2,098 results match your criteria Legg-Calve-Perthes Disease


Analysis of Trabecular Microstructure and Vascular Distribution of Capital Femoral Epiphysis Relevant to Legg-Calve-Perthes Disease.

J Orthop Res 2019 Apr 12. Epub 2019 Apr 12.

Texas Scottish Rite Hospital for Children, Dallas, TX.

Legg-Calve-Perthes disease is characterized by capital femoral epiphyseal collapse which occurs more reliably in the anterior quadrant than the more weight-bearing lateral quadrant. The purpose of this study was to determine whether there is a vascular or microstructural predisposition for anterior femoral epiphyseal collapse in Perthes Disease. Thirty-two cadaveric proximal femoral epiphyses from 17 subjects (age 4-14 years old) underwent micro-computed tomography at 10-micron resolution. Read More

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http://dx.doi.org/10.1002/jor.24311DOI Listing

Diffusion-weighted MRI for outcome prediction in early Legg-Calvé-Perthes disease: Medium-term radiographic correlations.

Orthop Traumatol Surg Res 2019 Apr 5. Epub 2019 Apr 5.

Orthopédie, hôpital des Enfants, CHU de Toulouse, 31059 Toulouse, France.

Background: Outcome prediction at the early sclerotic stage of Legg-Calvé-Perthes disease (LCPD) is valuable to select patients likely to benefit from early surgery. The metaphyseal apparent diffusion coefficient (ADC) ratio correlated significantly with Herring's classification of LCPD in a preliminary study of 49 MRIs, in which values greater than 1.63 were associated with poor outcomes. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.01.010DOI Listing

Hip arthroscopy for Legg-Calvè-Perthes disease in paediatric population.

Acta Orthop Traumatol Turc 2019 Apr 4. Epub 2019 Apr 4.

Department of Orthopedics and Traumatology, Mengucek Gazi Training and Education Hospital, Erzincen, Turkey.

Objective: The aim of this study was to represent the findings and long-term clinical results of the children who underwent hip arthroscopy because of Legg-Calve-Perthes Disease (LCPD).

Methods: This study included the retrospective findings of ten patients (mean age: 12.7 ± 2. Read More

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http://dx.doi.org/10.1016/j.aott.2019.03.005DOI Listing

Aetiology of Legg-Calvé-Perthes disease: A systematic review.

World J Orthop 2019 Mar 18;10(3):145-165. Epub 2019 Mar 18.

Department of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, University Hospital Policlinico-Vittorio Emanuele, University of Catania, Catania 95100, Italy.

Background: Legg-Calvé-Perthes disease (LCPD) is a clinical condition affecting the femoral head of children during their growth. Its prevalence is set to be between 0.4/100000 to 29. Read More

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http://dx.doi.org/10.5312/wjo.v10.i3.145DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429000PMC
March 2019
1 Read

Association of eNOS 27-bp VNTR, 894G>T and 786T>C polymorphisms with susceptibility to Legg-Calve-Perthes Disease in Iranian children.

J Orthop 2019 Mar-Apr;16(2):137-140. Epub 2019 Feb 26.

Department of Medical Genetics, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Background: The aim of this study was to analyze the association of eNOS polymorphisms with risk of Legg-Calve-Perthes Disease (LCPD).

Methods: The study comprised of 45 LCPD patients and 55 controls. The eNOS polymorphisms were genotyped with PCR and by PCR-RFLP. Read More

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http://dx.doi.org/10.1016/j.jor.2019.02.024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6403418PMC
February 2019

Varus Derotational Osteotomy.

Bull Hosp Jt Dis (2013) 2019 Mar;77(1):53-56

Legg-Calve-Perthes disease is a multifactorial process that can lead to debilitating femoral head deformity in children. Management can range from conservative (such as nonweightbearing protocols), bracing (such as A frames), to more invasive measures involving surgical interventions. First described by Axer in 1965, the varus derotational osteotomy (VDRO) has been a staple in the surgical management of Perthes disease. Read More

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March 2019
1 Read

[Hip arthroplasty after pelvic and femoral osteotomies].

Orthopade 2019 Apr;48(4):308-314

Orthopädische Klinik, Klinikum Dortmund, Beurhausstr. 40, 44137, Dortmund, Deutschland.

Pelvic and femoral osteotomies can be a challenge even for experienced orthopedic surgeons. Residual metal may complicate the insertion of the endoprosthesis in some cases. Sometimes, the anatomical modification of the previous osteotomy complicates the total hip replacement. Read More

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http://link.springer.com/10.1007/s00132-019-03693-x
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http://dx.doi.org/10.1007/s00132-019-03693-xDOI Listing
April 2019
3 Reads

Intra- and inter-observer reliability of Laredo classification system in Legg-Calvé-Perthes Disease.

