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Shriners Hospitals for Children - Twin Cities chief of staff and pediatric orthopaedic surgeon Dr. Cary Mielke explains Legg-Calve-Perthes Disease, the causes and treatment options. To learn more visit: twincitiesshrinershospital.org Legg-Calve-Perthes is a condition where blood no longer reaches the ball part of the hip, causing the bone to stop growing and flatten. Eventually blood flow is restored, dissolving the flattened part of the bone and replacing it with new bone. There is no known cause of this disorder. Treatment consists of observation, x-rays, and keeping the newly growing bone centered in the hip socket. This helps the bone grow back in a properly round and smooth shape. Physical therapy (stretching) exercises may be prescribed to help keep the range of motion in the hip joint. Assistive equipment for walking, such as crutches, may be necessary. Occasionally the child may need to be placed in casts or traction to keep the hip in the proper position while healing. Surgery is sometimes required, typically after the age of 7, to shape of hip joint and relieve pain.