DOI: https://doi.org/10.22141/1608-1706.5.14.2013.88168

Risk Factors for Femoroacetabular Impingement in Children and Adolescents with Legg — Calve — Perthes Disease

V.V. Filipchuk, Ye.L. Golyuk, I.I. Bila

Abstract


The material of the study were medical records and radiographs of hip joints of 294 patients with Legg — Calve — Perthes disease. We modified index of femoral head asphericity, which combines the advantages of asphericity angle by Notzli (angular measurement) and Gosvig index (insensitivity to measurement errors associated with the rotation of the hip). It is determined that the residual deformation of cavity due to Legg — Calve — Perthes disease after its formation (skeletal maturity ≥ 32) was observed in 87 %. It is established that the criteria for predicting femoroacetabular impingement in Legg — Calve — Perthes disease is a skeletal maturity at the time of onset of the disease, the amount of damage and the amount of available radiological risk factors. At skeletal maturity ≥ 22 points and total destruction by Catterall ≥ 3 expectant management not only leads to an increase in the secondary deformation in the stage of fragmentation, but also reduces the period of remodeling.

Keywords


Legg — Calve — Perthes disease; femoroacetabular impingement; hip joint

References


A Prospective Multicenter Study of Legg-Calvé-Perthes Disease: Functional and Radiographic Outcomes of Nonoperative Treatment at a Mean Follow-up of Twenty Years / A.N. Larson et al. // J. Bone Joint Surg. Am. — 2012. — Vol. 94(7). — P.584-592.

Kim Y.J. Diagnosis and treatment of femoroacetabularimpingement in Legg-Calvé-Perthes disease / Y.J. Kim, E.N. Novais // J. Pediatr. Orthop. — 2011. — Vol. 31(2). — P. 235-240.

Kim H.K. Pathophysiology and new strategies for the treatment of Legg-Calvé-Perthes disease / H.K. Kim // J. Bone Joint Surg. Am. — 2012. — Vol. 94(7). — P. 659-666.

Coagulation abnormalities in Legg-Calvé-Perthes disease / A. Vosmaer et al. // J. Bone Joint Surg. Am. — 2010. — Vol. 92(1). — P. 121-128.

Kim H. Pathogenesis of metaphyseal radiolucent changes following ischemic necrosis of the capital femoral epiphysis in immature pigs. A preliminary report / H. Kim // J. Bone Joint Surg. (Am). — 2004. — Vol. 86-A. — P. 129-135.

Гайко Г.В.Ускладнений перебіг хвороби Легга — Кальве — Пертеса / Г.В. Гайко, В.В. Філіпчук, М.І. Хархун // Орт. Травм. Протез. — 2003. — № 2. — С.27-29.

Філіпчук В.В. Методика визначення скелетної зрілості за рентгенограмами таза та кульшових суглобів / В.В. Філіпчук, Н.О. Науменко, Є. I. Голюк // Проблеми остеології. — 2005. — Т. 8, № 1–3. — С. 20-24.

Гайко Г.В. Методологія оцінки результатів лікування при хворобі Легг-Кальве-Пертеса / Г.В Гайко, В.В Філіпчук, М.І. Хархун // Вісник ортопедії, травматології та протезування. — 2001. — № 1. — С. 6-8.

Stulberg classification system for evaluation of Legg-Calvé-Perthes’ disease: intra-rater and inter-rater reliability / J.G. Neyt et al. // Journal of Bone and Joint Surgery A. — 1999. — Vol. 81, № 9. — P. 1209-1216.

The contour оf the femoral head-neck junction as a predictor for the risk of anterior impingement / H.P. Notzli et al. // J. Bone Joint Surg. Br. — 2002. — Vol. 84. — P. 556-560.

Toogood P.A. Proximal Femoral Anatomy in the Normal Human Population / P.A. Toogood, A. Skalak, D.R. Cooperman // Clin. Orthop. Relat. Res. — 2009. — Vol. 467. — P. 876-885.

New radiological index for assessing asphericity of the femoral head in cam impingement / Gosvig K.K. et al. // J. Bone Joint Surg. Br. — 2007. — Vol. 89. — P. 1309-1316.

A prospective multicenter study of Legg-Calvé-Perthes disease: functional and radiographic outcomes of nonoperative treatment at a mean follow-up of twenty years / A.N. Larson et al. // J. Bone Joint Surg Am. — 2012. — Vol. 94(7). — P. 584-592.




Copyright (c) 2016 TRAUMA

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

 

© Publishing House Zaslavsky, 1997-2018

 

   Seo анализ сайта