Principles of treatment in late stages of Perthes disease

In Ho Choi; Won Joon Yoo; Tae-Joon Cho; Hyuk Ju Moon

doi:10.1016/j.ocl.2011.05.004

Principles of treatment in late stages of Perthes disease

Orthop Clin North Am. 2011 Jul;42(3):341-8, vi. doi: 10.1016/j.ocl.2011.05.004.

Authors

In Ho Choi¹, Won Joon Yoo, Tae-Joon Cho, Hyuk Ju Moon

Affiliation

¹ Division of Pediatric Orthopaedics, Seoul National University Children's Hospital, Seoul, Korea. inhoc@snu.ac.kr

PMID: 21742145
DOI: 10.1016/j.ocl.2011.05.004

Abstract

It is of paramount importance to distinguish hips that may or may not be suitable for containment in the transitional stage (fragmentation to early reossification stage), because long-term clinical and radiological outcomes may be influenced by the choice of treatment. This article summarizes the definition of hinge abduction, pathoanatomy of hinge segment, assessment of hinge abduction, determination of reducible and irreducible hinge abduction, and treatment strategies for containable and uncontainable hips in the transitional stage.

Publication types

Review

MeSH terms

Disease Progression
Humans
Legg-Calve-Perthes Disease / diagnostic imaging
Legg-Calve-Perthes Disease / surgery*
Orthopedic Procedures / standards*
Practice Guidelines as Topic*
Prognosis
Radiography