Disease Information for Hip osteochondrosis/capital epiphysitis/LCP Dis

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Clinical Manifestations
Signs & Symptoms
Buttock Pain
Groin Pain
Bilateral Calf Pains
Hip Inner Thigh Pain
Leg cramps/muscle spasm/pains
Leg/lower extremity pains
Thigh muscle atrophy
Thigh pain
Acute Back Pain
Arthralgias Polyarthralgias
Arthritis Children
Arthritis of major joint
Back Pain
Backache
Child won't walk
Hip abduction ROM limited
Hip held/flexed,external rotated
Hip internal rotation limit
Hip Pain
Hip Pain In a Child
Hip/gait signs
Hip/Limited motion sign
Joint exam/signs
Joint Pains
Joint pains Arthralgias in Children
Knee Pain
Leg length difference
Limp
Limping Child
Limping gait/orthopedic/antalgic
Limping in Adolescent
Limping in Child
Low Back Pain
Monoarticular Arthritis/One joint acute
Ortolani's sign/Hip poor abduction
Pelvic girdle pain
Sacrum area back pain
Single Joint Pain
Skeletal problems/symptoms/signs
Spine pain/vertebral skeletal pain
Short stature
Short stature Child
Typical Clinical Presentation
Females sicker than males/characteristic
Clinical Presentation & Variations
Presentation/Single Joint Arthritis
Disease Progression
Course/Prognosis good/usually
Demographics & Risk Factors
Past History
Past history/Premature/low birth weight
Population Group
Child
Population/Pediatrics population
Sex & Age Groups
Population/Child
Population/Child-Infant Only
Population/Children/all
Population/Male
Population/Old child
Diagnostic Test Results
X-RAY
Xray/Hip abnormal
Xray/Hip/capital epiphysis/osteonecrosis
Xray/Hip/Osteonecrosis/femoral head
Xray/Joint abnormal
Associated Diseases & Rule outs
Associated Disease & Complications
Acetabular/hip dysplasia
Aseptic Necrosis Joint Lesion
Avascular necrosis bone/process
Femur/Femoral hypoplasia
Hip arthritis
Hip dysplasia
Hip osteoarthritis/Malum coxae senilis
Hip Osteochondrosis/Legg-Calve-Perthes disease
Hip/Aseptic necrosis femoral head
Hip/Slipped capital epiphysis
Osteoarthritis, degenerative
Monoarthritis Acute
Disease Mechanism & Classification
Class
CLASS/Pediatric disorders (ex)
CLASS/Lower extremity involvement/disorder (ex)
CLASS/Hip involvement/disorder (ex)
CLASS/Skeletal (category)
Pathophysiology
Pathophysiology/Osteochondritis/developmental (ex)
Pathophysiology/Maternal Chromosome mutation
Process
PROCESS/Autosomal dominant hereditary disease (ex).
PROCESS/Bilateral occurrence
PROCESS/Developmental/delayed expression disorder (ex)
PROCESS/Device/brace usage (ex)
PROCESS/Genetic disorder/Spontaneous mutations/sporadic
PROCESS/Inflammatory/Traumatic/regeneration (ex)
PROCESS/Structural/anatomic/foreign body (category)
Synonyms
Synonym
Calve Perthes' disease, Calve Perthes, Calvé Perthes, Calve Perthes disease, Coxa plana, Coxa plana (disorder), Disease Calve Perthes, Disease Legg Perthes, Disease Perthes, epiphysis juvenile osteochondrosis head of femur, femoral capital epiphysis osteochondrosis, head of femur juvenile osteochondrosis, head of femur osteochondrosis juvenile, Juvenile osteochondritis of hip AND OR pelvis, Juvenile osteochondrosis of head of femur, Juvenile osteochondrosis of hip AND OR pelvis, Juvenile osteochondrosis of hip AND OR pelvis (disorder), LCP, Legg Calve Perthes disease, Legg Calvé Perthes disease, LEGG CALVE PERTHES SYNDROME, Legg Perthes, LEGG PERTHES DIS, Legg Perthes Disease, OSTEOCHONDROSIS CAPITAL FEMORAL EPIPHYSIS, osteochondrosis femoral capital epiphysis, osteochondrosis juvenile head of femur, Osteochondrosis of Legg Calve Perthes, Perthes, PERTHES DIS, Perthes' dis (femoral head), PERTHES DISEASE, Perthe's disease, Perthes' disease, Perthes disease osteochondritis of the femoral head, Perthes' disease osteochondritis of the femoral head, Perthe's disease of hip, plana coxa, Pseudocoxalgia, Synonym/Calve'-Perthes Disease, Synonym/Calve's Disease, Synonym/Capital Femoral Epiphysis Coxa Plana, Synonym/Coxa plana, Synonym/Femoral Osteochondrosis Syndrome, Synonym/LCPD Hip disease, Synonym/Legg-Calve-Perthes disease, Synonym/Maydl's Disease, Synonym/Osteochonditis Deformans Juvenilis, Synonym/Osteochondrosis capital femoral epiphysis, Synonym/Perthes' disease, Synonym/Perthes-Calve'-Legg-Waldenstrom Dis, Synonym/Sever Harris Epiphyses Fracture, Synonym/Waldenstrom's Disease/Hip
Treatment
Drug Therapy - Contraindication
RX/Corticosteroid (Cortisone)
Drug Therapy - Indication
SX/Orthopedic procedure/surgery
SX/Total hip replacement
Surgical Procedures or Treatments
SX/Hip Surgery
TX/Petrie Hip cast
TX/Scottish Rite Hip Brace Indication
Other Treatments
TX/Immobilization/splint.
TX/Physical therapy
Definition

