Legg-Calve-Perthes disease - Revision history

ClaireLewis: /* Evaluation */

2019-08-23T22:09:17Z

Evaluation

← Older revision		Revision as of 22:09, 23 August 2019
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	==Evaluation==		==Evaluation==
			[[File:Roe-perthes.jpg\|thumb\|]]
	*Plain radiographs of the hip		*Plain radiographs of the hip
	**May be normal early in disease		**May be normal early in disease

2016-12-25T01:27:02Z

← Older revision		Revision as of 01:27, 25 December 2016
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	==Evaluation==		==Evaluation==
	*~~Initial~~ radiographs ~~may~~ be normal		*Plain radiographs of the hip
			**May be normal early in disease
	**If high suspicion obtain bone scan or MRI		**If high suspicion obtain bone scan or MRI
	*Imaging findings:		*Imaging findings:
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	==Management==		==Management==
	#Non-weight bearing		*Orthopedic surgery consultation
	~~#Referral~~ to ~~ortho~~		*Non-weight bearing
			*Protection of hip joint (maintain in abduction and internal rotation)

			==Disposition==
			*Generally may be discharged
			**Should be done in consultation with orthopedic surgery to ensure appropriate therapy and close follow-up

	==See Also==		==See Also==
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	==References==		==References==
	<references/>		<references/>


	[[Category:Pediatrics]]		[[Category:Pediatrics]]
	[[Category:Orthopedics]]		[[Category:Orthopedics]]

2016-12-24T22:03:59Z

← Older revision		Revision as of 22:03, 24 December 2016
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	==Clinical Features==		==Clinical Features==
	*Insidious onset of mild hip pain and limp		*Insidious onset of mild [[hip pain]] and [[limp]]
	**May have painless limp		**May have painless limp
	**May have referred pain to groin, thigh, knee		**May have referred pain to groin, thigh, knee
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	*Initial radiographs may be normal		*Initial radiographs may be normal
	**If high suspicion obtain bone scan or MRI		**If high suspicion obtain bone scan or MRI
	*~~Findings~~		*Imaging findings:
	**Widening of cartilage space of affected hip		**Widening of cartilage space of affected hip
	**Small size ossific nucleus of femoral head		**Small size ossific nucleus of femoral head

2016-12-24T22:02:47Z

Background

← Older revision		Revision as of 22:02, 24 December 2016
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	==Background==		==Background==
	*Avascular necrosis of femoral head		*[[Avascular necrosis of hip\|Avascular necrosis of femoral head]]
	**Capital femoral epiphysis fails to grow because of lack of blood supply		**Capital femoral epiphysis fails to grow because of lack of blood supply
	*Affects children 4-9yr old		*Affects children 4-9yr old

2016-07-22T14:56:39Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 14:56, 22 July 2016
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	{{Pediatric hip DDX}}		{{Pediatric hip DDX}}

	==~~Diagnosis~~==		==Evaluation==
	*Initial radiographs may be normal		*Initial radiographs may be normal
	**If high suspicion obtain bone scan or MRI		**If high suspicion obtain bone scan or MRI

2016-07-11T21:26:18Z

Text replacement - " w/ " to " with "

← Older revision		Revision as of 21:26, 11 July 2016
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	**May have painless limp		**May have painless limp
	**May have referred pain to groin, thigh, knee		**May have referred pain to groin, thigh, knee
	*Pain often exacerbated by activity, relieved w/ rest		*Pain often exacerbated by activity, relieved with rest
	*Decreased hip abduction and internal rotation		*Decreased hip abduction and internal rotation

2016-07-08T00:42:34Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 00:42, 8 July 2016
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	**Subchondral stress fracture line in femoral head		**Subchondral stress fracture line in femoral head

	==~~Treatment~~==		==Management==
	#Non-weight bearing		#Non-weight bearing
	#Referral to ortho		#Referral to ortho

2016-06-27T23:25:39Z

Text replacement - "Tintinalli" to ""

2016-06-27T02:03:19Z

Text replacement - "==Source==" to "==References== <references/>"

2016-03-22T15:59:43Z

Text replacement - "Category:Peds" to "Category:Pediatrics"