[Legg-calvé-perthes disease.].
The author summarizes basic findings on the etiology and epidemiology of Legg-Calvé-Perthes disease (LCP). Attention is paid to its pathogenesis, and the relationship of transient synovitis to LCP is discussed. Attention is paid to pathological findings in LCP and the relationship of growth to the development of LCP. The author analyzes work devoted to clinical and radiological findings, arthrography and scintigraphy of the hip joints, incl. MR, CT and US examinations. He deals also with the differential diagnosis of LCP and prognostic factors which have an impact on therapeutic results. Therapy is discussed from the aspect of conservative treatment (Atlanta splints did not prove very effective in severe forms of LCP), as well as from the aspect of surgical treatment. Special attention is paid to varus osteotomy and osteotomy of the pelvis according to views of various authors, and on the other hand to valgusextension osteotomy in patients where so-called abduction on a hinge with excentric rotation of the head of the femur develops. Special attention is devoted to therapeutic possibilities in severe forms of LCP. The latest views on classification of so-called abduction on a hinge are given corresponding to the grade of lateral extrusion of the head, incl. possibilities of suitable treatment. Key words: Legg-Calvé-Perthes disease, diagnosis, treatment.
Poul
J
J
Klinika detské ortopedie FDN JGM, Brno.