Adam C. Young, MD
Alan C. League, MD
Albert Knuth, MD
Alejandra Rodriguez-Paez, MD
Alexander E. Michalow, MD
Alexander Gordon, MD
Alfonso Bello, MD
Ami Kothari, MD
Amy Jo Ptaszek, MD
Anand Vora, MD
Andrea S. Kramer, MD
Andrew J. Riff, MD
Angela R. Crowley, MD
Angelo Savino, MD
Anthony Savino, MD
Anuj S. Puppala, MD
Ari Kaz, MD
Ashraf H. Darwish, MD
Ashraf Hasan, MD
Bernard J. Feldman, MD
Bradley Dworsky, MD
Brian Clay, MD
Brian J. Burgess, DPM
Brian R. McCall, MD
Brian Schwartz, MD
Brian Weatherford, MD
Brooke Vanderby, MD
Bruce Summerville, MD
Bryan Waxman, MD
Bryant S. Ho, MD
Carey E. Ellis, MD
Carla Gamez, DPM
Cary R. Templin, MD
Charles L. Lettvin, MD
Charles M. Lieder, DO
Chinyoung Park, MD
Christ Pavlatos, MD
Christian Skjong, MD
Christopher C. Mahr, MD
Craig Cummins, MD
Craig Phillips, MD
Craig S. Williams, MD
Craig Westin, MD
Daniel Newman, MD
David Beigler, MD
David Guelich, MD
David H. Garelick, MD
David Hamming, MD
David Hoffman, MD
David M. Anderson, MD
David Norbeck, MD
David Raab, MD
David Schneider, DO
Djuro Petkovic, MD
Douglas Diekevers, DPM
Douglas Solway, DPM
E. Quinn Regan, MD
Eddie Jones Jr., MD
Edward J. Logue, MD
Elliot A. Nacke, MD
Ellis K. Nam, MD
Eric Chehab, MD
Eric L. Lee, MD
Evan A. Dougherty, MD
Garo Emerzian, DPM
Gary Shapiro, MD
Giridhar Burra, MD
Gregory Brebach, MD
Gregory J. Fahrenbach, MD
Gregory Portland, MD
Harpreet S. Basran, MD
Inbar Kirson, MD, FACOG, Diplomate ABOM
Jalaal Shah, DO
James M. Hill, MD
James R. Bresch, MD
Jason G. Hurbanek, MD
Jason Ghodasra, MD
Jason J. Shrouder-Henry, MD
Jeffrey Ackerman, MD
Jeffrey Goldstein, MD
Jeffrey Staron, MD
Jeffrey Visotsky, MD
Jeremy Oryhon, MD
John H. Lyon, MD
Jonathan Erulkar, MD
Jordan L. Goldstein, MD
Josephine H. Mo, MD
Juan Santiago-Palma, MD
Justin Gent, MD
Justin M. LaReau, MD
Kellie Gates, MD
Kermit Muhammad, MD
Kevin Chen, MD
Kris Alden MD, PhD
Leah R. Urbanosky, MD
Leigh-Anne Tu, MD
Leon Benson, MD
Lori Siegel, MD
Lynn Gettleman Chehab, MD, MPH, Diplomate ABOM
Marc Angerame, MD
Marc Breslow, MD
Marc R. Fajardo, MD
Mariam El-Baghdadi, MD, MBA
Marie Kirincic, MD
Mark A. Lorenz, MD
Mark Gonzalez, MD
Mark Gross, MD
Mark Hamming, MD
Mark Mikhael, MD
Matthew L. Jimenez, MD
Mehul H. Garala, MD
Michael C. Durkin, MD
Michael Chiu, MD, FAAOS
Michael J. Corcoran, MD
Michael O'Rourke, MD
Nathan G. Wetters, MD
Nikhil K. Chokshi, MD
Peter Hoepfner, MD
Peter Thadani, MD
Phillip Ludkowski, MD
Priyesh Patel, MD
Rajeev D. Puri, MD
Rhutav Parikh, MD
Richard J. Hayek, MD
Richard Noren, MD
Richard Sherman, MD
Ritesh Shah, MD
Robert J. Daley, MD
Robert J. Thorsness, MD
Roger Chams, MD
Ronak M. Patel, MD
Scott Jacobsen, DPM
Sean A. Sutphen, DO
Serafin DeLeon, MD
Shivani Batra, DO
Stanford Tack, MD
Steven C. Chudik, MD
Steven G. Bardfield, MD
Steven Gross, MD
Steven Jasonowicz, DPM
Steven M. Mardjetko, MD
Steven S. Louis, MD
Steven W. Miller, DPM
Surbhi Panchal, MD
T. Andrew Ehmke, DO
Taizoon Baxamusa, MD
Theodore Fisher, MD
Thomas Gleason, MD
Timothy J. Friedrich, DPM
Todd R. Rimington, MD
Todd Simmons, MD
Tom Antkowiak, MD, MS
Tomas Nemickas, MD
Van Stamos, MD
Wayne M. Goldstein, MD
Wesley E. Choy, MD
William Robb, MD
William Vitello, MD

Legg-Calve-Perthes Disease

Legg-Calve-Perthes Disease, or Perthes disease, is a hip disorder that affects kids, usually between the ages of 4 and 10. More common in boys than girls, the condition also typically involves one hip, but it can occur on both sides for some children. At this time, researchers have yet to figure out what causes the disease.

Signs and Symptoms of Legg-Calve-Perthes Disease

Symptoms may come and go over a period of weeks or months depending on your child’s activity level.

  • Change in the way your child walks and runs
  • Limping without pain
  • Limited motion
  • Feeling stiffness and pain in your hip, thigh, groin, or knee
  • Having legs of unequal length
  • Wasting away of thigh muscles
  • Pain that worsens with activity and is relieved with rest
  • Muscle spasms caused by irritation around the hip

Making a Diagnosis

Your pediatric orthopedic doctor will complete a thorough physical exam and review your child’s symptoms to make an initial diagnosis that is confirmed by imaging results (X-rays and MRIs).

Treatment Options

Treatment aims to relieve pain, restore normal hip movement and protect the shape of the femoral head. If you do not seek treatment, the femoral head can become deformed which can lead to further hip problems later in life. There are many treatment options that your doctor will consider based on age, degree of damage and thee stage of the disease.

Nonsurgical

Nonsurgical treatments for Legg-Calve-Perthes Disease include:

The goal of treatment for Perthes disease is to keep the femoral head snug in the socket portion of the joint. If nonsurgical treatments don’t work, your child may need surgery.

Surgical

If nonsurgical treatments don’t work, your child may have to undergo surgery to re-establish the proper alignment of the hip bones and to keep the head of the femur in place. The most common procedure is an osteotomy which involves cutting the bone and repositioning the femoral head. In some cases the head of the femur may enlarge causing the socket to be made deeper. After the procedure, the alignment is kept in place with screws and plates that will be removed after healing.

See an IBJI Doctor

Schedule an appointment with an IBJI pediatric provider.

OrthoAccess Care

Avoid the ER. Visit one of IBJI’s immediate care clinics for fractures, sprains, and more.

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