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Perthes Disease

  1. Reasons
  2. Symptoms
  3. Diagnosis
  4. Treatment

Perthes Disease

localized in the hip joint and can affect not only the joints but also the tissue of the bones, nerves, vessels. It develops in childhood or adolescence and has a propensity for progression, and therefore it is desirable access to a doctor as early as possible.

According to statistics, about 17% of the diseases associated with osteochondropathies accounts for Perthes disease. In children it begins to emerge quite early 4-5 years old and in adolescence. And interestingly, the most common boys. While the disease most often affects the joint of the right foot, although there are cases of bilateral disease.


At the moment there are several theories regarding the emergence of disease

  • trauma (displacement of the femoral head or punches)
  • infection (lesions of the joints with various viruses)
  • a hormonal imbalance during adolescence
  • improper bone formation (abnormal metabolism of phosphorus, calcium and other minerals)
  • heredity.

Particularly it should be noted that Perthes disease may suffer people who have hypoplasia (congenital) lumbar in the normal structure, all the vessels are working properly, and when congenital defects most often they are pinched and their correct functioning is impaired.


The disease begins gradually and very often parents find that it is associated with a history of oropharyngeal diseases (sinusitis, tonsillitis and so on).

The first symptoms of the disease are mostly

  • mild lameness
  • slightly, a little dull pain while walking (near the joint or in the knee)
  • impaired gait (the patient pulls the affected leg).

At a more severe stage of the disease manifest themselves

  • a strong limp
  • the weakening of the muscles of the buttocks
  • sharp pain while walking
  • difficulty in turning the leg in the outer side
  • swelling of the joint area
  • possible temperature rise
  • complicated Sibenergomash diseased joint
  • the increase in lymphocytes
  • a low pulse on the fingers
  • disorders in the area of the foot (excessive sweating, coldness, and pallor).

As mentioned above, the disease of pertes is a withering away of bone tissue that occurs in the center of the bone head.

Obligatory stages of Perthes disease

  • destructive actions in the area of the femoral head
  • depressed fracture of bone of head (secondary)
  • resorption of tissue (dead) and shortening of the femoral neck
  • tissue recovery because of the growth of connective tissues
  • the accretion of bone under the influence of the calcium salt and of the growth of fresh bone tissue.


Difficult to diagnose disease at its first stage, but later does not cause any difficulties. To confirm the diagnosis at the initial stage, experts prescribe ultrasound examination of the hip joint or CT sections of bone and joints.


The disease is mostly treated using conventional methods

  • unload the diseased limb and the joint, through the overlaying prosthetic structure and gypsum
  • take measures to restore blood flow in damaged areas
  • maintain muscle tone.