Legg Calve Perthes Disease
You will be asked about your child’s symptoms and health history. A physical exam will be done. It will focus on the hip. This may be enough to suspect LCPD. Your child may be sent to a doctor who treats bones and joints.
Images of the hip may be taken. This can be done with:
- MRI scan
- Bone scans
Treatment will depend on the child's age. The goal is to ease pain and improve motion. This may be done with:
- Medicine to ease pain and swelling
- Physical therapy to improve strength and range of motion
- Casting and bracing to keep the head of the thigh bone in place
Surgery may be done in children who are not helped by other methods. It will help keep the head of the thigh bone in place.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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a (LCPD; Osteonecrosis of the Hip—Child; Avascular Necrosis of the Hip—Child; Ischemic Necrosis of the Hip—Child; Coxa Plana; Osteochondritis of the Hip—Child)
Family Doctor—American Academy of Family Physicians https://familydoctor.org
National Osteonecrosis Foundation http://nonf.org
Canadian Orthopaedic Association http://www.coa-aco.org
When it Hurts to Move—Canadian Orthopaedic Foundation http://whenithurtstomove.org
Legg-Calve-Perthes disease. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/legg-calve-perthes-disease . Accessed September 18, 2020.
Mazloumi SM, Ebrahimzadeh MH, et al. Evolution in diagnosis and treatment of Legg-Calve-Perthes disease. Arch Bone Jt Surg. 2014 Jun;2(2):86-92.
Perthes disease. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00070. Accessed September 18, 2020.