Legg-Calv�-Perthes follow-up study

Dekelver, L.; Fabry, Guy

doi:10.1007/bf00442726

Cited by 5 publications

(1 citation statement)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The recognition of poor outcome in the young child is not a new finding and has been well documented in several studies [5][6][7][8]. However, the use of Herring's classification in this age group has not been reported until recently.…”

Section: Discussionmentioning

confidence: 99%

Predicting the outcome of Legg-Calve-Perthes’ disease in children under 6 years old

Gent

Antapur

Mehta

et al. 2007

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

Purpose In this study, we investigated the outcome of Legg-Calve-Perthes disease in children presenting under 6 years old. Firstly, we wished to know the outcome in terms of femoral head deformity in this age group. Secondly, we investigated the potential for improvement in femoral head deformity with growth and remodelling after the Perthes lesion had healed. Thirdly, we assessed the ability of Herring's lateral pillar classification to predict femoral head deformity in this age group. Methods The outcome in this group was assessed using Stulberg's classification of femoral head deformity and compared to that for older children with Perthes seen at our institution over the same period. To investigate the potential for improvement of Stulberg grade with growth we assessed the hips at the stage of final healing (Waldenstrom IV) and again at skeletal maturity. To assess whether Herring's classification of lateral column collapse is predictive of deformity at this age we recorded the Herring class A, B or C at the time of maximum fragmentation and compared this to Stulberg grade. Results Out of a total of 127 children (131 hips) seen at our institution, 67 children (69 hips) presented before the age of 6 years. The number of Stulberg III and IV hips was 14 (20%) and 10 (15%), respectively. Chi-squared test of age against outcome confirmed that the younger children overall had a better outcome (P < 0.001). Stulberg grade did not improve predictably after the stage of final healing. Twenty-three hips graded as Stulberg III and IV at Waldenstrom IV were reassessed at skeletal maturity. Three changed from Stulberg III to IV and five changed from Stulberg IV to III, but none had improved to Stulberg I/II. Herring's classification was predictive of outcome, with 96% of Herring A hips having Stulberg I or II outcome, 61% of Herring B hips having Stulberg I or II outcome, while 60% of Herring C hips (18 hips) had significant femoral head deformity, and 10 hips Stulberg III and 6 hips Stulberg IV. Conclusions Perthes in children presenting before 6 years of age can result in significant femoral head deformity which does not predictably improve with time. The risk of a poor outcome can be predicted by Herring's classification of lateral pillar collapse.

show abstract

Section: Discussionmentioning

confidence: 99%

Predicting the outcome of Legg-Calve-Perthes’ disease in children under 6 years old

Gent

Antapur

Mehta

et al. 2007

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

show abstract

Legg???Calv?????Perthes disease in patients under 5 years of age does not always result in a good outcome. Personal experience and meta-analysis of the literature

Fabry¹,

Fabry²,

Moens³

2003

Journal of Pediatric Orthopaedics, Part B

View full text Add to dashboard Cite

This study attempted to analyze objectively the longstanding impression that children under 5 years of age, who have Legg-Calvé -Perthes disease, generally do well. Thirty patients, with 36 hips and onset of disease prior to their fifth birthday were reviewed at skeletal maturity. More than 50% of the hips were classified in Catterall group 3 or 4, and Herring group C. The end evaluation by the Stulberg classification showed 44.5% good, 22.2% fair and 33.3% poor results. By the Mose rating the results were respectively 27.8% good, 30.6% fair and 41.6% poor.A meta-analysis of the literature showed a very broad spectrum of results, leading to the conclusion, first, that comparison is difficult and, second, that young age is not a free ticket to a good result. J Pediatr Orthop B 12:222-228

show abstract

Legg–Calvé–Perthes disease in patients under 5 years of age does not always result in a good outcome. Personal experience and meta-analysis of the literature

Fabry¹,

Fabry²,

Moens³

2003

Journal of Pediatric Orthopaedics B

View full text Add to dashboard Cite

Legg-Calv�-Perthes follow-up study

Cited by 5 publications

References 24 publications

Predicting the outcome of Legg-Calve-Perthes’ disease in children under 6 years old

Predicting the outcome of Legg-Calve-Perthes’ disease in children under 6 years old

Legg???Calv?????Perthes disease in patients under 5 years of age does not always result in a good outcome. Personal experience and meta-analysis of the literature

Legg–Calvé–Perthes disease in patients under 5 years of age does not always result in a good outcome. Personal experience and meta-analysis of the literature

Contact Info

Product

Resources

About