Eur J Orthop Surg Traumatol 2019 Feb 20. Epub 2019 Feb 20.

Ege University School of Medicine ARGEFAR, İzmir, Turkey.

The purpose of the current study was to investigate intra- and inter-observer reliability of arthrographic Laredo classification system in Perthes disease. Forty-seven patients were included in this cross-sectional descriptive study. Patients' age, gender, physical findings and hip arthrographs were collected from hospital medical records. Read More

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http://dx.doi.org/10.1007/s00590-019-02405-7DOI Listing
February 2019
1 Read

Results of 200 Consecutive Ceramic-on-Ceramic Cementless Hip Arthroplasties in Patients Up To 50 Years of Age: A 5-24 Years of Follow-Up Study.

J Arthroplasty 2019 Jan 31. Epub 2019 Jan 31.

Department of Basic Medical Sciences, Neuroscience and Organs of Sense, School of Medicine, AOU Policlinico Consorziale, Università di Bari "Aldo Moro", Bari, Italy.

Background: Ceramic-on-ceramic (CoC) bearings due to their mechanical properties can be used in primary total hip arthroplasty (THA) especially in young patients requiring a long-lasting implant. The goal of this study is to analyze the results of a series of 200 consecutive CoC THAs in patients aged 50 years or less at the time of surgery.

Methods: A retrospective study was conducted on the first 200 consecutive CoC arthroplasties performed using the direct lateral approach on 105 females and 81 males (14 bilateral cases) with an average age of 44. Read More

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http://dx.doi.org/10.1016/j.arth.2019.01.057DOI Listing
January 2019
2 Reads

Preoperative planning of femoral head reduction osteotomy using 3D printing model: A report of two cases.

Acta Orthop Traumatol Turc 2019 Jan 29. Epub 2019 Jan 29.

Acıbadem University, School of Medicine, Istanbul, Turkey.

The deformed and enlarged femoral head secondary to hip diseases such as Legg Calve Perthes and Developmental Dysplasia usually causes impingement between the aspherical head and the acetabulum. To restore and reduce the size of enlarged femoral head, a femoral head reduction technique has been described previously. The goal is to obtain a spherical femoral head and to cover the gliding surface with best available cartilage. Read More

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http://dx.doi.org/10.1016/j.aott.2019.01.002DOI Listing
January 2019
4 Reads

Differences in Femoral Torsion Among Various Measurement Methods Increase in Hips With Excessive Femoral Torsion.

Clin Orthop Relat Res 2019 May;477(5):1073-1083

Department of Orthopaedic Surgery, Inselspital Bern, University of Bern, Bern, Switzerland.

Background: Correct quantification of femoral torsion is crucial to diagnose torsional deformities, make an indication for surgical treatment, or plan the amount of correction. However, no clear evaluation of different femoral torsion measurement methods for hips with excessive torsion has been performed to date.

Questions/purposes: (1) How does CT-based measurement of femoral torsion differ among five commonly used measurement methods? (2) Do differences in femoral torsion among measurement methods increase in hips with excessive femoral torsion? (3) What is the reliability and reproducibility of each of the five torsion measurement methods?

Methods: Between March and August 2016, we saw 86 new patients (95 hips) with hip pain and physical findings suggestive for femoroacetabular impingement at our outpatient tertiary clinic. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000610DOI Listing
May 2019
2 Reads

Synovial chondromatosis of the hip joint in childhood: A case report and literature review.

Medicine (Baltimore) 2018 Dec;97(51):e13199

Department of Pediatric Orthopedics, Hunan Provincial People's Hospital, the First Affiliated Hospital of Hunan Normal University, Changsha, Hunan, China.

Rationale: Pain in the hip joint is a common symptom in children. The common diseases leading to pain in the hip joint in children include transient synovitis of the hip, septic arthritis of the hip, and Legg-Calve-Perthes disease.

Patient Concerns: A 7-year-old boy was admitted due to pain in the right hip joint and limping for more than 1 month. Read More

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http://dx.doi.org/10.1097/MD.0000000000013199DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320087PMC
December 2018
22 Reads

Quantitative susceptibility mapping detects neovascularization of the epiphyseal cartilage after ischemic injury in a piglet model of legg-calvé-perthes disease.

J Magn Reson Imaging 2018 Dec 17. Epub 2018 Dec 17.

Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, Minnesota, USA.

Background: Legg-Calvé-Perthes disease (LCPD) is a childhood hip disorder thought to be caused by disruption of blood supply to the developing femoral head. There is potential for imaging to help assess revascularization of the femoral head.

