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Legg-Calve Perthes Disease

What is Legg-Calve-Perthes Disease?

Legg-Calve-Perthes disease occurs when the head of the thighbone in the hip deteriorates due to insufficient blood supply to the area. It is also called Coxa plana and Perthes disease. Usually just one side of the hip is affected (the side nearest to the thigh bone).

Legg-Calve-Perthes disease occurs most frequently in boys 4 to 10 years old.

What Causes Legg-Calve Perthes Disease?

Legg-Calve Perthes Disease is caused by interrupted blood flow to the tip of the thigh bone. When the blood flow is interrupted, the tip of the thigh bone dies. It usually takes between 1 to 3 weeks for the bone to die.

Good News about Legg-Calve Perthes Disease

If a new blood supply is created, new bone cells will appear in the tip of the thigh bone within 6 to 12 months. It takes about 2 or 3 years for new bone to replace the old bone.

Symptoms of Legg-Calve Perthes Disease

The most common symptoms of Legg-Calve Perthes Disease are:

  • Knee pain
  • Persistent thigh or groin pain
  • Decrease in muscle size of the upper thigh
  • Slight shortening of the leg
  • legs of unequal length
  • Hip stiffness
  • Difficulty walking,
  • Walking with a limp
  • Limited range of motion

Treatment Options for Legg-Calve Perthes Disease

Some of the most common treatment options for Legg-Calve Perthes Disease are:

  • brace, cast or splint
  • bedrest or crutches
  • surgery

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