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.
Practised by MCQ
10What is the primary goal of management in Perthes disease?
mcqAt what age does Perthes disease typically present with the best prognosis?
mcqWhich radiological feature is characteristic of Stage I Perthes disease?
mcqWhat is the main indication for surgical intervention in Perthes disease?
mcqWhat is the typical demographic incidence of Perthes disease?
mcqWhich of the following is a sign that may indicate impending collapse of the femoral head in Perthes disease?
mcqWhat is the duration of the fragmentation phase in Perthes disease according to Waldenström classification?
mcqWhich of the following management options is NOT typically used in Perthes disease?
mcqWhat is the significance of the Herring lateral pillar classification in Perthes disease?
mcqWhat is a common physical examination finding in a child with Perthes disease?