The etiology of this disease has not yet been clarified, it is considered to be genetically determined and dependent on external factors.

Suspicion and concern should be aroused by changes in the child’s movements, lameness, changes in gait, and symptoms and complaints such as pain in the hip or other parts of the leg, pain that increases with activity and decreases with rest. hip or other parts of the leg, pain that increases with activity and decreases with rest.

Depending on the activity of the child, different intensity of pain is noted. The earlier the diagnosis is made, the greater the chances of recovery and recovery of the child, as there are 5 stages: initially, aseptic necrosis develops, then comes the stage of secondary compression fracture, in which the joint head flattens, in the next stage of fragmentation bone tissue is divided into fragments, at the same time the formation of new bone, then the stage of recovery in the persistence of deformity. And the most important stage is the effects of Perthes disease. Treatment is aimed at minimizing complications.

Pathogenesis of the disease – as a result of temporary cessation of blood supply to the round head of the femur, avascular necrosis develops, in which bone cells begin to die off.

Diagnosis and treatment at MDI Clinic

The most up-to-date methods are used in diagnosis: radiography to determine the stage of the disease, checking the mobility of the hip joint (leg extension and internal rotation). The course of treatment is long due to the specification of the disease.

Treatment of Perthes pathology is mainly aimed at relieving pain syndrome in the child, providing centration of the femoral head. When choosing a treatment plan in a child, the doctor considers the child’s age, the extent of the injury to the femoral head, and the stage of the disease at the time of diagnosis.

Conservative treatment at MDI Clinic

Young children (2-6 years) with minor changes after radiography are prescribed NSAIDs and observation, with regular monitoring.

Limitation of activity – use of walkers or crutches, avoidance of strenuous physical activity.

Physical therapy to restore normal range of motion (hip abduction and rotation).

Splinting and wearing orthotics. The goal is to keep the head of the femur inside the acetabulum. The Petri bandage is a double-sided plaster bandage on both legs with a wooden bar in the middle. Initial overlay is performed in the operating room. During arthrography, the doctor takes a series of special x-rays that can be used to really assess the degree of deformity and make sure the bone is in the correct position in the joint, with a small dose of dye injected into the joint to facilitate visualization.

Tenotomy is necessary if the adductor inguinal muscle prevents the hip from assuming its normal position. This involves making a small incision in the muscle tissue and applying a Petri dressing.

The Petri bandage is worn for 4-6 weeks, then exercises are prescribed to normalize function. Some patients are advised to wear a bandage until the healing stage occurs.

Surgical treatment at MDI Clinic

Surgery is recommended in cases where 50% or more of the femoral head is affected, if the child is more than 8 years old at the time of diagnosis, and if it has not been possible to keep the articular head in the correct position by conservative methods.

Results of Perthes disease treatment at MDI Clinic

The prognosis is favorable in most cases with timely treatment.