Abnormalities of proximal femoral growth after severe Perthes' disease

Paul David Sponseller, S. S. Desai, M. B. Millis

Research output: Contribution to journalArticle

Abstract

We studied the pattern of proximal femoral growth after severe Perthes' disease (Catterall grade III or IV) by retrospective analysis of serial radiographs in 52 hips (46 patients). Our aim was to determine the relationship between proximal femoral growth abnormalities and metaphyseal cysts, epiphyseal extrusion, physeal narrowing, and extensive epiphyseal necrosis. The average follow-up after treatment was 9.8 years (range 4 to 16 years), and 37 of the hips were followed to skeletal maturity. Slowing of proximal femoral growth was common: symmetrical abnormality was seen in 26 hips and asymmetrical abnormality in nine. However, definite premature closure of the proximal femoral physis was seen in only three hips. Abnormality seemed to be due to altered growth velocity rather than to bar formation in most cases. Metaphyseal cysts, epiphyseal extrusion and physeal narrowing during the active stage of the disease, alone or in combination, were found to be neither sensitive nor specific predictors of the subsequent growth pattern.

Original languageEnglish (US)
Pages (from-to)610-614
Number of pages5
JournalJournal of Bone and Joint Surgery - Series B
Volume71
Issue number4
StatePublished - 1989

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Legg-Calve-Perthes Disease
Thigh
Hip
Growth
Cysts
Necrosis

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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Abnormalities of proximal femoral growth after severe Perthes' disease. / Sponseller, Paul David; Desai, S. S.; Millis, M. B.

In: Journal of Bone and Joint Surgery - Series B, Vol. 71, No. 4, 1989, p. 610-614.

Research output: Contribution to journalArticle

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