perthes disease Flashcards
1
Q
what
A
avascular necrosis of femoral epiphysiss
2
Q
seen in
A
children 4-12
(most often 5-8yrs)
most commonly boys
3
Q
main complication
A
soft and deformed femoral head leading to early hip OA
4
Q
what happens over time
A
revascularisation and healing
bone remoddeling as it heals
5
Q
presentation
A
slow onset of
- pain in hip/groin
- limp
- restricted movement
- may be knee pain
no history of trauma
6
Q
initial Ix
A
X-ray
7
Q
Management
A
conservative: bed rest, traction, crutches, analgesia
physiotherapy
x-rays to assess healing
surgery
