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Published on: May 25, 2012
[Legg-Calvé-Perthes disease]
1Klinik für Diagnostische und Interventionelle Radiologie, Sektion Kinderradiologie, Universitätsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland. alina.schwert@ukbonn.de.
Insights
Legg-Calvé-Perthes disease (LCPD) affects young boys, causing hip pain. Imaging classifications aid in assessing LCPD progression and prognosis, guiding treatment to prevent hip osteoarthritis.
Area of Science:
- Orthopedics
- Pediatric Radiology
Context:
- Legg-Calvé-Perthes disease (LCPD) is a significant cause of limping and hip pain in children.
- Understanding LCPD's pathogenesis and epidemiology is crucial for effective management.
Purpose:
- To review LCPD pathogenesis, epidemiology, and classification systems.
- To discuss prognosis assessment using X-ray and MRI.
- To highlight the importance of systematic evaluation for treatment decisions.
Summary:
- LCPD primarily affects boys aged 3-10 years; its exact cause remains unknown.
- Common classifications include Waldenström stages and Catterall criteria for femoral head involvement.
- Prognosis is determined by "head at risk" signs and Stulberg's end stages.
Impact:
- Accurate assessment of LCPD progression and prognosis is vital.
- Systematic evaluation aids in identifying surgical candidates and preventing long-term complications like hip osteoarthritis.
Background:
Legg-Calvé-Perthes disease (LCPD) is an important cause of limping and/or hip pain in preadolescent children.
Objective:
Pathogenesis and epidemiology of LCPD, classification of disease stages, quantitative femoral head involvement and prognosis based on X‑ray images and magnetic resonance imaging (MRI).
Material And Methods:
Summary and discussion of the basic research and recommendations.
Results:
Boys between 3 and 10 years of age are mostly affected. The etiology of the femoral head ischemia is still unknown. Commonly used classifications are the stages of disease according to Waldenström and the extent of the femoral head involvement according to Catterall. Head at risk signs are used for early prognosis, and after completion of growth Stulberg's end stages are applied for long-term prognosis.
Conclusion:
Based on X‑ray images and MRI, different classifications can be used for an assessment of progression and prognosis of LCPD. This systematic approach is essential to identify cases that require surgical treatment and to avoid complications such as early onset osteoarthritis of the hip.
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