Академический Документы
Профессиональный Документы
Культура Документы
PERTHES
DISEASE
EPIDEMIOLOGY
• Disorder of the hip in young children
• Usually ages 4-8yo
• As early as 2yo, as late as teens
• Boys:Girls= 4-5:1
• Bilateral 10-12%
• No evidence of inheritance
ETIOLOGY
• Idiopathic
• Past theories
–Infection, inflammation, trauma, congenital
Trendelenburg
Limb length
test often
CLINICAL
discrepency
positive
MANIFESTATION
Muscular atrophy
Adductor
of
contracture
thigh/buttock/calf
IMAGING
• AP pelvis
• Frog leg lateral
• Key= view films sequentially
over course of dz
• Arthrography
• MRI role undefined
TREATMENT
Conservative Containment
Osteochondritis dessicans