Purpose: To investigate whether quantitative susceptibility mapping (QSM) can detect neovascularization in the epiphyseal cartilage following ischemic injury to the developing femoral head. Read More

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http://dx.doi.org/10.1002/jmri.26552DOI Listing
December 2018
14 Reads

The Cliff Sign: A New Radiographic Sign of Hip Instability.

Orthop J Sports Med 2018 Nov 12;6(11):2325967118807176. Epub 2018 Nov 12.

Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, California, USA.

Background: The preoperative diagnosis of hip microinstability is challenging. Although physical examination maneuvers and magnetic resonance imaging findings associated with microinstability have been described, there are limited reports of radiographic features. In patients with microinstability, we observed a high incidence of a steep drop-off on the lateral edge of the femoral head, which we have named the "cliff sign. Read More

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http://dx.doi.org/10.1177/2325967118807176DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240982PMC
November 2018
7 Reads

CORR Insights®: What are the Demographics and Epidemiology of Legg-Calvé-Perthes Disease in a Large Southern California Integrated Health System?

Authors:
A Noelle Larson

Clin Orthop Relat Res 2018 Dec;476(12):2351-2352

A. Noelle Larson, Associate Professor, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000547DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259885PMC
December 2018

Arthroscopic Capsular Plication in Patients With Labral Tears and Borderline Dysplasia of the Hip: Analysis of Risk Factors for Failure.

Am J Sports Med 2018 Dec 12;46(14):3446-3453. Epub 2018 Nov 12.

American Hip Institute, Westmont, Illinois, USA.

Background:: Hip arthroscopy for the treatment of instability in the setting of borderline dysplasia is controversial. Capsular management in such cases is an important consideration, and plication has been described as a reliable technique, with good midterm outcomes reported when indications are appropriate.

Hypothesis:: Patients with borderline dysplasia who have a lower lateral center-edge angle (LCEA) and greater age will be at a higher risk of failure after arthroscopic capsular plication. Read More

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http://dx.doi.org/10.1177/0363546518808033DOI Listing
December 2018
3 Reads

IL6 receptor blockade preserves articular cartilage and increases bone volume following ischemic osteonecrosis in immature mice.

Osteoarthritis Cartilage 2019 Feb 4;27(2):326-335. Epub 2018 Nov 4.

Center for Excellence in Hip Disorders, Texas Scottish Rite Hospital for Children, Dallas, TX 75219, USA; Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX 75390-8883, USA. Electronic address:

Objective: Juvenile ischemic osteonecrosis (JIO) of the femoral head is one of the most serious hip disorders causing a permanent deformity of the femoral head in childhood. We recently reported that interleukin 6 (IL6) is predominantly increased in the hip synovial fluid of patients with JIO and that articular chondrocytes are primary source of IL6. This study investigated whether an inhibition of IL6 receptor improves cartilage preservation and bone healing in JIO. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10634584183151
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http://dx.doi.org/10.1016/j.joca.2018.10.010DOI Listing
February 2019
22 Reads

Agreement of radiographic measurements and patient-reported outcome in 61 patients with Legg-Calvé-Perthes disease at mean follow-up of 28 years.

J Pediatr Orthop B 2019 Mar;28(2):100-106

Department of Diagnostic Radiology, Uppsala University Hospital, Uppsala, Sweden.

It is unclear how patient-reported outcome in patients with Legg-Calvé-Perthes disease (LCPD) is correlated with radiographic outcome. It was therefore the aim of our long-term follow-up to evaluate the agreement of patient-reported outcome measures (PROM) with radiographic outcome in patients with a history of unilateral LCPD and a femoral head involvement of more than 50%. We further investigated to what extent the functional outcome (range of motion and Trendelenburg sign) correlates with PROM and radiographic outcome. Read More

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http://Insights.ovid.com/crossref?an=01202412-900000000-9897
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http://dx.doi.org/10.1097/BPB.0000000000000563DOI Listing
March 2019
14 Reads

MRI and sonography in Legg-Calvé-Perthes disease: clinical relevance of containment and influence on treatment.

J Child Orthop 2018 Oct;12(5):472-479

Department of Orthopaedics, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Purpose: The containment orientated treatment of Legg-Calvé-Perthes disease (LCPD) affected hip joints is broadly accepted in the literature. The prerequisite is early recognition of loss of containment. An often-used quantitative MRI containment parameter is the cartilaginous acetabulum-head-index (CAHI). Read More

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https://online.boneandjoint.org.uk/doi/10.1302/1863-2548.12.
Publisher Site
http://dx.doi.org/10.1302/1863-2548.12.180033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6169560PMC
October 2018
10 Reads

A Case of Animal and Domestic Abuse Initially Diagnosed as Legg-Calve-Perthes Disease.

J Am Anim Hosp Assoc 2018 Nov/Dec;54(6):e54603. Epub 2018 Oct 1.

