Perthes' disease in the adolescent

B. Joseph, K. Mulpuri, G. Varghese

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

We studied the natural history of Perthes' disease in 62 children in whom the onset of symptoms was in adolescence. Three patterns of disease were noted, namely, late-onset pattern, segmental collapse, or destructive with failure of revascularisation. In the late-onset pattern, the disease followed the sequence of healing seen in younger children, but adequate epiphyseal remodelling did not occur. Consequently, the femoral head was never spherical after revascularisation. With segmental collapse, early and irreversible collapse of part of the epiphysis occurred with gross deformation of the femoral head. The destructive pattern was characterised by a failure of revascularisation and repair of the avascular epiphysis. The radiological outcome was poor in all three patterns. The poorest clinical results were found in the destructive type which was frequently associated with incapacitating pain requiring arthrodesis or excision arthroplasty within three years of onset of the disease.

Original languageEnglish
Pages (from-to)715-720
Number of pages6
JournalJournal of Bone and Joint Surgery - Series B
Volume83
Issue number5
DOIs
Publication statusPublished - 01-01-2001
Externally publishedYes

Fingerprint

Legg-Calve-Perthes Disease
Epiphyses
Thigh
Arthrodesis
Arthroplasty
Pain

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Joseph, B. ; Mulpuri, K. ; Varghese, G. / Perthes' disease in the adolescent. In: Journal of Bone and Joint Surgery - Series B. 2001 ; Vol. 83, No. 5. pp. 715-720.
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Perthes' disease in the adolescent. / Joseph, B.; Mulpuri, K.; Varghese, G.

In: Journal of Bone and Joint Surgery - Series B, Vol. 83, No. 5, 01.01.2001, p. 715-720.

Research output: Contribution to journalArticle

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