Legg- Calve Perthes Disease.

how many stages does this disease have?

4. Over a period of 1 to 4 years.

as the diseases progresses...

ROM becomes limited and weakness and muscle wasting develop. The affected thigh is smaller, prolonged hip irritability may produce muscle spasms and increased pain.

what are some of the predisposing factors?

a coagulation system disorder causes repeated vascular interruptions to the proximal femur. Genetic factors, mild traumatic injury, breech births.

prenecrosis?

an issue causes loss of blood supply to the femoral head.

I necrosis?

avascular stage 3-6 months the kid has no symptoms everything is normal but the head of the femur is avascular.

what is used to diagnose it?

bone scans, MRI, arthrography. Lab values. EARLY DETECTION IS ESSENTIAL

III- Bone healing...

bone starts to heal and pain decreases.

when should a nurse suspect of this disease?

boy, 2-12 years old who complains of hip discomfort and has a limp. Assess ROM ask about hip injuries.

kids with this disease often have ...

delayed skeletal maturation, increased thyroid levels and low somastomedin.

the disease is more common among who?

low birth weight, increased parental age and second hand smoke.

what are the early symptoms?

mild pain in the hip or anterior thigh and a limp, which are aggravated by activity and relieved by rest. The child favors that hip.

II revascularization?

period 1-4 years, kid is under pain and limited ROM. X-rays show new bone reposition and dead bone resorption.

as the nurse...

promote normal growth and development. faciliate needs at school family and kid need to know treatment takes more than 2y

what is it?

self limiting condition in which there is avascular necrosis of the femoral head. It affects boys more than girls, between the ages of 2 and 12. It can be unilateral or bilateral.

give parents suggestions to help redirect the kids energy within limitations in mobility imposed by treatment

talk to family about importance of following treatment plan. Teach the family how to care for a kid in traction and how to check for skin breakdown

IV- remodeling...

the disease process is over and pain is gone.

etiology?

the necrosis results from an interruption of the blood supply to the femoral epiphysis. How and why this occurs, is not known. Disturbed blood supply to the epiphyseal plate of the femoral bone is the cause.

what is used to treat this issue?

to promote healing and prevent deformity, the femoral head must be contained within the hip socket until ossification is complete. This happens if the hips remain in an abducted position.

what is the brace commonly used?

toronto and Scottish Rite.