Perthes disease. Etiology. Symptoms. Physiotherapy

Abstract

Karski Tomasz, Karski Jacek, Dudin Mikhail and Pyrc Jaroslaw

Many Pediatric Orthopedic Departments in Europe treat children with aseptic necrosis of femoral head. The illness is known in orthopedics as Legg - Waldenström - Calve - Perthes disease, described as the Perthes disease, or LCP disease. The treatment in all Orthopedics Centers mostly is similar - conservative, by physiotherapy and in cases with deformity of proximal end of femur-like varus deformity, partially dislocation / lateralization of femoral head-is done surgery. In many congresses and symposia-discussions about causes of the Perthes disease are very controversial. In our article we describe the causes of this illness. We are providing a lot of evidence that etiology is connected with trauma and concerned mostly children with symptoms of Minimal Brain Dysfunctions (MBD).

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