Legg-Calvé-Perthes syndrome history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
History
Common Symptoms
Symptoms are hip or groin pain, exacerbated by hip/leg movement. There is a reduced range of motion at the hip joint and a painful gait. There may be atrophy of thigh muscles from disuse and an inequality of leg length. In some cases, some activity can cause severe irritation or inflammation of the damaged area including standing, walking, running, kneeling, or stooping repeatedly for an extended period of time.
The first signs are complaints of soreness from the child, which are often dismissed as growing pains, and limping or other guarding of the joint, particularly when tired. The pain is usually in the hip, though can also be felt in the knee (so-called 'referred pain'). In some cases, pain is felt in the unaffected hip and leg. This is due to the child favoring the injured side and placing the majority of the weight on the "good" leg. It is predominantly a disease of boys (around 4 in 5 cases). Whereas Perthes is generally diagnosed between 5 and 12 years of age, it has been diagnosed in children as young as infants. Typically the disease is only seen in one hip, bilateral Perthes is seen in about 8-10% of children diagnosed.
Other symptoms can include-
- Limited range of motion
- Persistent thigh or groin pain
- Shortening of the leg, or legs of unequal length
- Wasting of muscles in the upper thigh