Arthrography as an Aid to Diagnosis, Prognosis and Therapy in Legg-Calvé-Perthes' Disease

Gershuni, David H.; Axer, A; Hendel, David

doi:10.3109/17453678008990832

Cited by 5 publications

(1 citation statement)

References 15 publications

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“…This may be achieved by operative or non-operative methods. Arthrography may be a useful adjunct in determining whether the head actually can be contained and, if so, in what position this is best accomplished [1, 5]. Rab [6], however, questioned the containment concept, and believes that femoral head reorientation (osteotomy) may improve femoral head stability when necrosis is limited, but is unlikely to reduce subluxation or collapse when extensive necrosis is present.…”

Section: Introductionmentioning

confidence: 99%

Perthes disease: A survey of management amongst members of the British Society for Children's Orthopaedic Surgery (BSCOS)

Annamalai

Buckingham

Cashman

2007

Journal of Children's Orthopaedics

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The treatment of Legg-Calvé-Perthes disease remains controversial. The aim of this survey was to ascertain the current management strategies of this condition amongst UK paediatric orthopaedic surgeons, with particular regard to containment procedures in the fragmentation phase. Questionnaires were distributed at the January 2006 meeting of the British Society for Children’s Orthopaedic Surgery (BSCOS) and was posted to all absent members. The results showed a great deal of variability not only in the treatment of Perthes disease, but also in the decision-making processes. Consideration must now be given to a carefully constructed national multi-centre prospective randomised controlled study into the optimum management of this disease

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Section: Introductionmentioning

confidence: 99%

Perthes disease: A survey of management amongst members of the British Society for Children's Orthopaedic Surgery (BSCOS)

Annamalai

Buckingham

Cashman

2007

Journal of Children's Orthopaedics

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The child with acute leg pain

Sty

Wells

Smith

1988

Seminars in Nuclear Medicine

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The Correlation Between Coxa Magna and Final Outcome in Legg-Calve-Perthes Disease

Rowe¹,

Moon²,

Song³

et al. 2005

Journal of Pediatric Orthopaedics

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This study evaluated the final outcome of coxa magna that developed as a sequela of Legg-Calve-Perthes disease. The final outcomes at skeletal maturity were assessed by the Stulberg classification in 85 children with unilateral Perthes disease. Among them, 21 children had a bilateral arthrogram at the active stage of the disease, and the arthrogram measurements were compared with those measured at disease healing and at skeletal maturity. Coxa magna was observed in 53% (45/85), with a mean increase in 20.0 +/- 7.2%. These coxa magna and resulting acetabular deformities occurred in the early stage of the disease. In 68 hips with mild (1-9% increase) or moderate (10-19%) coxa magna, the final results were Stulberg I or II in 57 hips and III in 11. In 17 hips with severe coxa magna (> or =20%), the results were I or II in one hip, III in nine, and IV in seven. This means that 41% of the hips with severe coxa magna might have osteoarthritis later in life.

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Arthrography as an Aid to Diagnosis, Prognosis and Therapy in Legg-Calvé-Perthes' Disease

Cited by 5 publications

References 15 publications

Perthes disease: A survey of management amongst members of the British Society for Children's Orthopaedic Surgery (BSCOS)

Perthes disease: A survey of management amongst members of the British Society for Children's Orthopaedic Surgery (BSCOS)

The child with acute leg pain

The Correlation Between Coxa Magna and Final Outcome in Legg-Calve-Perthes Disease

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