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Surgical Technique: Arthroscopic Treatment of Perthes Disease

Hip Arthroscopy and Hip Joint Preservation Surgery

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Abstract

Legg-Calve-Perthes disease (LCPD) is an idiopathic hip disorder that causes ischemic necrosis of the growing femoral head. It is a known cause of femoroacetabular impingement (FAI) in older children and adolescents because of the development of a misshapen head and corresponding acetabular deformity. Moreover, hip instability, extra-articular impingement, hinge abduction, and versional deformities are found in Perthes hips. These all have the potential to lead to debilitating arthritis later in life. Although hip arthroscopy has proven to be successful in the treatment of FAI, its role and indications in LCPD-associated FAI remain unclear. Historically, the most common indication for hip arthroscopy in the pediatric and adolescent population has been in LCPD, for both the diagnosis of the severity of the disease and the removal of loose bodies. With improved techniques and instrumentation, however, the indications have expanded to include femoral head/neck reshaping, labral repair, and acetabular trimming. Short-term outcomes studies have been promising; however, longer-term studies are needed to see if the natural long-term history of LCPD can be affected.

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Author information

Authors and Affiliations

  1. Akron Children’s Hospital, Akron, OH, USA

    Dr. Patrick Riley Jr. M.D., Jr.

  2. Harvard Medical School Children’s Hospital Boston, 300 Longwood Avenue, Boston, MA, 02117, USA

    Dr. Mininder S. Kocher M.D, MPH & Dr. Yi-Meng Yen M.D., Ph.D.

  3. Division of Sports Medicine, Orthopedic Surgeon, Boston Children’s Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA

    Dr. Mininder S. Kocher M.D, MPH & Dr. Yi-Meng Yen M.D., Ph.D.

Authors
  1. Dr. Patrick Riley Jr. M.D., Jr.
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  2. Dr. Mininder S. Kocher M.D, MPH
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  3. Dr. Yi-Meng Yen M.D., Ph.D.
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Corresponding author

Correspondence to Patrick Riley Jr. M.D., Jr. .

Editor information

Editors and Affiliations

  1. Dept. of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, USA

    Shane Nho

  2. Dept. Orthopaedics, Hip Service, Schulthess Clinic, Zurich, Switzerland

    Michael Leunig

  3. Caspary Building, Ground Floor, Center for Hip Pain and Preservation, New York, New York, USA

    Bryan Kelly

  4. Department of Orthopaedics, University of Michigan Domino's Farms Lobby A, Ann Arbor, Michigan, USA

    Asheesh Bedi

  5. Twin Cities Orthopedics - Edina, Edina, Minnesota, USA

    Christopher Larson

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Riley Jr., P., Kocher, M.S., Yen, YM. (2014). Surgical Technique: Arthroscopic Treatment of Perthes Disease. In: Nho, S., Leunig, M., Kelly, B., Bedi, A., Larson, C. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7321-3_35-1

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  • DOI: https://doi.org/10.1007/978-1-4614-7321-3_35-1

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  • Publisher Name: Springer, New York, NY

  • Online ISBN: 978-1-4614-7321-3

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  1. Latest

    Surgical Technique: Arthroscopic Treatment of Perthes Disease
    Published:
    16 June 2021

    DOI: https://doi.org/10.1007/978-1-4614-7321-3_35-2

  2. Original

    Surgical Technique: Arthroscopic Treatment of Perthes Disease
    Published:
    06 June 2014

    DOI: https://doi.org/10.1007/978-1-4614-7321-3_35-1

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