title: Changes in the capital growth plate and the proximal femoral metaphysis in Legg-Calvé-Perthes disease.
abstract: Studies on about 350 hips treated during the years from 1946 to 1965 for Legg-Calvé-Perthes disease (LCPD) showed that metaphyseal changes regularly appear in this condition. When these changes are extreme, a step-like irregularity appears in the capital growth plate and the bony epiphysis adapts itself to the metaphyseal defect. This phenomenon of step-like progression of changes in the growth plate is seen in other conditions as a consequence of cartilage necrosis. When premature closure of the capital epiphyseal plate occurs in LCPD it may be followed by "overgrowth" of the greater trochanter and a positive Trendelenburg sign. This functional disability may be prevented by apophyseodesis of the greater trochanter if it is performed early enough.
mesh_terms: D000293:Adolescent; D002648:Child; D004838:Epiphyses / Q000473:pathology*; D005269:Femur / Q000473:pathology / Q000601:surgery; D005270:Femur Head / Q000473:pathology*; D005271:Femur Head Necrosis / Q000473:pathology*; D006801:Humans; D007873:Legg-Calve-Perthes Disease / Q000473:pathology* / Q000601:surgery; D008722:Methods