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Pediatric Orthopedics - Legg-Calve-Perthes Disease

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​With Legg-Calvé-Perthes (LCP) Disease, the blood supply to the head of the thighbone (femoral head) stops. 

As a result, the femoral head becomes weak and a portion of it dies. It is unknown why blood flow to the femoral head stops, but it is known that boys aged 4-8 are most likely to develop LCP Disease.

Treatments

The doctor, a pediatric orthopedist, will recommend the best treatment plan for a child with LCP Disease. Some forms of treatment include:

Non-Surgical

  • Rest from sports and exercise.
  • Anti-inflammatory medications, such as ibuprofen.
  • With very young children, a cast or brace may be recommended to support the leg while it heals.
  • Crutches or a walker may be recommended.
  • Physical Therapy (PT) or supervised program of exercises.

Surgery

  • Tenotomy - If a groin muscle has shortened due to limping, a procedure called a Tenotomy may be performed to release the atrophied muscle from the bone. After surgery, a cast is applied for six to eight weeks allowing the muscle to grow to a normal length.
  • Osteotomy – With the softening of the ball, the ball may slip out of the socket. In those cases, an Osteotomy surgery is recommended, which involves the cutting the bone and repositioning it for a better fit within the socket.​
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