From the Department of Small Animal Medicine and Surgery, University of Georgia, Athens, Georgia (I.R.); and Athens Area Humane Society, Athens, Georgia (J.M.).

A 1 yr old castrated male shih tzu was evaluated for an acute right rear limb lameness and hyphema in the anterior chamber of the right eye. On initial examination, the dog was non-weight bearing on his right rear limb. Ophthalmic examination revealed a centrally located, superficial corneal ulcer in the right eye and blood in the anterior chamber. Read More

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http://dx.doi.org/10.5326/JAAHA-MS-6611DOI Listing
October 2018
10 Reads

Association of MTHFR and TNF-α genes polymorphisms with susceptibility to Legg-Calve-Perthes disease in Iranian children: A case-control study.

J Orthop 2018 Dec 7;15(4):984-987. Epub 2018 Sep 7.

Department of Medical Genetics, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Objective: The aim of this study was to assess the association of MTHFR and TNF-α genes polymorphisms with Legg-Calvé-Perthes' disease (LCPD) risk in the Iranian children.

Methods: A total of 45 children with LCPD and 55 healthy controls were recruited to the study. Genotyping was performed via the RFLP-PCR method and genetic risk was calculated by odds ratio (OR) with its corresponding 95% confidence interval (CI). Read More

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http://dx.doi.org/10.1016/j.jor.2018.08.042DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6138855PMC
December 2018
1 Read

What are the Demographics and Epidemiology of Legg-Calvé-Perthes Disease in a Large Southern California Integrated Health System?

Clin Orthop Relat Res 2018 Dec;476(12):2344-2350

J. I Kessler, Kaiser Permanente Southern California, Los Angeles, CA, USA P. C. Cannamela, University of Utah School of Medicine, Salt Lake City, Utah, USA.

Background: Although many authors have reported the incidence of Legg-Calvé-Perthes disease (LCPD), there have been few incidence studies in the United States on large, self-contained populations such as those within an integrated health system. Understanding the epidemiology and demographics of LCPD in this setting may help clinicians identify patients at the greatest risk and aid in diagnosis and subsequent treatment.

Questions/purposes: In this study we sought (1) to determine the incidence and demographics of LCPD in a large cohort of children and adolescents in a Southern California integrated healthcare system, and (2) to identify any demographic or clinical factors (such as age, sex, race/ethnicity, or BMI) that are independently associated with LCPD. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000490DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259889PMC
December 2018
1 Read

Height-Width Ratio of Proximal Femoral Epiphysis: Estimation of Lateral Pillar Involvement in Bilateral Perthes Disease.

J Pediatr Orthop 2018 Nov/Dec;38(10):e577-e583

Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University.

Background: The standard evaluation of epiphyseal involvement in Perthes disease is lateral pillar classification. However, it needs to be compared with contralateral normal hip leading to limited use in bilateral disease. We, therefore, develop a ratio between epiphyseal height and metaphyseal width of affected hips to estimate lateral pillar involvement. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001252DOI Listing
December 2018
2 Reads

Pediatric Hip Disorders: Slipped Capital Femoral Epiphysis and Legg-Calvé-Perthes Disease.

Pediatr Rev 2018 Sep;39(9):454-463

Montefiore Medical Center and the Children's Hospital at Montefiore, Bronx, NY.

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http://dx.doi.org/10.1542/pir.2017-0197DOI Listing
September 2018
6 Reads

Interleukin-6 deletion stimulates revascularization and new bone formation following ischemic osteonecrosis in a murine model.

Bone 2018 11 17;116:221-231. Epub 2018 Aug 17.

Center for Excellence in Hip Disorders, Texas Scottish Rite Hospital for Children, Dallas, TX 75219, USA; Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX 75390-8883, USA. Electronic address:

Legg-Calvé-Perthes disease (LCPD) is a childhood form of ischemic osteonecrosis of the femoral head which can produce a permanent femoral head deformity and early osteoarthritis. The femoral head deformity results from increased bone resorption and decreased bone formation during repair and remodeling of the necrotic femoral head. A recent study showed that a pro-inflammatory cytokine, interleukin-6 (IL-6), is significantly elevated in the synovial fluid of patients with LCPD. Read More

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http://dx.doi.org/10.1016/j.bone.2018.08.011DOI Listing
November 2018
6 Reads

Imageless Navigation Improves Intraoperative Monitoring of Leg Length Changes during Total Hip Arthroplasty for Legg-Calve-Perthes Disease: Two Case Reports.

Case Rep Orthop 2018 9;2018:4362367. Epub 2018 Jul 9.

Intellijoint Surgical, Waterloo, ON, Canada.

