Perthes disease overview Lippincott.pptx

Perthes

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2. FIGURE 1 A Brief History of Legg-Calvé-Perthes Disease Wenger, Dennis R.; Pandya, Nirav K. Journal of Pediatric Orthopaedics31:S130-S136, September 2011. doi: 10.1097/BPO.0b013e318226028c Copyright © 2024 Wolters Kluwer. Published by Lippincott Williams & Wilkins. ‹#› The “founding fathers” who first described the condition. A, A. Legg—United States, B, J. Calvé–France, C, G. Perthes—Germany.

3. FIGURE 2 A Brief History of Legg-Calvé-Perthes Disease Wenger, Dennis R.; Pandya, Nirav K. Journal of Pediatric Orthopaedics31:S130-S136, September 2011. doi: 10.1097/BPO.0b013e318226028c Copyright © 2024 Wolters Kluwer. Published by Lippincott Williams & Wilkins. ‹#› Diagrammatic depiction of femoral head circulation. All etiologic theories focus on how this vascularity is somehow temporarily disturbed.

4. FIGURE 3 A Brief History of Legg-Calvé-Perthes Disease Wenger, Dennis R.; Pandya, Nirav K. Journal of Pediatric Orthopaedics31:S130-S136, September 2011. doi: 10.1097/BPO.0b013e318226028c Copyright © 2024 Wolters Kluwer. Published by Lippincott Williams & Wilkins. ‹#› A, H. Waldenstrom (Sweden) also described the radiographic features now known as LCP disease but thought the changes were due to tuberculosis. B, The chronologic radiographic stages of LCP as described by Waldenstrom: initial, fragmentation, re-ossification, and healed. The chronologic sequence occurs over an approximate 2-year time period (Illustration courtesy of Stuart Weinstein, MD). LCP indicates Legg-Calvé-Perthes.

5. FIGURE 4 A Brief History of Legg-Calvé-Perthes Disease Wenger, Dennis R.; Pandya, Nirav K. Journal of Pediatric Orthopaedics31:S130-S136, September 2011. doi: 10.1097/BPO.0b013e318226028c Copyright © 2024 Wolters Kluwer. Published by Lippincott Williams & Wilkins. ‹#› Alternative imaging methods to analyze LCP disease. A, Bone scan, B, MRI, C, 3-D CT Scan.

6. FIGURE 5 A Brief History of Legg-Calvé-Perthes Disease Wenger, Dennis R.; Pandya, Nirav K. Journal of Pediatric Orthopaedics31:S130-S136, September 2011. doi: 10.1097/BPO.0b013e318226028c Copyright © 2024 Wolters Kluwer. Published by Lippincott Williams & Wilkins. ‹#› A, Cardiff, Wales—where A.O. Parker and Brian McKibben developed the concept of abduction cast containment. B, Modern fiberglass cast used for the nonoperative treatment of LCP disease. LCP indicates Legg-Calvé-Perthes.

7. FIGURE 6 A Brief History of Legg-Calvé-Perthes Disease Wenger, Dennis R.; Pandya, Nirav K. Journal of Pediatric Orthopaedics31:S130-S136, September 2011. doi: 10.1097/BPO.0b013e318226028c Copyright © 2024 Wolters Kluwer. Published by Lippincott Williams & Wilkins. ‹#› Traditional brace methods to provide femoral head containment. A, Traditional abduction brace, B, Toronto brace (Bobechko), C, Atlanta brace.

8. FIGURE 7 A Brief History of Legg-Calvé-Perthes Disease Wenger, Dennis R.; Pandya, Nirav K. Journal of Pediatric Orthopaedics31:S130-S136, September 2011. doi: 10.1097/BPO.0b013e318226028c Copyright © 2024 Wolters Kluwer. Published by Lippincott Williams & Wilkins. ‹#› Surgical containment methods for LCP (A) Femoral varus osteotomy, (B) Salter osteotomy. LCP indicates Legg-Calvé-Perthes.