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Legg-Calve-Perthes Disease
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Legg's disease,
osteochondritis deformans juvinilis, coxa plana
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- Legg-Calve-Perthes Disease (LCPD) is a necrosis (tissue death) of the epiphyseal growth plate of the head of the femur (extends from the pelvis to the knee), due to interference with the blood supply or abnormal blood supply.
- This region of the femur has limited blood supply to begin with.
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- Limp, which may be painful
- Thigh atrophy of the affected lower extremity
- Muscle spasm
- Pain in the hip area, thigh, knee
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- Unknown
- Inflammation or injury may be an inciting cause.
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- Compatible history (of typical symptoms) and physical examination
- Compatible X-rays of the pelvis, which show a series of changes
- MRI scan may be useful
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- Marked male preponderance, in mid-childhood
- An association with congenital abnormalities of the genitourinary tract
- A slightly increased risk in affected siblings
- Steroids
- Sickle Cell Disease
- Systemic Lupus erythematosis
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- Physical therapy, for range of motion exercises
- Anti-inflammatory medication
- Abduction braces or surgery are sometimes used.
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- Deformity of the head of the femur
- If the femoral head softens, it can cause osteoarthritis of the hip, in the adult. This can give pain in the groin, thigh, or knee, when the hip is moved.
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- Consult a physician for any of these symptoms.
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