The outcomes of Perthes’ disease

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Perthes' disease.

This is one of a series of occasional articles highlighting conditions that may be more common than many doctors realise or may be missed at first presentation. The series advisers are Anthony Harnden, professor of primary care, Nuffield Department of Primary Care Health Sciences, University of Oxford, and Richard Lehman, general practitioner, Banbury. To suggest a topic, please email us at pra...

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The pathogenesis of Perthes' disease.

It has been shown that in the puppy, two infarcts separated by an interval of four weeks produce a disorder of long duration which results in flattening and broadening of the femoral head and which reproduces the radiological changes seen in Perthes' disease in man. The histological appearances produced by two infarcts are characteristic. In this study the histological appearance of fifty-seven...

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Perthes' disease of the hip.

It is now sixty years since Legg (1910), Calve (1910) and Perthes (1910) described the condition of coxa plana, or Perthes’ disease as it is more often called today, thus allowing its differentiation from the much more serious tuberculosis of the hip with which it had formerly been confused. It is ironical to find all these years later that a diagnosis of tuberculosis nowadays entails no more t...

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[Perthes disease].

The Legg-Calve-Perthes disease is an idiopathic avascular necrosis of the hip during early childhood. It is characterized by different stages with the main risk of persisting hip deformation, dysfunction of the joint movement, and the potential for early osteoarthritis. For the evaluation of prognosis and therapy planning patients age and extent of the necrotic area of the epiphysis are importa...

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Perthes' disease in the adolescent.

We studied the natural history of Perthes' disease in 62 children in whom the onset of symptoms was in adolescence. Three patterns of disease were noted, namely, late-onset pattern, segmental collapse, or destructive with failure of revascularisation. In the late-onset pattern, the disease followed the sequence of healing seen in younger children, but adequate epiphyseal remodelling did not occ...

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ژورنال

عنوان ژورنال: The Bone & Joint Journal

سال: 2020

ISSN: 2049-4394,2049-4408

DOI: 10.1302/0301-620x.102b5.bjj-2020-0072