OSTEOCHONDRITIS DISSECANS OF THE HIP IN LEGG-CALVÉ-PERTHES DISEASE: CASE REPORT AND REVIEW
ABSTRACT Introduction: Legg-Calvé-Perthes disease (LCPD) is the idiopathic osteonecrosis of the capital femoral epiphysis in children. It is a self-healing condition, and the morphology of the hip may vary according to the severity of the disease, among several other factors. The treatment focuses...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2024-03-01
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| Series: | Acta Ortopédica Brasileira |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522024000107500&tlng=en |
| _version_ | 1797244721791238144 |
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| author | Luiz Renato Agrizzi de Angeli Bárbara Lívia Corrêa Serafim Felippi Guizardi Cordeiro Felipe Spinelli Bessa Daniel Augusto Carvalho Maranho |
| author_facet | Luiz Renato Agrizzi de Angeli Bárbara Lívia Corrêa Serafim Felippi Guizardi Cordeiro Felipe Spinelli Bessa Daniel Augusto Carvalho Maranho |
| author_sort | Luiz Renato Agrizzi de Angeli |
| collection | DOAJ |
| description | ABSTRACT Introduction: Legg-Calvé-Perthes disease (LCPD) is the idiopathic osteonecrosis of the capital femoral epiphysis in children. It is a self-healing condition, and the morphology of the hip may vary according to the severity of the disease, among several other factors. The treatment focuses on attempts to prevent femoral head collapse, obtain functional hip motion recovery, and reduce pain. Osteochondritis Dissecans (OCD) of the femoral head has been reported in 2% to 7% of patients diagnosed with healed LCPD. Although OCD may remain asymptomatic, the osteochondral fragment has the potential to become unstable, evolving into symptoms of pain, locking, catching, and snapping. Case report: We present a case report of a ten-year-old boy with an OCD lesion following LCPD who underwent effective osteochondral fixation through the surgical hip dislocation approach. The patient evolved to excellent functional recovery at 1 year post-operatively. Discussion: The surgical hip dislocation approach allows anatomical fixation of the OCD fragment, as well as improvement of hip biomechanics, decreasing pain, improving range of motion and joint congruency, and preserving the native articular cartilage. It also gives the surgeon the opportunity to assess hip stability, femoroacetabular impingement and labral tears, allowing a wide variety of options for the treatment of the healed LCPD. Level of Evidence IV; Type of study Case Report. |
| first_indexed | 2024-04-24T19:15:31Z |
| format | Article |
| id | doaj.art-b25baf28f0354d019deff248e18ee376 |
| institution | Directory Open Access Journal |
| issn | 1413-7852 |
| language | English |
| last_indexed | 2024-04-24T19:15:31Z |
| publishDate | 2024-03-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj.art-b25baf28f0354d019deff248e18ee3762024-03-26T07:40:00ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522024-03-0132110.1590/1413-785220243201e277177OSTEOCHONDRITIS DISSECANS OF THE HIP IN LEGG-CALVÉ-PERTHES DISEASE: CASE REPORT AND REVIEWLuiz Renato Agrizzi de Angelihttps://orcid.org/0000-0003-3779-6914Bárbara Lívia Corrêa Serafimhttps://orcid.org/0000-0002-2552-7138Felippi Guizardi Cordeirohttps://orcid.org/0000-0002-0175-2912Felipe Spinelli Bessahttps://orcid.org/0000-0003-0587-9862Daniel Augusto Carvalho Maranhohttps://orcid.org/0000-0002-3893-0292ABSTRACT Introduction: Legg-Calvé-Perthes disease (LCPD) is the idiopathic osteonecrosis of the capital femoral epiphysis in children. It is a self-healing condition, and the morphology of the hip may vary according to the severity of the disease, among several other factors. The treatment focuses on attempts to prevent femoral head collapse, obtain functional hip motion recovery, and reduce pain. Osteochondritis Dissecans (OCD) of the femoral head has been reported in 2% to 7% of patients diagnosed with healed LCPD. Although OCD may remain asymptomatic, the osteochondral fragment has the potential to become unstable, evolving into symptoms of pain, locking, catching, and snapping. Case report: We present a case report of a ten-year-old boy with an OCD lesion following LCPD who underwent effective osteochondral fixation through the surgical hip dislocation approach. The patient evolved to excellent functional recovery at 1 year post-operatively. Discussion: The surgical hip dislocation approach allows anatomical fixation of the OCD fragment, as well as improvement of hip biomechanics, decreasing pain, improving range of motion and joint congruency, and preserving the native articular cartilage. It also gives the surgeon the opportunity to assess hip stability, femoroacetabular impingement and labral tears, allowing a wide variety of options for the treatment of the healed LCPD. Level of Evidence IV; Type of study Case Report.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522024000107500&tlng=enOrthopedicsOrthopedic ProceduresGrowth And DevelopmentGrowth PlateLegg-Calve-Perthes DiseaseOsteochondritis Dissecans |
| spellingShingle | Luiz Renato Agrizzi de Angeli Bárbara Lívia Corrêa Serafim Felippi Guizardi Cordeiro Felipe Spinelli Bessa Daniel Augusto Carvalho Maranho OSTEOCHONDRITIS DISSECANS OF THE HIP IN LEGG-CALVÉ-PERTHES DISEASE: CASE REPORT AND REVIEW Acta Ortopédica Brasileira Orthopedics Orthopedic Procedures Growth And Development Growth Plate Legg-Calve-Perthes Disease Osteochondritis Dissecans |
| title | OSTEOCHONDRITIS DISSECANS OF THE HIP IN LEGG-CALVÉ-PERTHES DISEASE: CASE REPORT AND REVIEW |
| title_full | OSTEOCHONDRITIS DISSECANS OF THE HIP IN LEGG-CALVÉ-PERTHES DISEASE: CASE REPORT AND REVIEW |
| title_fullStr | OSTEOCHONDRITIS DISSECANS OF THE HIP IN LEGG-CALVÉ-PERTHES DISEASE: CASE REPORT AND REVIEW |
| title_full_unstemmed | OSTEOCHONDRITIS DISSECANS OF THE HIP IN LEGG-CALVÉ-PERTHES DISEASE: CASE REPORT AND REVIEW |
| title_short | OSTEOCHONDRITIS DISSECANS OF THE HIP IN LEGG-CALVÉ-PERTHES DISEASE: CASE REPORT AND REVIEW |
| title_sort | osteochondritis dissecans of the hip in legg calve perthes disease case report and review |
| topic | Orthopedics Orthopedic Procedures Growth And Development Growth Plate Legg-Calve-Perthes Disease Osteochondritis Dissecans |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522024000107500&tlng=en |
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