Legg-Calvé-Perthes disease: classifications and prognostic factors.

Q3 Medicine

Clinical Cases in Mineral and Bone Metabolism Pub Date : 2017-01-01 Epub Date: 2017-05-30 DOI:10.11138/ccmbm/2017.14.1.074

Virginie Rampal, Jean-Luc Clément, Federico Solla

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引用次数: 27

Abstract

Introduction: Legg-Calvé-Perthes Disease (LCPD) represents idiopathic avascular necrosis of femoral head in pediatric population. Indications for treatment depend mostly on prognosis about femoral head sphericity and hip congruence at the end of growth. The aim of this review is to highline prognostic factors of LCPD.

Methods: Bibliographic search in PubMed allowed selection of 33 articles concerning prognostic factors and/or classification of LCPD.

Conclusion: Clinical factors of poor prognosis are overweight, female sex, age exceeding 6 years old, and lack of hip abduction. Radiologically, Herring's classification is consensual because of its high prognostic value and very good reproducibility. The other signs of femoral head "at-risk" and the assessment of the reduction in abduction of the femoral head in the acetabulum are also prognostic of late evolution. MRI seems to be a future tool in assessing the fate of hips in LCPD. It is likely that a better understanding of LCPD etiology would precise the prognosis of this disease.

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legg - calv - perthes病:分类和预后因素。

legg - calv - perthes病(LCPD)是儿童人群中特发性股骨头缺血性坏死的代表。治疗的适应症主要取决于生长末期股骨头球形度和髋关节一致性的预后。本综述的目的是强调LCPD的预后因素。方法:在PubMed进行文献检索，选择33篇关于LCPD预后因素和/或分类的文章。结论:超重、女性、年龄大于6岁、髋关节外展不足是导致预后不良的临床因素。放射学上，Herring的分类是公认的，因为它具有很高的预后价值和很好的重复性。股骨头“危险”的其他迹象和髋臼股骨头外展减少的评估也是晚期进化的预后。MRI似乎是评估LCPD髋部命运的未来工具。这很可能是一个更好的了解LCPD的病因将准确的预后这种疾病。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Cases in Mineral and Bone Metabolism ENDOCRINOLOGY & METABOLISM-

CiteScore

2.60

自引率

0.00%

发文量

期刊介绍： The Journal encourages the submission of case reports and clinical vignettes that provide new and exciting insights into the pathophysiology and characteristics of disorders related to skeletal function and mineral metabolism and/or highlight pratical diagnostic and /or therapeutic considerations.