Biomaterial Database

Legg-Calvé-Perthes disease. 1984

J R Bowen, and B K Foster, and C R Hartzell

A new treatment protocol has been developed at the Alfred I. duPont Institute by an evaluation of 480 hips affected with Legg-Calvé-Perthes disease. One hundred fifty hips have been followed up to skeletal maturity and show deformities of coxa magna (58%), coxa brevis (21%), coxa irregularis (18%), and osteochondritis dissecans (3%). Treatment is prescribed using a new classification--Class I: predeformed epiphysis (200 hips), for which treatment is needed if the patient is older than six years of age or has greater than 50% epiphyseal necrosis; Class II: deformed epiphysis prior to reossification (134 hips), for which treatment by containment is recommended; Class III: reossification (83 hips), for which reconstructive procedures may be considered if the patient is younger than seven years of age; and Class IV: mature/maturing (28 hips), in which the patients have symptoms of leg-length discrepancy, trochanteric overgrowth, osteochondritis dissecans, and degenerative joint disease. Analysis of containment methods in 192 hips reveals that Petri casts (69), Scottish Rite orthosis (44), the AIDI brace (15), varus osteotomy (34), and innominate osteotomy (30) produce comparable results.

UI	MeSH Term	Description	Entries
D007223	Infant	A child between 1 and 23 months of age.	Infants
D007873	Legg-Calve-Perthes Disease	A particular type of FEMUR HEAD NECROSIS occurring in children, mainly male, with a course of four years or so.	Coxa Plana,Legg-Perthes Disease,Perthes Disease,Legg-Calve-Perthes Syndrome,Legg-Calvé-Perthes Disease,Legg-Calvé-Perthes Syndrome,Osteochondritis Deformans,Disease, Legg-Calve-Perthes,Disease, Legg-Calvé-Perthes,Disease, Legg-Perthes,Disease, Perthes,Legg Calve Perthes Disease,Legg Calve Perthes Syndrome,Legg Calvé Perthes Disease,Legg Calvé Perthes Syndrome,Legg Perthes Disease,Osteochondritis Deforman,Syndrome, Legg-Calve-Perthes,Syndrome, Legg-Calvé-Perthes
D008297	Male		Males
D008722	Methods	A series of steps taken in order to conduct research.	Techniques,Methodological Studies,Methodological Study,Procedures,Studies, Methodological,Study, Methodological,Method,Procedure,Technique
D010007	Osteochondritis	Inflammation of a bone and its overlaying CARTILAGE.	Meniscitis,Meniscitides,Osteochondritides
D011379	Prognosis	A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.	Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D011859	Radiography	Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film).	Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D001848	Bone Diseases, Developmental	Diseases resulting in abnormal GROWTH or abnormal MORPHOGENESIS of BONES.	Bone Dysplasias,Developmental Bone Disease,Bone Disease, Developmental,Bone Dysplasia,Developmental Bone Diseases,Dysplasia, Bone,Dysplasias, Bone
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D002675	Child, Preschool	A child between the ages of 2 and 5.	Children, Preschool,Preschool Child,Preschool Children