Document Detail


Legg-Calvé-Perthes disease: a study of lower extremity length discrepancies and skeletal maturation.
MedLine Citation:
PMID:  7090766     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Lower extremity length discrepancies and skeletal maturation have been studied in 147 patients with unilateral Legg-Calvé-Perthes disease followed by orthoroentgenograms for 5 or more years. At the time of initial assessment there was a marked delay in skeletal age as related to chronologic age in 83 percent of the patients. Standing height in the majority of patients both at disease presentation and at skeletal maturation was less than the mean. The average maximum total femoral and tibial discrepancy during the course of the disease was 2.14 cm. The maximum femoral discrepancy averaged 1.38 cm and the maximum tibial discrepancy averaged 0.93 cm. (The time of maximum discrepancy differed in the two major lower extremity bones). The extent of tibial discrepancy correlated well with the time of immobilization in the unilateral abduction ischial weight-bearing brace. The discrepancies did not invariably increase with time and many corrected with the repair process. Four developmental patterns of the discrepancy were detected and classified. Epiphyseal arrest was resorted to in 21 percent of the patients.
Authors:
F Shapiro
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Publication Detail:
Type:  Case Reports; Comparative Study; Journal Article    
Journal Detail:
Title:  Acta orthopaedica Scandinavica     Volume:  53     ISSN:  0001-6470     ISO Abbreviation:  Acta Orthop Scand     Publication Date:  1982 Jun 
Date Detail:
Created Date:  1982-08-07     Completed Date:  1982-08-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370352     Medline TA:  Acta Orthop Scand     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  437-44     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Age Determination by Skeleton*
Age Factors
Body Height
Braces
Child
Child, Preschool
Female
Femur / growth & development
Femur Head Necrosis / therapy*
Humans
Immobilization
Infant
Leg Length Inequality / therapy*
Legg-Perthes Disease / therapy*
Male
Tibia / growth & development

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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