Legg-Calvé-Perthes Disease

  1. General information
    1. Aseptic necrosis of femoral head due to disturbance of circulation to the area
    2. Primarily affects boys ages 4-10 years
    3. Stages: lasting from 18 months to a few years
      1. Initial stage: may not be distinguishable from transient synovitis
      2. Avascular stage: often the first stage noticed
      3. Revascularization stage: regeneration of vascular and connective tissue
      4. Regeneration stage: formation of new bone
  2. Medical management: goal is to minimize deformity until healing process is completed
    1. Initial bed rest with traction and then an abduction brace
    2. Possible surgery
  3. Assessment findings
    1. Limp, limitation of movement
    2. Pain in groin, hip, and referred to knee; often difficult for child to localize pain
    3. Diagnostic test: x-ray reveals opaque ossification center of head of the femur (softened in avascular stage)
  4. Nursing interventions
    1. Provide care for a child with a cast or brace.
    2. Provide diversional activities.

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