Conservative Management of Late-Onset Legg-Calvé-Perthes Disease in a 10-Year-Old Child: A Case Report
Legg-Calvé-Perthes disease is a childhood condition characterized by avascular necrosis of the femoral head, with a poorer prognosis in children over 8 years. This case report describes a 10-year-old boy presenting with persistent left thigh pain, limp, and limited hip motion following a fall 3 mon...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Nepal Medical Association
2025-03-01
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| Series: | Journal of Nepal Medical Association |
| Subjects: | |
| Online Access: | http://www.jnma.com.np/jnma/index.php/jnma/article/view/8954 |
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| Summary: | Legg-Calvé-Perthes disease is a childhood condition characterized by avascular necrosis of the femoral head, with a poorer prognosis in children over 8 years. This case report describes a 10-year-old boy presenting with persistent left thigh pain, limp, and limited hip motion following a fall 3 months earlier. Imaging revealed osteonecrosis of the left femoral head with degenerative changes. Despite surgical intervention being the standard for late-onset LCPD, the patient was managed conservatively using bilateral skin traction and a Petrie’s cast due to financial constraints. Follow-up monthly for 6 months showed significant improvement, highlighting conservative treatment's potential in resource-limited settings.
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| ISSN: | 0028-2715 1815-672X |