Perthes Disease Early Stage.Dead trabecular bone, Collapsed trabeculae.Thickened articular cartilage, Physeal disruption.Cartilage extending from the physis into the metaphysis Fragmentation Stage.Invasion of vascular granulation tissue.New bone forming on old trabeculae.Woven new bone formation Healing Stage.

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SURGICAL HIP DISLOCATION By Sabrina Cerciello SURGICAL HIP DISLOCATION is a demanding surgical procedure that permits unlimited access to the entire hip joint to address lesions and labral pathology Age Consideration Patient age is highly variable Younger patients

more common better results less irreversible tissue damage Older patients caution with patient selection d/t comorbidities and poor bone quality at this point in life, may be more beneficial or necessary for a Total Hip Replacement (THR) FAI Femoro-Acetabular Impingement Abnormal and wearing contact between the ball and socket of the hip joint, resulting in increased friction during movement that may

damage joint (ref) Most common indication Typically young athletic men d/t over-activity of hip joint TYPES Two Types Cam femoral head/neck deformity

cartilage delamination acetabular cartilage lifted from underlying bone Pincer over-coverage of acetabulum labral tear labrum = ring of elastic tissue on rim of socket of hip joint FAI TYPES PreOperative Cam Lesion Labral Tear d/t Cam Lesion

PostOperative improved sphericity of femoral head Radiograph of 10 y.o. girl diagnosed with Perthes disease OTHER INDICATIONS Slipped Capital Femoral Epiphysis Perthes Disease Abnormal development of hip joint Exostoses

osteonecrosis at the femoral head Developmental Dysplasia of the Hip (DDH) separation of the femoral head from the femur at the growth plate extra bone growth Hip Abnormalities GANZ TECHNIQUE Trochanteric Flip Osteotomy

Legg-Calve-Perthes Disease of the Hip Your child has been diagnosed as having Legg-Calve-Perthes disease. This is an attempt to briefly explain the nature of this hip disorder and our approach to treatment. Legg-Perthes disease was described early in the 20 th century following the.

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• Pathophysiology: Legg-Calve-Perthes disease is a childhood condition that affects the hip, where the thighbone (femur) and pelvis meet in a ball-and-socket joint. It occurs when blood supply is temporarily interrupted to the ball part (femoral head) of the hip joint.

Perthes Disease Radiology

Osteotomy around hip jointSurgical Treatment for Perthes DiseaseMazloumi MDAssociated professorOrthopaedic surgeonA 14-year-old boy who had Legg-Calve-Perthes disease at age 8 years and was treated with nonoperative methods(A) A 14-year-old boy who had Legg-Calve -Perthes disease at age 8 years and was treated with nonoperativemethods. Any 3rd party software for mac. He now has a limp and relatively severe hip pain with activities. (B) Frog-leg view in the samepatient. This patient typifies the problems encountered in treating the late sequelae of Perthes disease.

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