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Coxa Plana Pathophysiology

The document discusses Legg-Calve-Perthes disease, a childhood condition where the blood supply to the femoral head is interrupted, leading to bone cell death. It progresses in three stages - initial widening of the joint space as bone dies, fragmentation as the dead bone breaks down, and reparation as the bone regenerates. Left untreated, it can cause pain, limping, loss of hip movement and function as cartilage hypertrophies and the femoral head deforms and flattens.

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miss RN
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3K views1 page

Coxa Plana Pathophysiology

The document discusses Legg-Calve-Perthes disease, a childhood condition where the blood supply to the femoral head is interrupted, leading to bone cell death. It progresses in three stages - initial widening of the joint space as bone dies, fragmentation as the dead bone breaks down, and reparation as the bone regenerates. Left untreated, it can cause pain, limping, loss of hip movement and function as cartilage hypertrophies and the femoral head deforms and flattens.

Uploaded by

miss RN
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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Family history Disturbed

Abnormal birth presentation venous drainage Intraosseous venous Increase blood viscosity
Racial/ ethnic factors hypertension

Decrease
blood flow

Interruption of vascular supply to the femoral


head

Roentgenography Increase intraarticular pressure


Iinitial phase
- Widening of medial joint
space Occlusion of retinaacular vessel MRI
Fragmentation phase
- resorption of necrotic
portion of the ossific nucleus Ischemia of femoral head Flattened, irregular
femoral head
Reparative phase
- return to normal Failure of ossific nucleus to grow
radiodensities of ossific bone
Increasing pain Decrease ROM limp

Healed   Hypertrophy of articular cartilage


  Loss of function/
  inactivity
    Stage of necrosis

Thigh, calf,
Slow resorption of the dead bone buttock, atrophy
Arthrography
- shows shape of
cartilaginous bone of
femoral head Replacement of new, living bone (+) Tredelenberg

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