PERTHES DISEASE

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	PERTHES DISEASE
	*PERTHES DISEASE*

PERTHES DISEASE

Disease of Perthes

It is a disease of the sanguineous circulation in the hip in growth, that appears between the three and twelve years, peaky to the five and ten years.

It is characterized by a progressive deformation of the femoral head.

In most of cases he is unilateral, but in one from each seven to ten he is bilateral.

It is of to five four times more frequent in children than in children.

Very rare in children of African origin.

Prognosis

Good.

The majority cures without sequels if the diagnosis is precocious and the treatment is followed rigorously.

Complications

Coxa Magna:

When the head of fémur cures with a exhuberante form.

Usually it produces few annoyances, and one slight cojera.

Flat Coxa:

Much more serious sequel, in which the head of fémur has not held, sinking.

It can cause important cojeras.

Diagnosis and treatment

Diagnosis:

The physical exploration can in the beginning orient towards the disease, but the diagnosis

definitive it is made by means of the x-ray. Treatment

The treatment goes to reduce the load on the hip affects to favor its fast and correct treatment.

In counted occasions one is due to resort to the surgery.

General Measures

Rest. Not to walk on the affected leg.

Immobilization of the leg.

Medication

It is not necessary.

Activity

To see the general measures.

Diet

It is not necessary to follow no diet in special.

Factors of risk

Masculine sex.

White race.

Active life.

Prevention

Difficult, when the unknown with exactitude the cause.

Before any pain hip that presents/displays the boy, it agrees to make a specialized examination to him.

Signs and symptoms

It appears a pain in the hip affects, brief and that can happen unnoticed.

A pair of weeks lasts at the most. Other times, or a time after the pain, a progressive cojera appears.

Finally, in many cases he is asintomático, appearing like a radiological finding.

Causes

The basic cause is not known, although diverse theories and data aim at a traumatismo like leading factor.

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