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Conservative Management of Late-Onset Legg-Calvé-Perthes Disease in a 10-Year-Old Child: A Case Report
Rishi Ram Banjade1, Sandesh Dhakal2, Prithu Nepal2
1Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
Insights
Legg-Calvé-Perthes disease (LCPD) in older children can be managed conservatively. This case report shows a 10-year-old boy with LCPD improved with traction and casting, even with financial limitations.
Area of Science:
- Pediatric Orthopedics
- Avascular Necrosis Research
- Pediatric Case Studies
Background:
- Legg-Calvé-Perthes disease (LCPD) affects the femoral head in children.
- Late-onset LCPD (over 8 years) typically has a poorer prognosis.
- Osteonecrosis of the femoral head can lead to degenerative changes.
Abstract:
Legg-Calvé-Perthes disease is a childhood condition characterized by avascular necrosis of the femoral head, with a poorer prognosis in children over 8 years. This case report describes a 10-year-old boy presenting with persistent left thigh pain, limp, and limited hip motion following a fall 3 months earlier. Imaging revealed osteonecrosis of the left femoral head with degenerative changes. Despite surgical intervention being the standard for late-onset LCPD, the patient was managed conservatively using bilateral skin traction and a Petrie's cast due to financial constraints. Follow-up monthly for 6 months showed significant improvement, highlighting conservative treatment's potential in resource-limited settings.
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