Legg-Calvé-Perthes Disease: A Case Study
Professor Margaret Frens
Legg-Calve-Perthes disease is a form of osteonecrosis in children occurring in the head of the femur. The name originated from Arthur Legg, an American orthopedic surgeon, Jacques Calve, a French orthopedic surgeon, and Georg Perthes, a German orthopedic surgeon. The disease results in a disruption of blood supply to the long bone of the leg, which in turn can then lead to localized cell death. The loss of bone tissue can cause instability in the hip producing an antalgic gait, pain, soft tissue dysfunction, and overall functional disability. The strength and range of motion of the muscles in the buttock and upper leg are decreased over time without treatment. The main treatment options are a wait-and-see approach, non-surgical with rehabilitation, and surgical with repair. The two main surgical options involve cutting and releasing the tendoninous tissue or cutting and repositioning the bone to reduce stress. Various treatment and surgical options will be discussed regarding this particular case study of a 9-year-old female. The study looks into the specifics of the case and the treatments that she received.
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