[Perthes disease-diagnosis, classification and treatment based on Aachen-Dortmund treatment algorithm]

Area of Science:

• Pediatric Orthopedics
• Hip Pathology
• Childhood Diseases

Background:

• Legg-Calvé-Perthes disease is a multifactorial idiopathic necrosis affecting the hip.
• It typically occurs in children aged 3 to 12 years.
• Current treatment focuses on preserving or restoring the arthrogenic containment of the femoral head.

Purpose of the Study:

• To structure therapeutic options for Legg-Calvé-Perthes disease.
• To provide a clear overview of clinical findings and radiographic classifications.
• To present reasonable therapy strategies based on disease stage and clinical presentation.

Main Methods:

• Review of clinical findings in pediatric hip pathology.
• Analysis of radiographic classifications relevant to Legg-Calvé-Perthes disease.
• Structuring of available treatment options based on evidence.

Main Results:

• Identification of key clinical indicators for treatment selection.
• Correlation of radiographic classifications with therapeutic approaches.
• Outline of a structured therapeutic pathway.

Conclusions:

• Effective management of Legg-Calvé-Perthes disease depends on individualized treatment plans.
• Clinical and radiological assessments are crucial for guiding therapy.
• A structured approach enhances the preservation of femoral head containment.