The Relationship of Isotopic Bone Imaging Findings to Prognosis in Legg-Perthes Disease

Fisher, Robert L.; Roderique, Jim W.; Brown, Douglas; Danigelis, James A.; Ozonoff, M. B.; Sziklas, John J.

doi:10.1097/00003086-198007000-00007

Cited by 28 publications

(4 citation statements)

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“…This information taken together with the clinical state, radiographic and arthrographic appearances forms the basis for decisions about conservative and operative treatment in our hospital. At the present time it would seem that the scan pattern has no significant correlation with the radiographic changes (Fisher et al 1980). In the irritable hip syndrome the joint is either normal and shows equal uptake with the unaffected hip or there is a generalized increase in uptake throughout the affected hip.…”

Section: Acutementioning

confidence: 58%

Role of Radionuclide Studies in Paediatric Orthopaedic Practice: A Review

Carty

Owen

1985

J R Soc Med

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Section: Acutementioning

confidence: 58%

Role of Radionuclide Studies in Paediatric Orthopaedic Practice: A Review

Carty

Owen

1985

J R Soc Med

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“…In bone scanning, there is a strong correlation between the size of the uptake defect on the femoral head and prognosis. The indication is limited to patients who are suspected of being affected by LCPD, which further serves as a prognosticator as well [ 75 ]. A previous study showed that there is a significant correlation between hip deformity and labral and cartilage abnormalities of the hip on magnetic resonance imaging, and the main predisposing factors were loss of sphericity of the head and a decline in femoral head-neck offset [ 76 ].…”

Section: Resultsmentioning

confidence: 99%

Surgical Treatments for Legg-Calvé-Perthes Disease: Comprehensive Review

Maleki¹,

Qoreishy²,

Bahrami³

2021

Interact J Med Res

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Background Legg-Calvé-Perthes disease (LCPD) is a common public health problem that usually occurs between the ages of 4 and 8 years, but it can occur between the ages of 2 and 15 years. This condition occurs due to the interruption of blood supply to the femoral head. Up to now, different surgical and nonsurgical treatments, including femoral varus osteotomy, innominate osteotomy, pelvic osteotomies, triple osteotomy, Chiari osteotomy, and shelf acetabuloplasty, have been suggested for noncontainable LCPD hips. Objective The aim of this comprehensive review was to investigate the various surgical techniques used for LCPD. Methods An advanced electronic search of the English-language literature was performed from October 8 to 14, 2020. The electronic databases PubMed, MEDLINE, Web of Science, Embase, Ovid, and Google scholar were searched using appropriate search terms. A manual search of references also was performed. After retrieving the studies, duplicates were removed, and the remining studies were screened based on the title, abstract, and full text. The quality of the selected articles was assessed, and the required data were extracted from eligible articles. Results A total of 22 studies were included in the review. Based on the results of the reviewed studies, there are three main factors that influence the treatment outcomes in patients with Perthes disease. These factors are onset age, femoral head involvement severity, and treatment method. The disease has a poor prognosis in children over 8 years old, but this group of patients can also benefit from advanced surgical methods. In patients aged less than 6 years, the disease has a generally good prognosis, but in those aged between 6 and 8 years, its prognosis is variable. Thus, the need for surgical intervention requires close observation of signs. Once any head signs are observed, dynamic arthrography is beneficial before choosing the treatment approach. Conclusions This review provides clinicians with a brief guideline for the treatment of patients with LCPD.

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“…Because of this interruption of the blood supply to the femoral head, radionuclide skeletal scintigraphy is a useful way of assessing the prognosis of Perthes' disease (Fisher et al 1980), as well as allowing early diagnosis (Calver et al 1981). By using both pinhole collimator images as well as digital recording and plotting of the uptake from the hip joints, good quality films and accurate interpretation can readily be achieved (Wingstrand 1986).…”

Section: Discussionmentioning

confidence: 99%