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Perthes' disease in the adolescent
JOSEPH B; MULPURI K; VARGHESE G
J BONE JOINT SURG BR , 2001, vol. 83, n° 5, p. 715-720 Doc n°: 101423 Localisation : Documentation IRR Descripteurs : DE354 - OSTEOCHONDRITE We studied the natural history of Perthes' disease in 62 children in whom the onset of symptoms was in adolescence. Three patterns of disease were noted, namely, late-onset pattern, segmental collapse, or destructive with failure of revascularisation. In the late-onset pattern, the disease followed the sequence of healing seen in younger children, but adequate epiphyseal remodelling did not occur. Consequently, the femoral head was never spherical after revascularisation. With segmental collapse, early and irreversible collapse of part of the epiphysis occurred with gross deformation of the femoral head. The destructive pattern was characterised by a failure of revascularisation and repair of the avascular epiphysis. The radiological outcome was poor in all three patterns. Langue : ANGLAIS Identifiant basis : 2001217374 |
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