Hip Disorders
A 6-year-old boy presents with a 2-month history of right hip pain and a painless limp. He has no history of trauma or systemic symptoms. Examination reveals limited abduction and internal rotation. Radiographs show increased density and fragmentation of the right femoral epiphysis with preservation of the lateral pillar. The left hip is normal. Regarding Legg-Calvé-Perthes disease:
Mark each as TRUE or FALSE
Perthes disease is idiopathic avascular necrosis of the femoral head in children; it typically affec...
The disease progresses through four stages: initial (avascular, increased density), fragmentation (r...
Perthes is most common in girls; peak age is 12-14 years; bilateral involvement is the norm; the fem...
The Herring lateral pillar classification is the most useful prognostic indicator: Group A (lateral ...
Containment treatment (keeping the femoral head within the acetabulum) includes abduction bracing, f...
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Click T (True) or F (False) for each option