Legg-Calve-Perthes disease

Question 1

What is Legg-Calve-Perthes disease?

Answer 1

Legg-Calve-Perthes disease is characterized by degeneration of the femoral head due to a disturbance in the blood supply (i.e., avascular necrosis).

Question 2

Is Legg-Calve-Perthes disease self-limiting?

Answer 2

Yes, the disease is self-limiting.

Question 3

What are the four distinct stages of Legg-Calve-Perthes disease?

Answer 3

The four distinct stages are condensation, fragmentation, re-ossification, and remodeling.

Question 4

What are the potential etiologies of Legg-Calve-Perthes disease?

Answer 4

Etiologies include trauma, genetic predisposition, synovitis, vascular abnormalities, and infection.

Question 5

What are the signs and symptoms of Legg-Calve-Perthes disease?

Answer 5

Signs and symptoms include pain, decreased range of motion, antalgic gait, and positive Trendelenburg sign.

Question 6

What is the primary focus of treatment for Legg-Calve-Perthes disease?

Answer 6

The primary focus is to relieve pain, maintain the femoral head in the proper position, and improve range of motion.

Question 7

What types of activities may be included in the treatment of Legg-Calve-Perthes disease?

Answer 7

Activities may include physical therapy for stretching, splinting, crutch training, aquatic therapy, traction, and exercise.

Question 8

When might orthotic devices and surgical intervention be indicated in Legg-Calve-Perthes disease?

Answer 8

Orthotic devices and surgical intervention may be indicated depending on classification and severity of the condition.