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- Title
LEGG-CALVE-PERTHES DISEASE.
- Authors
Anastasia, Radut; Argentina, Sandrosean
- Abstract
Introduction: Despite the fact that the prevalence of aseptic osteonecrosis of the femoral head is 2.9% of all osteo-muscular disorders and 25% of hip joint disorders [1], this problem requires special attention, while late diagnosis and lack of adequate treatment would could lead to the patient's disability. Because of this, Legg-Calve- Perthes disease is a socially significant pathology [3]. Materials and methods: the statistical retrospective research based on the 30 medical files of patients hospitalized and treated between 01.01.2021 and 31.12.2022, in the section of Pediatric Orthopedics and Traumatology, IMSP Mother and Child Institute from Chisinau, with the diagnosis of Legg-Calve-Perthes disease. Were included in the study patients with idiopathic avascular necrosis confirmed by clinical and radiography signs, age ≤ 18 years old . Results: According to the statistical retrospective research, 30 children included with LCPD at different stages, of which 19 were male and 11 female, with the maximum represented between 6-10 years (15 child). Pacients from the urban environment, presented to the doctor in the first six months after the onset of symptoms, while from the rural in the most cases (12 children) sought medical help more than 6 months. After performing the radiography of the hip joint in each of the children included in the study, it was established that most of hospitalized repeatedly had stage V of the disease (10 children), but primary pacients -- stage III (3 patients), in 2 cases primary radiography was without pathological changes, and after performing the MRI, was established stage I of the disease. Conclusions: Legg-Calve-Perthes disease occurred more frequently in children aged between 6-10 years; with a higher incidence among males (1.7:1) and with the prevalence of patients from rural areas (66.7%). Urban patients, who have better and more diverse access to medical assistance, present to the doctor in the first months of illness. Most often primary patients present with stage III of the disease. The most used treatment method is conservative treatment.
- Subjects
CHISINAU (Moldova); FEMUR head; HIP joint abnormalities; PEDIATRIC orthopedics; CHILDREN'S injuries; DISEASE prevalence; RADIOGRAPHY; HIP joint; PATIENTS' attitudes; JOINT diseases; MEDICAL digital radiography
- Publication
German International Journal of Modern Science / Deutsche Internationale Zeitschrift für Zeitgenössische Wissenschaft, 2023, Issue 55, p21
- ISSN
2701-8369
- Publication type
Article
- DOI
10.5281/zenodo.7890576