medigraphic.com
SPANISH

Revista Médica Sinergia

Revista Médica Sinergia
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2020, Number 11

<< Back Next >>

Revista Médica Sinergia 2020; 5 (11)

Legg-Clavé-Perthes disease: updated review with focus on primary care

Hernández DD, Romero RH
Full text How to cite this article

Language: Spanish
References: 17
Page: 1-11
PDF size: 177.96 Kb.


Key words:

Legg-Calvé-Perthes disease, bone diseases, necrosis, femur head, osteochondritis.

ABSTRACT

Legg-Calvé-Perthes disease is a reserved term for idiopathic avascular necrosis of the juvenile hip. Currently, its etiology is somewhat uncertain, and it tends to occur more frequently in the pediatric population between 2 years and up to 12 years of age. Among the most frequent symptoms they present are gait disorders and pain at the level of the affected hip. This disease is a diagnosis of exclusion where it is imperative to rule out other etiologies in relation to the symptoms presented by the patient, where the clinic and the physical examination guides the doctor to use the different complementary studies to increase the sensitivity and diagnostic specificity. The approach and treatment of this pathology seeks a way to make an early diagnosis and thus prevent irreversible deformation of the head of the femur, managing to preserve the sphericity of the head of the femur and protecting the segment of the affected epiphysis.


REFERENCES

  1. Chaudhry S, Phillips D, Feldman D. Legg-Calvé-Perthes disease: an overview with recent literature. Bulletin of the Hospital for Joint Diseases 2014;72(1):18-27. https://pubmed.ncbi.nlm.nih.gov/25150324/

  2. Karkenny Aj, Tauberg BM, Otsuka NY. Pediatric Hip Disorders: Slipped Capital Femoral Epiphysis and Legg-Calvé-Perthes Disease. Pediatr Rev. 2018;39(9):454-463. https://doi.org/10.1542/pir.2017-0197

  3. Divi SN, Bielski RJ. Legg-calvé-perthes disease. Pediatr ann. 2016 ;45(4): e144-e149. https://doi.org/10.3928/00904481-20160310-03

  4. Leroux J, Abu Amara S, Lechevallier J. Legg-Calvé-Perthes disease. Orthop Traumatol Surg Res. 2018;104(1S):S107-112. https://doi.org/10.1016/j.otsr.2017.04.012

  5. Pavone V, Chisari E, Vescio A, Lizzio C, Sessa G, Testa G. Aetiology of Legg-Calvé-Perthes Disease: A systematic review. World J Orthop. 2019;10(3):145-165. https://doi.org/10.5312/wjo.v10.i3.145

  6. Ibrahim T, Little DG. The Pathogenesis and Treatment of Legg-Calvé-Perthes Disease: JBJS Rev. 2016;4(7):1095-1108. https://doi.org/10.2106/JBJS.RVW.15.00063

  7. Mínguez Rey, María Fe, Salom Taverner. Enfermedad de Legg-Calvé-Perthes. Conceptos actuales. Revista española de cirugía osteoarticular. 2015, 50(261): 79-82. http://www.cirugiaosteoarticular. org/adaptingsystem/intercambio/revistas/articulos/2385_79.pdf

  8. Mazloumi SM, Ebrahimzadeh MH, Kachooei AR. Evolution in diagnosis and treatment of Legg-Calve- Perthes Disease. Arch Bone Joint Surg. 2014;2(2): 86-92. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4151449/

  9. Joseph B. (2019) Legg-Calve-Perthes Disease. In: Alshryda S., Howard J., Huntley J., Schoenecker J. (eds) The Pediatric and Adolescent Hip. Springer, Cham, Springer Nature Switzerland AG 2019, Pag 169-191. https://doi.org/10.1007/978-3-030-12003-0_6

  10. Vargas-Carvajal IX, Martínez-Ballesteros ÓF. Enfermedad de Legg-Clavé-Perthes. Revisión actualizada. Semergen. 2012;38(3): 167-174. https://doi.org/10.1016/j.semerg.2011.09.012

  11. Neville DNW, Zuckerbraun N. Pediatric Nontraumatic Hip Pathology. Clin pediatr emerg med. 2016;17(1):13-28. https://doi.org/10.1016/j.cpem.2016.01.005

  12. Laine JC, Martin BD, Novotny SA, Kelly DM. Role of Advanced Imaging in the Diagnosis and Management of Active Legg-Calvé-Perthes Disease. J Am Acad Orthop Surg. 2018;26(15):526-536. https://doi.org/10.5435/JAAOS-D-16-00856

  13. Shah h. Perthes disease: evaluation and management. Orthop Clin North Am. 2014;45(1):87-97. https://doi.org/10.1016/j.ocl.2013.08.005

  14. A. L. Proenca, L. Nascimento, P. Alves; Lisbon/PT, Legg-Calvé-Perthes disease: Imaging evaluation from conventional radiography to MRI, European Congress of Radiology 2019. ECR 2019, Poster Number: C- 0732, Disponible en: https://dx.doi.org/10.26044/ecr2019/C-0732

  15. Dimeglio A, Canavese F. Imaging in Legg-Calvé-Perthes Disease. Orthop Clin North Am. 2011;42(3):297- 302. https://doi.org/10.1016/j.ocl.2011.04.003

  16. Joseph B. Management of Perthes′ Disease. Indian J Orthop. 2015;49(1):10-16. https://doi.org/10.4103/0019-5413.143906

  17. Kim SS, Lee CW, Kim HJ, Kim HH, Wang L. Treatment of Late-Onset Legg-Calve-Perthes Disease by Arthrodiastasis. Clin Orthop Surg. 2016;8(4):452-457. https://doi.org/10.4055/cios.2016.8.4.452




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Revista Médica Sinergia. 2020;5