Skip to main content
Top
Published in: Journal of Children's Orthopaedics 2/2007

01-07-2007 | Original Clinical Article

Perthes disease: a survey of management amongst members of the British Society for Children’s Orthopaedic Surgery (BSCOS)

Authors: Suresh Kumar Masilamani Annamalai, Rachel Buckingham, John Cashman

Published in: Journal of Children's Orthopaedics | Issue 2/2007

Login to get access

Abstract

The treatment of Legg-Calvé-Perthes disease remains controversial. The aim of this survey was to ascertain the current management strategies of this condition amongst UK paediatric orthopaedic surgeons, with particular regard to containment procedures in the fragmentation phase. Questionnaires were distributed at the January 2006 meeting of the British Society for Children’s Orthopaedic Surgery (BSCOS) and was posted to all absent members. The results showed a great deal of variability not only in the treatment of Perthes disease, but also in the decision-making processes. Consideration must now be given to a carefully constructed national multi-centre prospective randomised controlled study into the optimum management of this disease
Appendix
Available only for authorised users
Literature
1.
go back to reference Wynne-Davies R, Gormley J (1978) The aetiology of Perthes’ disease. Genetic, epidemiological and growth factors in 310 Edinburgh and Glasgow patients. J Bone Joint Surg Br 60(1):6–14PubMed Wynne-Davies R, Gormley J (1978) The aetiology of Perthes’ disease. Genetic, epidemiological and growth factors in 310 Edinburgh and Glasgow patients. J Bone Joint Surg Br 60(1):6–14PubMed
2.
go back to reference Harrison MHM, Menon MPA (1966) Legg-Calve-Perthes disease. The value of roentgenographic measurement in clinical practice with special reference to the broomstick plaster method. J Bone Joint Surg Am 48(7):1301–1318PubMed Harrison MHM, Menon MPA (1966) Legg-Calve-Perthes disease. The value of roentgenographic measurement in clinical practice with special reference to the broomstick plaster method. J Bone Joint Surg Am 48(7):1301–1318PubMed
3.
go back to reference Eyre-Brook AI (1936) Osteochondritis deformans coxae juvenilis or Perthes’ disease: the results of treatment by traction in recumbency. Br J Surg 24:166–182CrossRef Eyre-Brook AI (1936) Osteochondritis deformans coxae juvenilis or Perthes’ disease: the results of treatment by traction in recumbency. Br J Surg 24:166–182CrossRef
4.
go back to reference Morrissy RT, Weinstein SL (eds) (2001) Lovell and Winter’s Pediatric Orthopedics, 5th edn. Lippincott Williams & Wilkins, Philadelphia, Pennsylvania Morrissy RT, Weinstein SL (eds) (2001) Lovell and Winter’s Pediatric Orthopedics, 5th edn. Lippincott Williams & Wilkins, Philadelphia, Pennsylvania
5.
go back to reference Gershuni DH, Axer A, Handel D (1980) Arthrography as an aid to diagnosis, prognosis and therapy in Legg-Calve-Perthes’ disease. Acta Orthop Scand 51(3):505–510CrossRefPubMed Gershuni DH, Axer A, Handel D (1980) Arthrography as an aid to diagnosis, prognosis and therapy in Legg-Calve-Perthes’ disease. Acta Orthop Scand 51(3):505–510CrossRefPubMed
6.
go back to reference Rab GT (2005) Theoretical study of subluxation in early Legg-Calve-Perthes disease. J Pediatr Orthop 25(6):728–733CrossRefPubMed Rab GT (2005) Theoretical study of subluxation in early Legg-Calve-Perthes disease. J Pediatr Orthop 25(6):728–733CrossRefPubMed
7.
go back to reference MacEwen GD (1981) Treatment of Legg-Calve-Perthes disease. Instr Course Lect 30:75–84PubMed MacEwen GD (1981) Treatment of Legg-Calve-Perthes disease. Instr Course Lect 30:75–84PubMed
8.
go back to reference Kiepurska A (1991) Late results of treatment in Perthes’ disease by functional method. Clin Orthop Relat Res 272:76–81PubMed Kiepurska A (1991) Late results of treatment in Perthes’ disease by functional method. Clin Orthop Relat Res 272:76–81PubMed
9.
go back to reference Herring JA, Kim HT, Browne R (2004) Legg-Calve-Perthes disease. Part II: prospective multicenter study of the effect of treatment on outcome. J Bone Joint Surg Am 86-A(10):2121–2134PubMed Herring JA, Kim HT, Browne R (2004) Legg-Calve-Perthes disease. Part II: prospective multicenter study of the effect of treatment on outcome. J Bone Joint Surg Am 86-A(10):2121–2134PubMed
10.
