La traction au lit dans le traitement de la maladie de Legg-Perthes-Calvé: Revue de la litératureBed rest and skin traction for Perthes’ disease: review of the. Download Citation on ResearchGate | On Dec 1, , M. Dutoit and others published La maladie de Legg-Perthes-Calvé }. Request PDF on ResearchGate | La traction au lit dans le traitement de la maladie de Legg-Perthes-Calvé | Long-term bed rest with skin traction, which isolates.
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Outline Masquer le plan. If the hip bones don’t fit together well after healing, the joint can wear out early. Children younger than 6 have the best prognosis, since they have time for the dead bone to revascularize and remodel, with a good chance that the femoral head will recover and remain spherical after resolution of the disease.
The most important factors for treating and establishing the prognosis of LPC are: Atrophy of thigh muscles may occur from disuse and an inequality of leg length. Mayo Clinic does not endorse companies or products.
Hip and joint components The hip joint is a ball-and-socket joint. Retrieved 28 February Other search option s Alphabetical list. This is followed by new bone formation re-ossification in the epiphysis and eventual maaladie. Mayo Foundation for Medical Education and Research; A deficiency of protein C and protein Swhich also act as blood anticoagulants, may also exist; if that were the case, their deficiency could cause clot formation in ligamentum teres femoris artery and hinder blood supply to the femoral head.
The place of conservative and malwdie treatment as well as their complications are described; it aims to guide the spontaneous recovery with as mapadie as possible, deformation of the femoral epiphysis.
Children’s orthopaedics and fractures 3rd ed. Symptoms like femoral head disfigurement, flattening, and collapse occur typically between ages four and ten, mostly male children of Caucasian descent.
Azar FM, et al. If your child has a fever or can’t bear weight on the leg, seek emergency medical care. Clin Orthop Relat Res.
Use of bisphosphonate such as zoledronate or ibandronate is currently being investigated, but definite recommendations are not yet available. Most functional bracing is achieved using a waist belt and thigh cuffs derived from the Scottish-Rite orthosis. D ICD – Perthes is a form of osteochondritis which only affects the hip, although other forms of osteochondritis can affect elbows, knees, ankles, and feet.
Younger children have a better prognosis than older children. X-rays usually demonstrate a flattened, and later fragmented, femoral head. The underlying cause of the temporary reduction in blood flow to the femoral head is still unknown.
MRI results are more accurate, i. In some cases, some activity can cause severe irritation or inflammation of the damaged area, including standing, walking, running, legg-perthescalv, or stooping repeatedly for an extended period of time.
Legg-Calve-Perthes disease – Symptoms and causes – Mayo Clinic
The pain is usually in the hip, but can also be felt in the knee referred pain. If MRI or bone scans are necessary, a positive diagnosis relies upon patchy areas of vascularity to the capital femoral epiphysis the developing femoral head. When an LCP disease diagnosis occurs after age 8, legg-pertehs-calv better outcome results with surgery rather than nonoperative treatments. Due to maladi lack of blood flow, the bone dies osteonecrosis or avascular necrosis and stops growing.
Legg–Calvé–Perthes disease – Wikipedia
Il n’y a toujours pas legg-perthe-calv traitement causal de cette affection. J Am Acad Orthop Surg. Children affected by LCP disease often display uneven gait and limited range of motion, and they experience mild to severe pain in the groin area. References Kliegman RM, et al.
J Bone Joint Surg Br. Differential diagnoses include Meyers dysplasia, multiple epiphyseal dysplasia and spondyloepiphyseal dysplasia see these terms. Health care resources for this disease Expert centres 84 Diagnostic tests 14 Patient organisations 29 Orphan drug s 0.
Mayo Clinic, Rochester, Minn. Hip replacements are relatively common as the already damaged hip suffers routine wear; this varies by individual, but generally is required any time after age Personal information regarding our website’s visitors, including their identity, is confidential.
Later in the disease course, leg length discrepancy, as well as atrophy of musculature around the hip can be observed.
Additional information Further information on this disease Classification s 3 Gene s 1 Clinical signs and symptoms Publications in PubMed Other website s 4.
The final deformity can vary from a nearly normal joint configuration to an extensive deformation with lsgg-perthes-calv flattening and subluxation of the femoral head, broadening of the femoral neck, and a deformed and dysplastic acetabulum, which in turn can lead ldgg-perthes-calv early-onset osteoarthritis. You can move this window by clicking on the headline.
Options include traction to separate the femur from the pelvis and reduce wearbraces often for several months, with an average of 18 months to restore range of motion, physiotherapyand surgical intervention when necessary because of permanent joint damage. From Wikipedia, the free encyclopedia.
The documents contained in this web site are presented for information purposes only. Prognosis Prognosis is variable and several factors are of prognostic importance, such as the extent of femoral head necrosis and residual legg-prthes-calv. Accessed March 12, Legg-Calve-Perthes disease usually involves just one hip.
The socket acts as a mold for the fragmented femoral head as it heals. Retrieved from ” https: Advertising revenue supports our not-for-profit mission. The important factors for establishing diagnosis concerning definition, etiology, physiopathology and clinical manifestations are reminded. Stans AA expert opinion.
American Academy of Orthopaedic Surgeons.