Clinical Significance of Arthrography in Legg-Calve-Perthes' Disease
10.4055/jkoa.1978.13.3.299
- Author:
Kwang Hoe KIM
;
Yun Ku CHOI
;
Yon Hee PARK
- Publication Type:Original Article
- MeSH:
Arthrography;
Braces;
Child;
Classification;
Disease;
Female;
Head;
Humans;
Legg-Calve-Perthes Disease;
Male;
Methods;
Osteochondrosis;
Pathology;
Prognosis
- From:The Journal of the Korean Orthopaedic Association
1978;13(3):299-305
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Legg-Perthes' disease, as avascularity of the femoral head that often arises in the child of a particular age group, is a serious disease of which the frequency is more than the osteochondroses of the other part, and the cause of Legg-Perthes disease is obscure up to now, but the pathogenesis and, pathology are more clearly understood. Twenty patients with Legg-Perthes disease were managed at the department of Orthopaedic Surgery of Hanyang University hospital from May, 1972 till September, 1977 and were studied according to the method of Catterals classification arid arthrogram. The following conclusion were made. 1. The age group with the highest frequency was that from 6 to 9 years (40%) and the ratio of male: female was 6: 1. 2. The stage of disease s progress when patient went to hospital was almost fragmentation stage as 17 persons of the whole. 3. By arthrogram Spherical form of femoral head was 15%; Round form 45%; Flatten form 40%. 4. The longer the period from onset to beginning of treament was the more femoral head flattened. 5. There was the most number of patient as 13 persons of the whole wearing abduction internal rotation brace. 6. From the view point of arthrogram the more spherical the femoral head was the better the prognosis was; otherwise the worse.
