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Perthes Disease

Legg-Calve-Perthes Disease (LCPD) or Perthes disease is a disorder of the hip that affects children, usually between the ages of 4 and 10. It usually involves one hip, although it can occur on both sides in some children. It occurs more commonly in boys than girls.

The cause of Legg-Calve-Perthes Disease is not clearly known. It may occur due to inadequate blood supply to the ball of the hip joint (the femoral head) which leads to death of the bone. Over the course of several months, the blood supply returns back to the bone tissue and new bone cells gradually replace the dead bone over 2 – 3 years.

Symptoms
Some signs and symptoms of Perthes disease include:

  • Walking with a limp (painless limp)
  • Pain or stiffness in the hip, groin, thigh or knee
  • Shortening of leg or unequal leg length
  • Wasting of thigh muscles

Diagnosis
Your doctor will make a diagnosis based on your child’s signs and symptoms, a thorough physical examination, imaging studies such as X-ray of the hip, and magnetic resonance imaging (MRI) scan.

Treatment
The goal of treatment for Perthes disease is to keep the femoral head snug in the socket portion of the joint. Nonsurgical treatment options may include rest, activity restrictions, anti-inflammatory medications, casting or bracing, and physical therapy. If nonsurgical treatments don’t work, your child may need surgery. Surgery involves lengthening a groin muscle or reshaping the pelvis (osteotomy) depending on the severity of the condition and the shape of the femoral head.

Advanced Orthopedics
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Houston Hip Specialists

Advanced Orthopedics and sports medicine has numerous Board Certified/Eligible physicians who are thoroughly educated in the latest treatment techniques both surgical and conservative. They are well versed in advances in hip treatments including arthroscopic labral repairs, minimally invasive anterior hip replacement, total and partial hip replacements.

Drs Elbaz and Brooks now perform Platelet-Rich Plasma (PRP) injections for the treatment piriformis syndrome, greater trochanter bursitis, ischial bursitis, sacroiliac joint pain and hamstring tendonitis/tears. PRP stimulates a more rapid healing of tendon, ligament, muscle and bone.

Contact us today to Schedule an Appointment or call us at 281-955-2650 to learn more about our Shoulder Treatment Services.

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