Operative Versus Conservative Treatment of Calvé-Legg-Perthes Disease

Edvardsen, Per; Slørdahl, John; Svenningsen, Svein

doi:10.3109/17453678108992146

Cited by 16 publications

(11 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, some factors appear consistent across studies. These include: rostral sparing [dysmorphic growth patterns with sparing of the head and upper limbs (Burwell et al, 1978;Burwell, 1988)], being short in stature while being heavy/normal weight for age (Goff, 1954;Ralston, 1955;Cameron and Izatt, 1960;Weiner and O'Dell, 1970;Fisher, 1972;Emr et al, 1973;Katz and Siffert, 1977;Burwell et al, 1978;Wynne-Davies and Gormley, 1978;Cannon et al, 1989;Wiig et al, 2006;) (although these factors were not found to be statistically significant in some studies [Girdany and Osman, 1968;Laron et al, 1973;Kealey et al, 2004;Sharma et al, 2005)], and being skeletally immature (Goff, 1954;Caffey, 1968;Girdany and Osman, 1968;Weiner and O'Dell, 1970;Fisher, 1972;Laron et al, 1973;Emr et al, 1973;Harrison et al, 1976;Katz and Siffert, 1977;Thompson et al, 1978;Bohr, 1979;de Guembecker and Duriez, 1981;Edvardsen et al, 1981;Harrison and Burwell, 1981;Kristmundsdottir et al, 1984Kristmundsdottir et al, , 1986Kristmundsdottir et al, , 1987Wijesekera, 1984;Thompson and Salter, 1987;Burwell, 1988;…”

Section: Introductionmentioning

confidence: 99%

Skeletal immaturity, rostral sparing, and disparate hip morphologies as biomechanical causes for Legg‐Calvé‐Perthes' disease

et al. 2016

View full text Add to dashboard Cite

Legg-Calvé-Perthes' (Perthes') disease is a developmental disease of the hip joint that may result in numerous short and long term problems. The etiology of the disease remains largely unknown, but the mechanism is believed to be vascular and/or biomechanical in nature. There are several anatomical characteristics that tend to be prevalent in children with Perthes' disease, namely: skeletal immaturity, reduced height, and rostral sparing. We present an overview of the literature, summarizing the current understanding of the pathogenesis, particularly related to how the formation of the vasculature to the femoral epiphysis places children aged 5-8 at a higher risk for Perthes' disease, how skeletal immaturity and rostral sparing could increase the probability of developing Perthes' disease, and how animal models have aided our understanding of the disease. In doing so, we also explore why Perthes' disease is correlated to latitude, with populations at higher latitudes having higher incidence rates than populations closer to the Equator. Finally, we present five hypotheses detailing how Perthes' disease could have a biomechanical cause. Clin. Anat. 29:759-772, 2016. © 2016 Wiley Periodicals, Inc.

show abstract

Section: Introductionmentioning

confidence: 99%

Skeletal immaturity, rostral sparing, and disparate hip morphologies as biomechanical causes for Legg‐Calvé‐Perthes' disease

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Because of the retrospective nature of our study we are unable to comment on the incidence of leg shortening in the two groups. However, literature review suggests no difference between the two groups [3,5,7].…”

Section: Discussionmentioning

confidence: 99%

“…The issue is still controversial. Some studies have shown better radiographic results in the operative group [5,13] whereas others show no difference between the two methods [7,9]. In this study, a number of surgeons were involved in the treatment of these patients and there was no specific protocol.…”

Section: Discussionmentioning

confidence: 99%

Radiological evaluation of surgical treatment in Perthes' disease

Zenios

Hutchinson

Galasko

2001

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

We compared the late radiographic results of femoral head coverage in two unselected groups of patients with Perthes' disease, one treated conservatively and one with surgical containment. Forty-eight hips were treated surgically and 28 hips were managed conservatively. The preoperative radiographs were classified using both the Salter and Herring classifications. We found no significant difference in femoral head coverage between the groups. However, there was a trend towards a better femoral head coverage following surgical containment of Salter type B and Herring type II and III hips. The authors conclude that surgical containment may offer a better prognosis for patients with the more severely affected hips.

show abstract

“…Ved femur-eller bekkenosteotomi sentreres caput femoris i acetabulum der det nekrotiske caput i fragmenterings-og gjenoppbyggingsfasen kan formes av acetabulum, slik at det blir mest mulig sfaerisk ved tilheling (28,29). Figur 4 viser et eksempel på en hofte ved Calvé-Legg-Perthes' sykdom før og etter proksimal variserende femurosteotomi.…”

Section: Dekningsbehandling -«Containment»unclassified