Corpus ID: 21414660

Legg-Calvé-Perthes disease: an overview with recent literature.

@article{Chaudhry2014LeggCalvPerthesDA,
  title={Legg-Calv{\'e}-Perthes disease: an overview with recent literature.},
  author={Sonia Chaudhry and Donna Phillips and David S. Feldman},
  journal={Bulletin of the Hospital for Joint Disease},
  year={2014},
  volume={72 1},
  pages={
          18-27
        }
}
The evolving knowledge on Legg-Calvé-Perthes (LCP) demonstrates the utility of studying a rare disease systematically by piecing together the biology and mechanics of this condition and applying clinical observations to improve patient care. As treatments of less common diseases are hard to randomize and study in meaningful numbers, long-term study groups have been created to provide insight into this entity that remains an enigma in many aspects. These studies permit a more evidence-approached… Expand
Legg-Calvé-Perthes disease
TLDR
A review of the newest available literature concerning the diagnosis and treatment of Legg-Calvé-Perthes disease in children and young adults focuses on the residual deformity characteristic of LCPD. Expand
Imaging of Legg-Calvé-Perthes Disease
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This chapter provides an overview of the role of imaging in the assessment of LCPD, and the cascade of phenomena that occur after bone necrosis is paralleled by the evolution of imaging findings. Expand
On the antiquity of Legg-Calvé-Perthes disease: Skeletal evidence in Iron Age Italy.
TLDR
This work reports on morphometric and radiological analyses of a skeleton from the Etruscan necropolis of Spina (Ferrara, Italy, 6th-3rd century BCE), to the authors' knowledge the most ancient case of Legg-Calvé-Perthes disease published thus far. Expand
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The literature supports operative containment treatment in the early stage of disease, and such treatment has led to improved femoral head sphericity with better patient outcomes in multicenter prospective cohort studies. Expand
[Perthes disease-diagnosis, classification and treatment based on Aachen-Dortmund treatment algorithm].
TLDR
A clear and concise overview of relevant clinical findings and useful radiographic classifications as well as reasonable therapy is presented in Legg-Calvé-Perthes disease. Expand
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TLDR
Current knowledge of the causes and risk factors of Legg-Calvé-Perthesdisease (LCPD) does not allow effective preventive strategies and, in severe forms, combining these two techniques or performing a triple pelvic osteotomy seem preferable. Expand
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The hypothesis that vascular obstruction to the epiphysis may arise when there is delayed ossification and when articular cartilage has reduced stiffness under compression is supported. Expand
Surgical Treatments for Legg-Calvé-Perthes Disease: Comprehensive Review
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This comprehensive review of surgical techniques used for Legg-Calvé-Perthes disease provides clinicians with a brief guideline for the treatment of patients with LCPD. Expand
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Although the management of LCPD is controversial the main goals of treatment are to retain femoral head sphericity and maintain hip range of motion. Expand
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Leg length discrepancy (LLD) is a common orthopedic condition, characterized by a length difference between the two lower limbs, usually associated with alignment disorders. Minor LLD is recognizedExpand
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References

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Imaging in Legg-Calvé-Perthes disease.
TLDR
The scope of this work is to provide an overview of all imaging techniques available today, and to help understand when to use a particular examination. Expand
Coagulation abnormalities in Legg-Calvé-Perthes disease.
TLDR
There appears to be a thrombotic component in the etiology of Legg-Calvé-Perthes disease, and the effect of the factor V Leiden mutation, high levels of fibrinogen, and increasing levels of factor VIII was stronger in males than in females. Expand
Legg-Calve-Perthes disease. Part II: Prospective multicenter study of the effect of treatment on outcome.
TLDR
The lateral pillar classification and age at the time of onset of the disease strongly correlate with outcome in patients with Legg-Calve-Perthes disease. Expand
Management of Legg–calve–perthes Disease with Acupuncture: A Case Report
TLDR
A case of LCPD that was treated late and had a poor prognosis, but improved significantly during a prolonged course of acupuncture, where new bone cells started to develop in the femoral head. Expand
Principles of treating the sequelae of Perthes disease.
TLDR
This article outlines an approach to patients with symptomatic Perthes disease with healed but deformed femoral heads who develop osteochondritis dissecans when there is little femoral head deformity. Expand
Arthrodiastasis for late onset Perthes' disease using a simple frame and limited soft tissue release: early results.
TLDR
Minimal soft tissue release and hip distraction can be regarded as a salvage procedure for late onset Perthes' disease with hip pain, at the stage of necrosis or fragmentation, with a statistically significant difference between pre and post-operative values. Expand
Arthrodiastasis of the Hip
TLDR
Nonarticulated hip distraction without soft tissue release seems to be a valid treatment option in cases with Legg-Calvé-Perthes disease where poor results are expected from conventional treatment. Expand
The age distribution of Legg-Perthes disease. An analysis using Sartwell's incubation period model.
TLDR
The study results are consistent with a single cause acting at a critical stage of life, i.e., before two years of age, and are compatible with either a prenatal or postnatal influence. Expand
Future biologic treatments for Perthes disease.
TLDR
A current pathophysiological model of Perthes disease is presented, experimental strategies in pharmaceutical treatments are reviewed, and future areas for research are suggested. Expand
Review of total hip resurfacing and total hip arthroplasty in young patients who had Legg-Calvé-Perthes disease.
TLDR
The results and unique technical considerations of resurfacing and THA for patients who have severe hip osteoarthritis after resolved Legg-Calvé-Perthes disease are focused on. Expand
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