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Delayed skeletal maturation in Perthes' disease.

F Kristmundsdottir, R G Burwell, M H Harrison

Acta Orthopaedica Scandinavica

|June 1, 1987

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Girls with Perthes disease often show delayed skeletal maturation and carpal bone development. This delay is more pronounced at diagnosis and in cases of bilateral disease.

Area of Science:

Pediatric Orthopedics
Skeletal Development
Radiographic Assessment

Background:

Perthes disease affects hip joint development in children.
Skeletal maturation and carpal bone ossification are indicators of overall growth and development.
Understanding developmental delays is crucial for managing pediatric orthopedic conditions.

Purpose of the Study:

To investigate skeletal maturation and carpal bone development in girls with Perthes disease.
To compare carpal bone ossification timing between affected and control groups.
To analyze differences in developmental timing between unilateral and bilateral Perthes disease.

Main Methods:

Retrospective analysis of consecutive radiographs from 27 girls with Perthes disease over 5 years.

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Assessment of skeletal maturation and carpal bone appearance.

Comparison with age-matched control data.

Main Results:

Delayed skeletal maturation was frequent and significant at Perthes disease diagnosis.
The delay in skeletal maturation was greater at diagnosis than at the end of the 5-year observation period.
Mean age of carpal bone appearance was delayed compared to controls.
In bilateral Perthes disease, carpal ossification onset was later than in unilateral cases.

Conclusions:

Perthes disease is associated with significant delays in skeletal maturation and carpal bone development.
The timing of carpal ossification is influenced by the laterality of Perthes disease.
These findings highlight the systemic impact of Perthes disease on skeletal development.