go back to reference Sponseller PD, Desai SS, Millis MB (1988) Comparison of femoral and innominate osteotomies for the treatment of Legg-Calve-Perthes disease. J Bone Joint Surg Am 70(8):1131–1139PubMed Sponseller PD, Desai SS, Millis MB (1988) Comparison of femoral and innominate osteotomies for the treatment of Legg-Calve-Perthes disease. J Bone Joint Surg Am 70(8):1131–1139PubMed
11.
go back to reference Noonan KJ, Price CT, Kupiszewski SJ, Pyevich M (2001) Results of femoral varus osteotomy in children older than 9 years of age with Perthes disease. J Pediatr Orthop 21(2):198–204PubMed Noonan KJ, Price CT, Kupiszewski SJ, Pyevich M (2001) Results of femoral varus osteotomy in children older than 9 years of age with Perthes disease. J Pediatr Orthop 21(2):198–204PubMed
12.
go back to reference Fulford GE, Lunn PG, Macnicol MF (1993) A prospective study of nonoperative and operative management for Perthes’ disease. J Pediatr Orthop 13(3):281–285CrossRefPubMed Fulford GE, Lunn PG, Macnicol MF (1993) A prospective study of nonoperative and operative management for Perthes’ disease. J Pediatr Orthop 13(3):281–285CrossRefPubMed
13.
go back to reference Paterson DC, Leitch JM, Foster BK (1991) Results of innominate osteotomy in the treatment of Legg-Calve-Perthes disease. Clin Orthop Relat Res 266:96–103PubMed Paterson DC, Leitch JM, Foster BK (1991) Results of innominate osteotomy in the treatment of Legg-Calve-Perthes disease. Clin Orthop Relat Res 266:96–103PubMed
14.
go back to reference Robinson HJ Jr, Putter H, Sigmond MB, O’Connor S, Murray KR (1988) Innominate osteotomy in Perthes disease. J Pediatr Orthop 8(4):426–435CrossRefPubMed Robinson HJ Jr, Putter H, Sigmond MB, O’Connor S, Murray KR (1988) Innominate osteotomy in Perthes disease. J Pediatr Orthop 8(4):426–435CrossRefPubMed
15.
go back to reference Stevens PM, Williams P, Menelaus M (1981) Innominate osteotomy for Perthes’ disease. J Pediatr Orthop 1(1):47–54CrossRefPubMed Stevens PM, Williams P, Menelaus M (1981) Innominate osteotomy for Perthes’ disease. J Pediatr Orthop 1(1):47–54CrossRefPubMed
16.
go back to reference Crutcher JP, Staheli LT (1992) Combined osteotomy as a salvage procedure for severe Legg-Calve-Perthes disease. J Pediatr Orthop 12(2):151–156CrossRefPubMed Crutcher JP, Staheli LT (1992) Combined osteotomy as a salvage procedure for severe Legg-Calve-Perthes disease. J Pediatr Orthop 12(2):151–156CrossRefPubMed
17.
go back to reference Olney BW, Asher MA (1985) Combined innominate and femoral osteotomy for the treatment of severe Legg-Calve-Perthes disease. J Pediatr Orthop 5(6):645–651CrossRefPubMed Olney BW, Asher MA (1985) Combined innominate and femoral osteotomy for the treatment of severe Legg-Calve-Perthes disease. J Pediatr Orthop 5(6):645–651CrossRefPubMed
18.
go back to reference Kruse RW, Guille JT, Bowen JR (1991) Shelf arthroplasty in patients who have Legg-Calve-Perthes disease. A study of long-term results. J Bone Joint Surg Am 73(9):1338–1347PubMed Kruse RW, Guille JT, Bowen JR (1991) Shelf arthroplasty in patients who have Legg-Calve-Perthes disease. A study of long-term results. J Bone Joint Surg Am 73(9):1338–1347PubMed
19.
go back to reference Willett K, Hudson I, Catterall A (1992) Lateral shelf acetabuloplasty: an operation for older children with Perthes’ disease. J Pediatr Orthop 12(5):563–568CrossRefPubMed Willett K, Hudson I, Catterall A (1992) Lateral shelf acetabuloplasty: an operation for older children with Perthes’ disease. J Pediatr Orthop 12(5):563–568CrossRefPubMed
20.
go back to reference Moberg A, Hansson G, Kaniklides C (1997) Results after femoral and innominate osteotomy in Legg-Calve-Perthes disease. Clin Orthop Relat Res 334:257–264CrossRefPubMed Moberg A, Hansson G, Kaniklides C (1997) Results after femoral and innominate osteotomy in Legg-Calve-Perthes disease. Clin Orthop Relat Res 334:257–264CrossRefPubMed
Metadata
Title
Perthes disease: a survey of management amongst members of the British Society for Children’s Orthopaedic Surgery (BSCOS)
Authors
Suresh Kumar Masilamani Annamalai
Rachel Buckingham
John Cashman
Publication date
01-07-2007
Publisher
Springer Berlin Heidelberg
Published in
Journal of Children's Orthopaedics / Issue 2/2007
Print ISSN: 1863-2521
Electronic ISSN: 1863-2548
DOI
https://doi.org/10.1007/s11832-007-0021-9

Other articles of this Issue 2/2007

Journal of Children's Orthopaedics 2/2007 Go to the issue

Current Concept Reivew

The discoid meniscus