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Premature epiphysial closure in Perthes' disease
The Journal of Bone and Joint Surgery. British Volume
|November 1, 1980
Summary
Premature epiphysial closure is a rare complication of Perthes' disease. Awareness of specific signs can help prevent this condition, particularly after upper femoral osteotomy.
Area of Science:
- Orthopedics
- Pediatric Orthopedics
- Radiology
Background:
- Perthes' disease is a hip condition affecting children.
- Premature epiphysial closure is an infrequent complication.
- This complication can impact joint function.
Purpose of the Study:
- To review cases of premature epiphysial closure in Perthes' disease.
- To discuss the etiology and radiographic features.
- To identify factors that may reduce the incidence of this complication.
Main Methods:
- Retrospective review of 22 patients with Perthes' disease and premature epiphysial closure.
- Analysis of radiographic features.
- Discussion of clinical signs and treatment implications.
Main Results:
- Twenty-two patients were identified with this complication.
- Three patients had bilateral involvement.
- The study discusses the etiology, radiographic findings, and functional outcomes.
Conclusions:
- Premature epiphysial closure is an infrequent complication of Perthes' disease.
- Awareness of specific clinical and radiographic signs is crucial.
- These signs contra-indicate upper femoral osteotomy, potentially reducing complication incidence.