surg. 2014;2(2): 86-92. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4151449/
Joseph B. (2019) Legg-Calve-Perthes Disease. In: Alshryda S., Howard J., Huntley J., Schoenecker J. (eds) The Pediatric and Adolescent Hip. Springer, Cham, Springer Nature Switzerland AG 2019, Pag 169-191. https://doi.org/10.1007/978-3-030-12003-0_6
Vargas-Carvajal IX, Martínez-Ballesteros ÓF. Enfermedad de Legg-Clavé-Perthes. Revisión actualizada. Semergen. 2012;38(3): 167-174. https://doi.org/10.1016/j.semerg.2011.09.012
Neville DNW, Zuckerbraun N. Pediatric Nontraumatic Hip Pathology. Clin pediatr emerg med. 2016;17(1):13-28. https://doi.org/10.1016/j.cpem.2016.01.005
Laine JC, Martin BD, Novotny SA, Kelly DM. Role of Advanced Imaging in the Diagnosis and Management of Active Legg-Calvé-Perthes Disease. J Am Acad Orthop Surg. 2018;26(15):526-536. https://doi.org/10.5435/JAAOS-D-16-00856
Shah h. Perthes disease: evaluation and management. Orthop Clin North Am. 2014;45(1):87-97. https://doi.org/10.1016/j.ocl.2013.08.005
A. L. Proenca, L. Nascimento, P. Alves; Lisbon/PT, Legg-Calvé-Perthes disease: Imaging evaluation from conventional radiography to MRI, European Congress of Radiology 2019. ECR 2019, Poster Number: C-0732, Disponible en: https://dx.doi.org/10.26044/ecr2019/C-0732
Dimeglio A, Canavese F. Imaging in Legg-Calvé-Perthes Disease. Orthop Clin North Am. 2011;42(3):297-302. https://doi.org/10.1016/j.ocl.2011.04.003
Joseph B. Management of Perthes′ Disease. Indian J Orthop. 2015;49(1):10-16. https://doi.org/10.4103/0019-5413.143906
Kim SS, Lee CW, Kim HJ, Kim HH, Wang L. Treatment of Late-Onset Legg-Calve-Perthes Disease by Arthrodiastasis. Clin Orthop Surg. 2016;8(4):452-457. https://doi.org/10.4055/cios.2016.8.4.452
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright (c) 2020 Array