Legg-Calve-Perthes disease is a rare condition characterized by avascular necrosis and malformation of the femoral head. For many patients, total hip arthroplasty (THA) is the only viable treatment option; however, there are challenges associated with THA in this population, primarily the equalization of leg lengths. Here, we present two cases of Legg-Calve-Perthes disease treated via total hip arthroplasty with the assistance of an imageless, computer-assisted navigation device. Read More

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http://dx.doi.org/10.1155/2018/4362367DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6079508PMC
July 2018
4 Reads

Primary Total Hip Arthroplasty for Legg-Calvé-Perthes Syndrome: 20 Year Follow-Up Study.

Iowa Orthop J 2018 ;38:197-202

Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA, U.S.A.

Background: Patients with Legg-Calvé-Perthes Syndrome (LCPS) are at an increased risk for developing osteoarthritis of the hip and undergoing total hip arthroplasty (THA) at an early age. Importantly, this younger age may put them at a higher risk for failure and revision surgery. The purpose of the study was to assess the clinical and radiographic outcomes as well as implant failure rate and risk for revision surgery at an average 20 years follow up. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6047381PMC
December 2018
2 Reads

Effectiveness of Strontium Ranelate in the Treatment of Rat Model of Legg-Calve-Perthes Disease.

Indian J Orthop 2018 Jul-Aug;52(4):380-386

Department of Orthopaedic Surgery, Taipei Medical University Hospital, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.

Background: Legg-Calve-Perthes disease (LCPD) causes osteonecrosis of the femoral head (ONFH) by temporarily interrupting the blood supply in children. Even with potential toward bone regeneration and revascularization in LCPD, the prognosis depends on the deformity of femoral heads, and successful rate with the current treatments varies. Antiresorptive therapy such as bisphosphonate, which maintains mechanical stability of the femoral head by inhibiting necrotic bone resorption, has proven effective in animal models. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_437_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055473PMC
August 2018
15 Reads

[Perthes disease-diagnosis, classification and treatment based on Aachen-Dortmund treatment algorithm].

Orthopade 2018 Sep;47(9):722-728

Klinik für Orthopädie, Uniklinikum RWTH Aachen, Aachen, Deutschland.

Legg-Calvé-Perthes disease is a multifactorial idiopathic necrosis of the hip that typically occurs in childhood between the ages of 3 and 12. Treatment adapted to the stadium of the disease and to the clinical findings is medical art. The treatment is focused on the preservation or recovery of the arthrogenic containment of the femoral head. Read More

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http://dx.doi.org/10.1007/s00132-018-3609-5DOI Listing
September 2018
1 Read

Quantitative MRI Helps to Detect Hip Ischemia: Preclinical Model of Legg-Calvé-Perthes Disease.

Radiology 2018 Nov 31;289(2):386-395. Epub 2018 Jul 31.

From the Center for Magnetic Resonance Research (C.P.J., L.W., J.M.E.) and Departments of Radiology (C.P.J., L.W., J.M.E.), Veterinary Population Medicine (F.T.), and Veterinary Clinical Sciences (C.S.C.), University of Minnesota, 2021 6th St SE, Minneapolis, MN 55455; Center for Excellence in Hip Disorders, Texas Scottish Rite Hospital, Dallas, Tex (O.A., H.K.W.K.); and Department of Orthopedic Surgery, UT Southwestern Medical Center, Dallas, Tex (H.K.W.K.).

Purpose To determine whether quantitative MRI relaxation time mapping techniques can help to detect ischemic injury to the developing femoral head. Materials and Methods For this prospective animal study conducted from November 2015 to February 2018, 10 male 6-week-old piglets underwent an operation to induce complete right femoral head ischemia. Animals were humanely killed at 48 hours (n = 2) or 4 weeks (n = 8) after the operation, and the operated and contralateral-control femoral heads were harvested and frozen. Read More

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http://dx.doi.org/10.1148/radiol.2018180497DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209066PMC
November 2018
6 Reads

The outcomes of Perthes' disease of the hip: a study protocol for the development of a core outcome set.

Trials 2018 Jul 13;19(1):374. Epub 2018 Jul 13.

Institute of Translational Medicine, Institute in the Park, University of Liverpool, Prescott Road, Liverpool, L14 2AB, UK.

Background: Perthes' disease is an idiopathic osteonecrosis of a developmental hip that is most frequent in Northern Europe. Currently, the absence of a common set of standardised outcomes makes comparisons between studies of different interventions challenging. This study aims to summarise the outcomes used in clinical research of interventions for Perthes' disease and define a set of core outcomes (COS) to ensure that the variables of primary importance are measured and reported in future research studies investigating Perthes' disease. Read More

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http://dx.doi.org/10.1186/s13063-018-2695-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044030PMC
July 2018
5 Reads

A Comparison of Transphyseal Neck-Head Tunneling and Multiple Epiphyseal Drilling on Femoral Head Healing Following Ischemic Osteonecrosis: An Experimental Investigation in Immature Pigs.

