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这是Legg-Calvé-Perthes疾病

Shawn R Gilbert¹, Jennifer C Laine, Benjamin D Martin

¹From the Children's of Alabama, UAB Department of Orthopaedic Surgery, Birmingham, AL (Gilbert), Pediatric Orthopaedic Surgeon, Gillette Children's Specialty Healthcare, University of Minnesota Department of Orthopaedic Surgery, St. Paul, MN (Laine), Division of Orthopaedic Surgery & Sports Medicine, Children's National Washington, DC (Martin), Division of Orthopedic Surgery, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA (Sankar), and Center of Excellence in Hip, Scottish Rite for Children, University of Texas Southwestern Medical Center, International Perthes Study Group, Dallas, TX (Kim).

The Journal of the American Academy of Orthopaedic Surgeons

|September 24, 2025

概括

莱格-卡尔维-珀斯病是儿童关节骨硬化. 治疗的目的是通过保持大腿骨头的控制和运动范围来保持部功能.

科学领域:

儿科整形外科儿科整形外科
儿童骨疾病儿童骨疾病

背景情况:

莱格-卡尔维-珀斯病是一种儿童部疾病,涉及大腿骨头骨硬化.
它遵循一个可预测的过程:骨死亡,再血管化,再吸收和再骨化.
结果因诊断时的年龄而异,年龄较小的儿童通常有更好的预后.

研究的目的:

审查Legg-Calvé-Perthes疾病的病理生理学,自然史和治疗策略.
突出展示治疗优越性和当前研究重点领域的挑战.

主要方法:

关于Legg-Calvé-Perthes疾病的文学评论.
对自然史,诊断因素和治疗结果的分析.
讨论目前成像和病理生理学的研究趋势.

主要成果:

最终的结果取决于治愈后的股骨头的形状和骨对应度.
治疗的目的是保持大腿骨头的控制和关节的运动范围.
治疗策略包括非手术 (限制举重,炼,支架) 和手术 (骨切除,关节分心) 选择.

结论:

证明特定治疗方法的优越性是具有挑战性的,因为这种情况的罕见性和可变的过程.
目前的研究重点是改进成像预测因子和了解疾病病理生理学.
有效的管理需要保持部功能,并尽量减少大腿骨头的机械损伤.

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