Close
Skip to content Skip to sidebar Skip to footer
Home / Dress Shoes for Adult Women With Perthes Disease

Dress Shoes for Adult Women With Perthes Disease

doi: 10.1007/s11832-015-0671-y. Epub 2015 Jul 26.

The presentation of Legg-Calvé-Perthes disease in females

Affiliations

  • PMID: 26210773
  • PMCID: PMC4549350
  • DOI: 10.1007/s11832-015-0671-y

Free PMC article

The presentation of Legg-Calvé-Perthes disease in females

Andrew G Georgiadis  et al. J Child Orthop. 2015 Aug .

Free PMC article

Abstract

Purpose: Legg-Calvé-Perthes disease (LCPD) is uncommon in girls. The presentation of LCPD in female patients has been reported as later in onset and associated with certain high-impact activities. Our aim is to characterize the presentation of female LCPD at a large center, with particular attention to the clinical and radiographic features of late-onset disease (>ten years of age). We perceived an increasing burden of late-onset disease with adult-like radiographic features.

Methods: All patients presenting to a single large urban children's hospital from 1990-2014 with a diagnosis of LCPD were reviewed. Demographic, clinical, and radiographic data for all female patients were examined and compared to historical norms.

Results: Four-hundred and fifty-one patients presented with LCPD in the study period, of which 82 (18.2 %) were female. The average age at presentation was 6.58 years in girls, which is similar to the classically reported mean age. Fourteen patients participated in high-impact repetitive activities or those with deep flexion and abduction, although few were late presenters. There were four female patients who presented for initial diagnosis >ten years of age.

Conclusions: There was a paucity of late-onset LCPD in girls in the study population, and the females with LCPD had a very similar age and character to their presentation as did males. Although their presentation is infrequent, three of four older females with LCPD were engaged in high-level physical activity, and their disease may be attributed to high-impact, repetitive athletics.

Level of evidence: Case series, Level IV.

Figures

Fig. 1
Fig. 1

AP and frog lateral radiographs prototypical of the presentation of female Perthes disease, with femoral head fragmentation and loss of height of the lateral pillar

Similar articles

  • What are the Demographics and Epidemiology of Legg-Calvé-Perthes Disease in a Large Southern California Integrated Health System?

    Kessler JI, Cannamela PC. Kessler JI, et al. Clin Orthop Relat Res. 2018 Dec;476(12):2344-2350. doi: 10.1097/CORR.0000000000000490. Clin Orthop Relat Res. 2018. PMID: 30211706 Free PMC article.

  • Female patients with late-onset legg-calvé-perthes disease are frequently gymnasts: is there a mechanical etiology for this subset of patients?

    Larson AN, Kim HK, Herring JA. Larson AN, et al. J Pediatr Orthop. 2013 Dec;33(8):811-5. doi: 10.1097/BPO.0000000000000096. J Pediatr Orthop. 2013. PMID: 24065070

  • Osteonecrosis of the hip (Legg-Calvé-Perthes disease) in human immunodeficiency virus-infected children.

    Gaughan DM, Mofenson LM, Hughes MD, Seage GR 3rd, Ciupak GL, Oleske JM; Pediatric AIDS Clinical Trials Group Protocol 219 Team. Gaughan DM, et al. Pediatrics. 2002 May;109(5):E74-4. doi: 10.1542/peds.109.5.e74. Pediatrics. 2002. PMID: 11986480

  • Legg-Calvé-Perthes disease: classifications and prognostic factors.

    Rampal V, Clément JL, Solla F. Rampal V, et al. Clin Cases Miner Bone Metab. 2017 Jan-Apr;14(1):74-82. doi: 10.11138/ccmbm/2017.14.1.074. Epub 2017 May 30. Clin Cases Miner Bone Metab. 2017. PMID: 28740529 Free PMC article. Review.

  • [Legg-Calvé-Perthes disease (LCPD). Principles of diagnosis and treatment].

    Manig M. Manig M. Orthopade. 2013 Oct;42(10):891-902; quiz 903-4. doi: 10.1007/s00132-013-2177-y. Orthopade. 2013. PMID: 24081395 Review. German.

Cited by

  • Aetiology of Legg-Calvé-Perthes disease: A systematic review.

    Pavone V, Chisari E, Vescio A, Lizzio C, Sessa G, Testa G. Pavone V, et al. World J Orthop. 2019 Mar 18;10(3):145-165. doi: 10.5312/wjo.v10.i3.145. eCollection 2019 Mar 18. World J Orthop. 2019. PMID: 30918798 Free PMC article.

  • What are the Demographics and Epidemiology of Legg-Calvé-Perthes Disease in a Large Southern California Integrated Health System?

    Kessler JI, Cannamela PC. Kessler JI, et al. Clin Orthop Relat Res. 2018 Dec;476(12):2344-2350. doi: 10.1097/CORR.0000000000000490. Clin Orthop Relat Res. 2018. PMID: 30211706 Free PMC article.

References

    1. Loder RT, Skopelja EN. The epidemiology and demographics of Legg-Calve-Perthes' disease. ISRN orthopedics. 2011;2011:504393. - PMC - PubMed
    1. Perry DC, Green DJ, Bruce CE, Pope D, Dangerfield P, Platt MJ, Hall AJ, Jones H. Abnormalities of vascular structure and function in children with Perthes disease. Pediatrics. 2012;130:e126–e131. doi: 10.1542/peds.2011-3269. - DOI - PubMed
    1. Vosmaer A, Pereira RR, Koenderman JS, Rosendaal FR, Cannegieter SC. Coagulation abnormalities in Legg-Calve-Perthes disease. J Bone Joint Surg Am. 2010;92:121–128. doi: 10.2106/JBJS.I.00157. - DOI - PubMed
    1. Loder RT, Schwartz EM, Hensinger RN. Behavioral characteristics of children with Legg-Calve-Perthes disease. J Pediatr Orthop. 1993;13:598–601. doi: 10.1097/01241398-199309000-00008. - DOI - PubMed
    1. Glueck CJ, Freiberg RA, Crawford A, Gruppo R, Roy D, Tracy T, Sieve-Smith L, Wang P. Secondhand smoke, hypofibrinolysis, and Legg-Perthes disease. Clin Orthop Relat Res. 1998;352:159–167. - PubMed

LinkOut - more resources

  • Full Text Sources

    • Atypon
    • Europe PubMed Central
    • PubMed Central
    • Springer

  • Other Literature Sources

    • scite Smart Citations

  • Research Materials

    • NCI CPTC Antibody Characterization Program

mckaydrefoonew.blogspot.com

Source: https://pubmed.ncbi.nlm.nih.gov/26210773/

You may like these posts :