J Pediatr Orthop 2018 Jul 2. Epub 2018 Jul 2.

Department of Orthopaedics, Texas Scottish Rite Hospital for Children, Center for Excellence in Hip Disorders, University of Texas Southwestern Medical Center, TX.

Background: Two operative procedures are currently advocated to stimulate the necrotic femoral head healing in children with Legg-Calve-Perthes disease: transphyseal neck-head tunneling (TNHT) and multiple epiphyseal drilling (MED). The purpose of this study was to compare the bone healing and physeal function after treatment with TNHT or MED in a piglet model of ischemic osteonecrosis.

Methods: Eighteen piglets were induced with osteonecrosis by surgically placing a ligature tightly around the right femoral neck. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001219DOI Listing
July 2018
15 Reads

Role of Advanced Imaging in the Diagnosis and Management of Active Legg-Calvé-Perthes Disease.

J Am Acad Orthop Surg 2018 Aug;26(15):526-536

From Gillette Children's Specialty Healthcare, St. Paul, MN (Dr. Laine and Dr. Novotny), the Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN (Dr. Laine), the Division of Orthopaedic Surgery and Sports Medicine, Children's National Health System, Washington, DC (Dr. Martin), Campbell Clinic Orthopaedics, Memphis, TN (Dr. Kelly), the Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee, Memphis, TN (Dr. Kelly), and Le Bonheur Children's Hospital, Germantown, TN (Dr. Kelly).

Since the first description of Legg-Calvé-Perthes disease a century ago, the diagnosis, staging, prognosis, and treatment decisions have been based on plain radiographs. The goal of treatment is prevention of femoral head deformity, yet radiographic prognostic classifications are applied in the fragmentation stage, often after deformity occurs. These classifications are assigned too late in the progression of the disease to maximize the effects of intervention. Read More

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http://dx.doi.org/10.5435/JAAOS-D-16-00856DOI Listing
August 2018
11 Reads

Natural History of Structural Hip Abnormalities and the Potential for Hip Preservation.

J Am Acad Orthop Surg 2018 Aug;26(15):515-525

From Intermountain Healthcare, Salt Lake City, UT (Dr. Wylie), University of Utah, Salt Lake City (Dr. Peters), and University of Utah Hospital, Salt Lake City (Dr. Aoki).

Hip osteoarthritis (OA) exerts a significant burden on society, affecting 3% of Americans aged >30 years. Recent advances in the understanding of the pathoanatomy and pathomechanics of the hip have led to treatment options for young adults with hip pain. Femoroacetabular impingement, specifically cam-type femoroacetabular impingement, hip dysplasia, and the sequelae of pediatric hip disease can predispose the hip to early OA. Read More

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http://dx.doi.org/10.5435/JAAOS-D-16-00532DOI Listing
August 2018
1 Read

Classification systems of hip osteonecrosis: an updated review.

Int Orthop 2019 May 18;43(5):1089-1095. Epub 2018 Jun 18.

Cleveland Clinic, Department of Orthopaedic Surgery, Cleveland, OH, USA.

Purpose: Osteonecrosis of the femoral head (ONFH) typically impacts middle-aged patients who are typically more active and in whom many surgeons would try to delay performing a total hip arthroplasty (THA). This poses a clinical decision-making challenge. Therefore, several options for joint preservation have been advocated, but varying indications and success rates have led to debate on when to use the various procedures. Read More

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http://dx.doi.org/10.1007/s00264-018-4018-4DOI Listing
May 2019
8 Reads
2.020 Impact Factor

Open Reduction and Internal Fixation for the Treatment of Symptomatic Osteochondritis Dissecans of the Femoral Head in Patients With Sequelae of Legg-Calvé-Perthes Disease.

J Pediatr Orthop 2018 May 29. Epub 2018 May 29.

Department of Orthopaedic Surgery, Washington University, St Louis, MO.

Background: Osteochondritis dissecans (OCD) is estimated to occur in 2% to 7% of patients with Legg-Calvé-Perthes disease (LCPD). Unstable osteochondral fragments secondary to LCPD may produce mechanical symptoms requiring surgical intervention. Reattachment of the fragment with open reduction and internal fixation (ORIF) may provide good clinical outcomes. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001192DOI Listing
May 2018
9 Reads

Pediatric Orthopaedic Consults From Chiropractic Care.

J Surg Orthop Adv Spring 2018;27(1):58-63

Department of Orthopaedics, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania.

