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Is there medicine to help Legg Calve Perthes Disease in child age 4?
Qamoum6
My 5 yr old son was just diagnosed with LCPD yesterday. It is present in both of his hips, but much more severe on his left side. The treatment for him is a night time brace to hold his femur in the hip socket to promote healthy shaping of the new bone growth and anti-inflamatory drugs (such as Motrin or naproxen) for joint swelling and pain. He will have x-rays done again in 3-4 months to monitor the progress and shaping of his hip joint. As far as the medicine to help, it is mainly for comfort - and I have found that the naproxen has helped relieve his pain better, and it only has to be taken once per day.
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∙ 12y ago
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Legg-Calve-Perthes disease?
DefinitionLegg-Calve-Perthes disease is when the ball of the thighbone in the hip doesn't get enough blood, causing the bone to die.Alternative NamesCoxa plana; Perthes diseaseCauses, incidence, and risk factorsLegg-Calve-Perthes disease usually occurs in boys 4 - 10 years old. There are many theories about the cause of this disease, but little is actually known.Without enough blood to the area, the bone dies. The ball of the hip will collapse and become flat. Usually only one hip is affected, although it can occur on both sides.The blood supply returns over several months, bringing in new bone cells. The new cells gradually replace the dead bone over 2 - 3 years.SymptomsThe first symptom is often limping, usually painless.Other symptoms may include:Knee painPersistent thigh or groin painWasting of muscles in the upper thighApparent shortening of the leg, or legs of unequal lengthHip stiffnessthat restricts movement in the hipLimited range of motionSigns and testsDuring a physical examination, the health care provider will look for a loss in hip motion and a typical limp. A hip x-ray or pelvis x-ray may show signs of Legg-Calve-Perthes disease. An MRI scan may be needed.TreatmentThe goal of treatment is to keep the ball of the thighbone inside the socket. Your health care provider may call this "containment." Containment is achieved by maintaining a good range of motion of the hip. In some cases, bracing is used to assist with containment.Physical therapy and anti-inflammatory medicine (such as ibuprofen) can relieve stiffness in the hip joint. When the hip is painful, or the limp gets worse, restricting activities such as running may help reduce the inflammation. Night-time traction may also help.Health care providers no longer recommend several months of bedrest.When these steps fail, surgery may be needed. Surgery ranges from simple lengthening of a groin muscle to major hip surgery to reshape the pelvis. The type of surgery depends on the severity of the problem and the shape of the ball of the hip joint.Expectations (prognosis)The outlook depends on the child's age and the severity of the disease. In general, the younger the child is when the disease starts, the better the outcome.Children younger than 6 years old who receive treatment are more likely to end up with a normal hip joint. Children older than age 6 are more likely to end up with a deformed hip joint, despite treatment, and may later develop arthritis.ComplicationsOsteoarthritismay develop later in life. Early recognition and proper treatment of Legg-Calve-Perthes disease may minimize this complication.Calling your health care providerCall for an appointment with your health care provider if a child develops any symptoms of this disorder.ReferencesHosalkar HS, Horn D, Friedman JE, Dormans JP. The hip. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap. 677.
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