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Behavioral characteristics of children with Legg-Calvé-Perthes disease
R T Loder1, E M Schwartz, R N Hensinger
1Department of Surgery, University of Michigan, Ann Arbor 48109-0328.
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Children with Perthes
Area of Science:
- Pediatric Orthopedics
- Child Psychology
- Behavioral Science
Background:
- Perthes' disease is a hip condition affecting children.
- Behavioral and developmental aspects of Perthes' disease are not fully understood.
Purpose of the Study:
- To investigate the behavioral characteristics of children diagnosed with Perthes' disease.
- To explore potential correlations between Perthes' disease and attention deficit hyperactivity disorder (ADHD).
Main Methods:
- Utilized parent-completed psychological questionnaires: Conners Parent Symptom Questionnaire and Achenbach Child Behavior Checklist.
- Assessed behavioral profiles of 24 children with Perthes' disease.
Main Results:
- One-third of children with Perthes' disease exhibited behavioral scores indicative of attention deficit hyperactivity disorder (ADHD).
- These children also presented with challenges in academic and social functioning.
- Epidemiological similarities between Perthes' disease and ADHD were noted.
Conclusions:
- A significant proportion of children with Perthes' disease display ADHD-related behavioral symptoms.
- Findings suggest a potential link or comorbidity between Perthes' disease and ADHD.
- Further research is warranted to elucidate the relationship between these conditions.
Abstract:
We explored the behavioral characteristics of 24 children with Perthes' disease. Parents completed standard psychological self-administered questionnaires regarding their child's behavior: the Conners Parent Symptom Questionnaire and the Achenbach Child Behavior Checklist. One third (33%) of the children had abnormally high scores in profiles associated with attention deficit hyperactivity disorder (ADHD) (impulsive, hyperactive, and psychosomatic categories), much higher than the 3-5% incidence of ADHD in the general population. They also tended to have difficulties with school and social interaction skills. Certain epidemiologic characteristics of Perthes' disease (sex ratio, socioeconomic status, geographic location, and associated congenital anomalies) are also similar to those of ADHD, suggesting a correlation between the two disorders.