La maladie de Legg-Perthes-Calve: challenge étiologique, thérapeutique et pronostique. [Legg-Calve-Perthes disease]

Details

Serval ID
serval:BIB_71F51C9D2F42
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
La maladie de Legg-Perthes-Calve: challenge étiologique, thérapeutique et pronostique. [Legg-Calve-Perthes disease]
Journal
Archives de Pédiatrie
Author(s)
Dutoit M.
ISSN
0929-693X (Print)
Publication state
Published
Issued date
01/2007
Volume
14
Number
1
Pages
109-15
Notes
English Abstract Journal Article --- Old month value: Jan
Abstract
Treatment of Legg-Calve-Perthes disease remains, in spite of realized progresses, difficult and disturbing. The important factors for establishing diagnosis concerning definition, etiology, physiopathology and clinical manifestations are reminded. The role of present complementary investigations as well as their evolution are very important to better establish the prognosis and the treatment. The most important factors for treating and establishing the prognosis of LPC are: 1) age. The prognosis is good in almost every case before 5 years old, without any treatment; 2) the prognosis is not good after 9 years, also, very often, after surgical treatment; 3) area of the epiphyseal necrosis, particularly of the lateral pillar; 4) extrusion of the hip at any age. Today, there is always no causal treatment of Legg-Calve-Perthes disease. Conservative and surgical treatment aims to prevent deformities of the femoral head accompanied or not by articular incongruency, responsible for hip arthritis from the fourth decade. The place of conservative and surgical treatment as well as their complications are described; it aims to guide the spontaneous recovery with as little as possible, deformation of the femoral epiphysis.
Keywords
Adolescent Child Humans *Legg-Perthes Disease/diagnosis
Pubmed
Web of science
Create date
28/01/2008 12:14
Last modification date
20/08/2019 14:30
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