Perthes' Disease Flashcards
1
Q
What is a summary of the pathophysiology of Perthes’ disease?
A
avascular necrosis of the femoral head
1
Q
What age group is typically affected by Perthes’ disease?
A
4-8 year olds
2
Q
What is the typical clinical presentation of Perthes disease in a child?
A
- an insidious onset of limp and pain in the groin
- or referred to the knee/thigh that is
- relieved by rest
3
Q
What hip exam findings are associated with Perthes’ disease?
A
- difficulty in hip internal rotation
- abduction (due to adductor spasm)
4
Q
What is the management for Perthes’ disease?
A
nothing
5
Q
What are the aims of management of Perthes’ disease?
A
- supportive care for acute pain
- activity continuation
- physical therapy
6
Q
When is surgical management indicated in Perthes’ disease?
A
patients who fail to respond to conservative measures (only if >6yrs)
