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OSTEOCHONDRITIS DISSECANS OF THE HIP IN LEGG-CALVÉ-PERTHES DISEASE: CASE REPORT AND REVIEW
Luiz Renato Agrizzi de Angeli1,2,3, Bárbara Lívia Corrêa Serafim1, Felippi Guizardi Cordeiro1
1Universidade de São Paulo, Hospital das Clínicas da Faculdade de Medicina, Institute of Orthopedics and Traumatology, São Paulo, SP, Brazil.
Acta Ortopedica Brasileira
|March 27, 2024
Summary
Legg-Calvé-Perthes disease (LCPD) can lead to Osteochondritis Dissecans (OCD) in children. Surgical hip dislocation effectively fixed an OCD lesion post-LCPD, achieving excellent recovery.
Area of Science:
- Pediatric Orthopedics
- Hip Preservation Surgery
- Osteonecrosis Research
Background:
- Legg-Calvé-Perthes disease (LCPD) involves childhood hip osteonecrosis, potentially leading to long-term complications.
- Osteochondritis Dissecans (OCD) of the femoral head occurs in 2-7% of healed LCPD cases, risking instability and pain.
Observation:
- A 10-year-old boy with OCD following LCPD was treated.
- The patient underwent osteochondral fixation using the surgical hip dislocation approach.
Findings:
- The surgical hip dislocation approach enabled precise anatomical fixation of the OCD fragment.
- The patient achieved excellent functional recovery one year after surgery.
Implications:
- Surgical hip dislocation offers a viable treatment for OCD post-LCPD, improving hip biomechanics and preserving cartilage.
- This approach allows comprehensive hip assessment and management of associated pathologies.