Alternative medicine in pediatrics is expanding, with chiropractic now a common choice for families seeking alternative medical care. Currently, there is sparse information in the literature exploring the role of chiropractic in orthopaedic pathology. The objective of this case series is to present pediatric patients who received treatment from chiropractors and orthopaedic physicians as well as to review the respective existing research. Read More

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July 2018
6 Reads

A simple, precocious, and reliable way to assess future clinical outcome in children with Perthes disease and mild femoral head involvement: correlation between MRI with diffusion-weighted and dynamic gadolinium-enhanced subtraction and Catterall and Herring classifications.

Eur J Orthop Surg Traumatol 2018 Oct 25;28(7):1283-1290. Epub 2018 Apr 25.

Department of Pediatric Radiology, Geneva University Hospitals (HUGe), Rue Willy Donzé 6, 1211, Geneva, Switzerland.

Background: In children older than 5 years with a mild form of Legg-Calvé-Perthes disease, the outcome is difficult to predict. In this study, we retrospectively correlated gadolinium-enhanced subtracted (DGS) and diffusion (DWI) MRI findings to the radiographic assessment according to the Catterall and Herring et al. classifications and to the final score according to Stulberg et al. Read More

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http://dx.doi.org/10.1007/s00590-018-2209-8DOI Listing
October 2018
1 Read

Bernese-type triple pelvic osteotomy through a single incision in children over five years: a retrospective study of twenty eight cases.

Int Orthop 2018 Dec 23;42(12):2961-2968. Epub 2018 Apr 23.

Department of Pediatric Orthopaedics, GuangZhou Women and Children's Medical Center, GuangZhou Medical University, 9th JinSui Road, GuangZhou, 510623, China.

Introduction: Bernese-type triple pelvic osteotomy (BTPO) combines periacetabular and triple innominate osteotomy techniques. However, studies that evaluate the clinical and radiographic outcomes of BTPO are scarce. The aim of this study is to report on the clinical and radiographic outcomes of ambulatory children with developmental dysplasia of the hip (DDH) or Legg-Calvé-Perthes disease (LCPD) managed with BTPO that were older than five years of age at the time of surgery. Read More

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http://dx.doi.org/10.1007/s00264-018-3946-3DOI Listing
December 2018
7 Reads

Treatment outcome of dome osteotomy of the pelvis combined with trochanteric advancement for sequelae of Perthes' disease.

Acta Orthop Traumatol Turc 2018 May 26;52(3):216-221. Epub 2018 Mar 26.

Center for Joint Disease, Chonnam National University Hwasun Hospital, Jeonnam, Republic of Korea. Electronic address:

Objective: Disparity in size between femoral head and acetabulum could promote premature degeneration of the hip joint. The purpose of this study was to report the results of Kawamura's dome osteotomy for acetabular dysplasia due to sequelae of Perthes' disease.

Patients And Methods: Fourteen patients (14 hips) operated between 1999 and 2012 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1016/j.aott.2018.02.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136311PMC
May 2018
6 Reads

What's New in Pediatric Hip?

J Pediatr Orthop 2018 Jul;38(6):e300-e304

Division of Orthopaedic Surgery, Children's Hospital of Philadelphia, Philadelphia, PA.

Background: Developmental dysplasia of the hip (DDH), which encompasses a wide spectrum of disease from mild dysplasia to frank dislocation, is one of the most common developmental deformities of the lower extremities and one of the leading causes of future osteoarthritis and hip arthroplasty. Legg-Calvé-Perthes disease (LCPD) results from a vascular insult to the growing femoral epiphysis, which in turn can create permanent morphologic changes to the hip joint. Slipped capital femoral epiphysis (SCFE) occurs when the proximal femoral physis fails allowing the epiphysis to displace in relation to the metaphysis. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001166DOI Listing
July 2018
10 Reads

Is Legg-Calvé-Perthes Disease a Local Manifestation of a Systemic Condition?

Clin Orthop Relat Res 2018 May;476(5):1055-1064

Section of Orthopaedics, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.

Background: Osteochondrosis includes numerous diseases that occur during rapid growth, characterized by disturbances of endochondral ossification. One example, Legg-Calvé-Perthes disease, is characterized by disruption of the blood supply to the femoral head epiphysis, and a systemic etiology often has been suggested. If this were the case, secondary osteochondroses at locations other than the hip might be expected to be more common among patients with Legg-Calvé-Perthes disease, but to our knowledge, this has not been evaluated in a nationwide sample. Read More

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http://dx.doi.org/10.1007/s11999.0000000000000214DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5916600PMC
May 2018
8 Reads

Management of osteonecrosis of the femoral head in children with sickle cell disease: results of conservative and operative treatments at skeletal maturity.

J Child Orthop 2018 Feb;12(1):47-54

Pediatric Orthopedic Department, Robert Debré University Hospital, Paris Diderot University, France.

