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Perthes Disease — Management

Idiopathic avascular necrosis of femoral head in children 4–10 yrs. More common in boys; often unilateral. Clinical: limp, hip/knee pain, limited abduction/internal rotation. Imaging: X-ray shows increased density, fragmentation, collapse, reossification (Waldenström stages). Management: containment (bracing, osteotomy) to keep femoral head within acetabulum.

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Idiopathic avascular necrosis of femoral head in children 4–10 yrs. More common in boys; often unilateral. Clinical: limp, hip/knee pain, limited abduction/internal rotation. Imaging: X-ray shows increased density, fragmentation, collapse, reossification (Waldenström stages). Management: containment (bracing, osteotomy) to keep femoral head within acetabulum.
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Question 1

What is the primary goal of management in Perthes disease?

Question 2

At what age does Perthes disease typically present with the best prognosis?

Question 3

Which radiological feature is characteristic of Stage I Perthes disease?

Question 4

What is the main indication for surgical intervention in Perthes disease?

Question 5

What is the typical demographic incidence of Perthes disease?

Question 6

Which of the following is a sign that may indicate impending collapse of the femoral head in Perthes disease?

Question 7

What is the duration of the fragmentation phase in Perthes disease according to Waldenström classification?

Question 8

Which of the following management options is NOT typically used in Perthes disease?

Question 9

What is the significance of the Herring lateral pillar classification in Perthes disease?

Question 10

What is a common physical examination finding in a child with Perthes disease?