Legg Perthes disease;osteochondritis of femur head/hip pain; developmental------------------------------

Legg Calve Perthes Disease; LCPD; Perthes Disease; Legg-Calve-Perthes Disease (LCPD) is one of a group of disorders known as the Osteochondroses; The Osteochondroses typically are characterized by degeneration (avascular necrosis) and subsequent regeneration of the growing end of a bone (epiphyses); In Legg-Calve-Perthes Disease, the growing end (epiphysis) of the upper portion (capital) of the thigh bone (femur) is affected; Researchers believe that an unexplained interruption of the blood supply (ischemia) to the capital femoral epiphysis results in degeneration (avascular necrosis) and deformity of the thigh bone in this area; Symptoms may include a limp with or without pain in the hip, knee, thigh, and/or groin; muscle spasms; delayed maturation of the femur (delayed bone age); mild short stature; and/or limited movements of the affected hip; The disease process can be self-limiting as new blood supplies are established (revascularization) and new healthy bone forms (reossifies) in the affected area; Most cases of Legg-Calve-Perthes Disease occur randomly for no apparent reason (sporadically) [nord 2005]--------------------------------Also: Maydl’s disease; Perthes-Calvé-Legg-Waldenström syndrome; Waldenström"s syndrome; capital femoral epiphysis coxa plana, femoral osteochondrosis syndrome, osteoarthritis coxae, osteochondropathia deformans coxae juvenilis, osteochondritis deformans juvenilis, osteochondrosis of capitular epiphysis of femur;

Disorder characterized by unilateral or bilateral aseptic necrosis of the emphysis of the head of the femur (caput femoris); This is s a consquence of insufficient blood supply to the femur, and the tip of the bone dies over a period of 1 to 3 weeks; New blood supply causes new bone cells to appear in the region over the next 6 to 12 months; New bone then replaces the old bone within 2 to 3 years; The disease thus progresses from necrosis through revascularization, mottling, and fragmentation of the epiphysis to reossification and flattening of the head of the femur; There is moderate pain in the hip, with stiffness and restricted movement of the hip and a slight limp of involved leg;. The limp becomes worse as result of the atrophy and shortening of the femur; The sporadic type is unilateral in most instances and prevalent in in boys; sudden or gradual onset between 3 and 12 years (most commonly 5-10) of age; The hereditary type is transmitted as an autosomal dominant trait, and there is equal susceptibility of the sexes and a greater proportion of bilateral involvement; The condition was first described by Karel Maydl (1853-1903) in 1897; [whonamedit_com 2005]--------------

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