title: Perthes disease: evaluation and management.
abstract: Perthes disease refers to self-limiting idiopathic avascular necrosis of capital femoral epiphysis in a child. There is no consensus for the optimum treatment of Perthes disease even 100 years after the first description. The prime aim of the treatment is to maintain the sphericity of the femoral head and the congruency of the femur-acetabulum relationship to prevent secondary degenerative arthritis. Early diagnosis and management can help the collapse of femoral head, progressive femoral head deformity, and impingement.
authors.affiliation: Pediatric Orthopaedic Services, Department of Orthopaedics, Kasturba Medical College, Manipal University, Manipal 576104, Karnataka, India. Electronic address: hiteshshah12@gmail.com.
authors.forename: Hitesh
authors.initials: H
authors.lastname: Shah
mesh_terms: D002648:Child; D019468:Disease Management; D018450:Disease Progression; D061345:Early Medical Intervention / Q000379:methods; D057925:Femoracetabular Impingement / Q000209:etiology / Q000517:prevention & control; D005270:Femur Head / Q000000981:diagnostic imaging / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007873:Legg-Calve-Perthes Disease / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D010003:Osteoarthritis / Q000209:etiology / Q000517:prevention & control; D010027:Osteotomy / Q000379:methods*; D011379:Prognosis; D011859:Radiography; D016059:Range of Motion, Articular
keywords: Congruent hip; Containment; Femoral osteotomy; Iliac osteotomy; Perthes disease