Purpose: Sickle cell disease (SCD) is the most common cause of femoral head osteonecrosis (ONFH) during childhood with an overall prevalence of 10%. In children, spontaneous revascularization can occur, as in Legg-Calve-Perthes disease. Consequently, the aim of treatment is to restore proper hip containment to prevent joint arthritis. Read More

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http://dx.doi.org/10.1302/1863-2548.12.170141DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5813125PMC
February 2018
3 Reads

Multicentre study on capsular closure versus non-capsular closure during hip arthroscopy in Danish patients with femoroacetabular impingement (FAI): protocol for a randomised controlled trial.

BMJ Open 2018 02 10;8(2):e019176. Epub 2018 Feb 10.

Division of Sports Traumatology, Department of Orthopedics, Aarhus University Hospital THG, Aarhus, Denmark.

Introduction: Hip arthroscopy has become a standard procedure in the treatment of hip joint pain not related to osteoarthritis or dysplasia in the young and active patient. There has been increasing focus on the contribution of the hip capsule to function and on stability following hip arthroscopy. It has been suggested that capsular closure after hip arthroscopy may prevent microinstability and macroinstability of the hip joint and reduce revision rate. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-019176DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5829858PMC
February 2018
9 Reads

New insights into the biomechanics of Legg-Calvé-Perthes' disease: The Role of Epiphyseal Skeletal Immaturity in Vascular Obstruction.

Bone Joint Res 2018 Feb;7(2):148-156

School of Engineering and Computer Science, University of Hull, Cottingham Road, Kingstonupon-Hull HU6 7RX, UK.

Objectives: Legg-Calvé-Perthes' disease (LCP) is an idiopathic osteonecrosis of the femoral head that is most common in children between four and eight years old. The factors that lead to the onset of LCP are still unclear; however, it is believed that interruption of the blood supply to the developing epiphysis is an important factor in the development of the condition.

Methods: Finite element analysis modelling of the blood supply to the juvenile epiphysis was investigated to understand under which circumstances the blood vessels supplying the femoral epiphysis could become obstructed. Read More

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http://dx.doi.org/10.1302/2046-3758.72.BJR-2017-0191.R1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895949PMC
February 2018
6 Reads

The potential role of variations in juvenile hip geometry on the development of Legg-Calvé-Perthes disease: a biomechanical investigation.

Comput Methods Biomech Biomed Engin 2018 Feb 8;21(2):194-200. Epub 2018 Feb 8.

a School of Engineering and Computer Science , University of Hull , Hull , United Kingdom of Great Britain and Northern Ireland.

Legg-Calvé-Perthes disease (LCP) is one of the most poorly understood diseases in paediatric orthopaedics. One common trait of LCP is the marked morphological difference between healthy and pathological hips, early deviations of which (i.e. Read More

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http://dx.doi.org/10.1080/10255842.2018.1437151DOI Listing
February 2018
3 Reads

Non-Traumatic Limp and Fever in a School-Age Child.

Authors:
Tedra S Smith

Pediatr Nurs 2017 Mar-Apr;43(2):96-7

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March 2018
5 Reads

Downregulated SOX9 mediated by miR-206 promoted cell apoptosis in Legg-Calvé-Perthes disease.

Oncol Lett 2018 Jan 8;15(1):1319-1324. Epub 2017 Nov 8.

Department of Pediatric Orthopaedics, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei 050051, P.R. China.

Legg-Calvé-Perthes disease (LCPD) commonly onsets in adolescents, and threatens their health. However, the potential mechanism underlying LCPD remains unclear. MicroRNA (miR)-206 and SRY-box 9 (SOX9) serve an important role in chondrocytes; however, their role in LCPD remains ambiguous. Read More

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http://dx.doi.org/10.3892/ol.2017.7373DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5768063PMC
January 2018
6 Reads

Perthes disease: A new finding in Floating-Harbor syndrome.

Am J Med Genet A 2018 03 31;176(3):703-706. Epub 2018 Jan 31.

Genetica Medica, Dip. Scienze della Salute, Università degli Studi di Milano, Milano, Italy.

Floating-Harbor Syndrome (FHS; OMIM #136140) is an ultra-rare autosomal dominant genetic condition characterized by expressive language delay, short stature with delayed bone mineralization, a triangular face with a prominent nose, and deep-set eyes, and hand anomalies. First reported in 1973, FHS is associated with mutations in the SRCAP gene, which encodes SNF2-related CREBBP activator protein. Mutations in the CREBBP gene cause Rubinstein-Taybi Syndrome (RSTS; OMIM #180849, #613684), another rare disease characterized by broad thumbs and halluces, facial dysmorphisms, short stature, and intellectual disability, which has a phenotypic overlap with FHS. Read More

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http://dx.doi.org/10.1002/ajmg.a.38605DOI Listing
March 2018
6 Reads