Legg Calve Perthes Disease | Case Study | Orthopaedic Surgery | V-Learning скачать в хорошем качестве

Legg Calve Perthes Disease | Case Study | Orthopaedic Surgery | V-Learning

In this Orthopedic Surgery lecture, we will delve into the topic of Legg Calve Perthes disease, a childhood hip disorder. We'll cover a range of topics including its introduction, associated disorders, risk factors including ADHD, pathophysiology, classification, Stulberg grading and Waldenstrom staging, radiographic signs, non-operative treatment options, and operative treatment options. By the end of this lecture, you'll have a comprehensive understanding of Legg Calve Perthes disease and its management. ▬ 📌 Introduction to Legg Calve Perthes Disease Legg Calve Perthes disease, also known as Perthes disease, is a childhood condition that affects the hip joint. It occurs when the blood supply to the ball-shaped head of the thighbone (femur) is temporarily interrupted, leading to bone death and degeneration of the hip joint. It usually affects children between 4 to 10 years of age and is more common in boys than girls. ▬ 📌 Associated Disorders Some of the associated disorders with Legg Calve Perthes disease include developmental dysplasia of the hip, osteoarthritis, avascular necrosis, and osteonecrosis. Children with Legg Calve Perthes disease may also have other developmental or medical conditions, such as attention deficit hyperactivity disorder (ADHD), cerebral palsy, or muscular dystrophy. ▬ 📌 Legg Calve Perthes Disease Risk Factors The exact cause of Legg Calve Perthes disease is unknown, but some risk factors may increase the likelihood of developing the condition. These include family history, certain medical conditions, such as sickle cell disease or clotting disorders, and environmental factors, such as exposure to secondhand smoke. Some studies have also suggested that children with ADHD may have a higher risk of developing Legg Calve Perthes disease. ▬ 📌 Legg Calve Perthes Disease Pathophysiology Legg Calve Perthes disease occurs due to a disruption in the blood supply to the femoral head, leading to bone death (avascular necrosis) and degeneration of the hip joint. The exact mechanism of how this happens is not fully understood, but it is believed that a combination of genetic, environmental, and mechanical factors may contribute to the development of the disease. ▬ 📌 Legg Calve Perthes Disease Classification Legg Calve Perthes disease can be classified into four stages based on the extent of bone death and hip joint degeneration. These stages include: Initial stage Blood supply to the femoral head is disrupted, leading to bone death and weakening of the bone structure. Fragmentation stage The weakened bone begins to break down into fragments, causing the femoral head to lose its shape. Re-ossification stage New bone tissue begins to form and replace the dead bone fragments. Healing stage The new bone tissue gradually matures and re-forms the shape of the femoral head. ▬ 📌 Stulberg grading and Waldenstrom staging Stulberg grading and Waldenstrom staging are two commonly used systems to classify the severity of Legg Calve Perthes disease. Stulberg grading is based on the shape of the femoral head, while Waldenstrom staging is based on the amount of joint space narrowing and degeneration of the hip joint. ▬ 📌 Radiographic signs of Legg Calve Perthes disease Radiographic signs of Legg Calve Perthes disease include a flattened or deformed femoral head, joint space narrowing, fragmentation of the femoral head, and subchondral cyst formation. X-rays and magnetic resonance imaging (MRI) are commonly used to diagnose and monitor the progression of the disease. ▬ 📌 Non-operative Treatment Options Non-operative treatment options for Legg Calve Perthes disease include rest, non-weight bearing, physical therapy, and bracing. These treatments aim to reduce stress on the hip joint and promote healing. In some cases, surgery may be necessary to correct deformities or prevent further damage to the hip joint. ▬ 📌 Operative Treatment Options Operative treatment options for Legg Calve Perthes disease include surgical hip dislocation, femoral and/or pelvic osteotomy, and hip arthroscopy. These treatments aim to improve the shape and function of the hip joint and prevent or delay the development of arthritis. The choice of treatment depends on the severity of the disease, the age of the child, and the extent of the hip joint damage. In some cases, a combination of non-operative and operative treatments may be necessary to achieve the best outcomes. It is important to consult with a medical professional to determine the most appropriate treatment plan for a child with Legg Calve Perthes disease. ▬ 🎬 5500+ sqadia.com Medical Videos ▬▬▬▬▬▬▬▬▬▬ 👩🏻‍⚕️ Accessible Medical Student Education 24/7/365 💡 Simplifying Medical Learning 💪 Study Hard, Dream Big, Achieve More