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Related Concept Videos

Bone Disorders01:29

Bone Disorders

Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bones of the Lower Limb: Femur and Patella01:16

Bones of the Lower Limb: Femur and Patella

The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the neck...
Bones of the Lower Limb: Tibia and Fibula01:10

Bones of the Lower Limb: Tibia and Fibula

The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
Disorders of the Skeletal Muscle01:28

Disorders of the Skeletal Muscle

The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Degenerative Disc Disease ll: Pathophysiology01:23

Degenerative Disc Disease ll: Pathophysiology

The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...
Secondary Spinal Cord Injury llI: Pathophysiology01:25

Secondary Spinal Cord Injury llI: Pathophysiology

Early Ischemia and Ionic ImbalanceWithin minutes of spinal cord injury, a secondary cascade begins, progressing over hours to weeks. Vascular damage reduces blood flow, causing ischemia and mitochondrial dysfunction. ATP depletion leads to ion pump failure, membrane depolarization, sodium influx, potassium efflux, and water accumulation, resulting in cellular swelling. Increased intracellular calcium further disrupts mitochondria and accelerates cellular injury.Excitotoxicity and Neuronal...

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Related Experiment Videos

[Legg-Calve-Perthes disease].

M Dutoit1

  • 1Hôpital orthopédique de la Suisse romande, avenue Pierre-Decker 4, 1005 Lausanne, Suisse. Michel.Dutoit@chuv.ch

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|December 5, 2006
PubMed
Summary

Legg-Calvé-Perthes disease (LCPD) treatment is challenging, with prognosis depending on age, necrosis extent, and hip extrusion. Current treatments aim to minimize femoral head deformity and prevent future arthritis.

Area of Science:

  • Orthopedics
  • Pediatric Orthopedics
  • Radiology

Context:

  • Legg-Calvé-Perthes disease (LCPD) is a hip disorder affecting children.
  • Accurate diagnosis and prognosis are crucial for effective management.
  • Advances in imaging aid in treatment planning and outcome prediction.

Purpose:

  • To review the definition, etiology, and clinical manifestations of LCPD.
  • To highlight the importance of diagnostic investigations for prognosis.
  • To discuss current conservative and surgical treatment strategies and their complications.

Summary:

  • Key prognostic factors for LCPD include patient age at diagnosis, extent of epiphyseal necrosis (especially the lateral pillar), and hip extrusion.
  • No causal treatment exists; management focuses on preventing femoral head deformity and secondary osteoarthritis.

Related Experiment Videos

  • Prognosis is favorable in children under 5, but less so after age 9, even with surgical intervention.
  • Impact:

    • Informs clinical decision-making for LCPD management.
    • Aids in patient counseling regarding treatment outcomes and long-term prognosis.
    • Contributes to understanding the natural history and optimal therapeutic approaches for LCPD.