Peds (Pediatric Hip Conditions)

Question 1

Legg-Calvé-Perthes Disease

Answer 1

Osteochondrosis: a disease of the
growth or ossification centers in children
which begins as a degeneration or
necrosis followed by regeneration or
recalcification

Self-limited disease of hip produced by
ischemia, varying degrees of avascular
necrosis of femoral head and
spontaneous regeneration

Question 2

Legg-Calvé-Perthes Disease Incidence

Answer 2

-Most commonly boys 5-7

-Active, skeletally immature boys

Question 3

Legg-Calvé-Perthes Disease Intervention

Answer 3

Goal: containment of femoral head so it
regenerates smoothly with good shape

Physical Therapy
-ROM: especially to gain hip abduction,
internal rotation
-Gait training with device or post-op
-Promote symmetry
-Pain management

Question 4

Slipped Capital Femoral Epiphysis (SCFE)

Answer 4

Displacement of femoral head on femoral
neck; head inferior and posterior in relationship
to femoral neck

Question 5

SCFE Incidence

Answer 5

-Boys:girls, 2:1, even higher in African American boys
-Tend to be obese, skeletally immature males,
around time of puberty (11-14)

Question 6

Legg-Calvé-Perthes Disease Impairments

Answer 6

Impairments
-Pain often in knee or groin
-Limited hip ROM: abduction, internal rotation
- Limp

Functional limitation
-Gait
-May be inconsistent

Long-term outcome: approximately 50% will have
degenerative hip disease by 5th decade

Question 7

SCFE Impairments

Answer 7

- With flexion, hip moves into ER
-↓ hip flex, abd, int rot
 -Limp
- Pain
-Shortening of affected limb

Question 8

SCFE Intervention

Answer 8

-Range of motion
-Gait training: non-weight bearing
preoperatively
-Promote symmetry