Aseptic necrosis of the femoral head in children (Legg-Calvé-Perthes)

Aseptic necrosis of the femoral head in children is one of the diseases that mainly affects the hip joints of children. The main symptoms of this disease often include a limp, pain in the hip, groin or front of the thigh. When not treated early, Legg-Calvé-Perthes disease can cause bones to weaken, break easily, or severely damage.

Aseptic necrosis of the femoral head in children (Legg-Calvé-Perthes - LCPD) is a condition that involves the interruption of blood supply to the bones in the hip joint in the body. Normally, the hip is a spherical joint of the long bone in the leg, when a child with Legg-Calvé-Perthes disease the hip is affected right at the point where it meets the hip socket. In certain cases, both hips can be affected.
In fact, the exact cause of this problem is still a matter of controversy, but over time, chronic anemia can weaken bones and make them more susceptible to fracture, or injury. serious. Fortunately, the blood supply usually returns to the area on its own, allowing the bone to heal in about 18-36 months. Most children who develop the condition do not have a long-term disability.
Aseptic necrosis of the femoral head in children occurs 4 times more commonly in boys than in girls, and usually affects children between the ages of 4-9. In addition, the disease also occurs in children who are shorter than average and whose bones are relatively immature for their age.

When a child has Legg-Calvé-Perthes disease (LCPD), a child often has a limp, accompanied by pain in the hip, groin or front of the thigh. However, with exercise, a child may not feel pain or have any of the discomfort associated with the disease.
In general, these symptoms usually come on gradually, rather than coming on suddenly as with a common joint injury. If you notice that your child is limping for more than a few days, it is best to contact a specialist right away for early corrective action.

If the pediatrician suspects the child has this disease, he or she will perform a physical exam and have the child take X-rays of the joints. Once a diagnosis is made, the orthopedist will determine the appropriate type of treatment based on the age of the child and the extent of the bone damage at the time.
Although the bone is still able to heal itself after injury, treatment is still very important, helping to prevent the risk of permanent bone deformity or arthritis. Some children may only be asked to closely monitor the progression of the disease, while others may be forced to limit certain daily activities or even wear a splint or cast until the bone heals. . In severe cases, surgery will be needed to stabilize the bone or correct any deformities caused by the disease.
The younger a child is, the less likely they are to need treatment or have joint damage. Alternatively, you can also give your child ibuprofen or acetaminophen for pain relief.
When a child shows abnormal signs of health, parents can take the child to Vinmec Health system for timely examination and treatment.
As a key area of ​​Vinmec Health System, Pediatrics Department - Vinmec International General Hospital always brings satisfaction to customers and is highly appreciated by industry experts thanks to the following advantages:
gathers a team of leading doctors and doctors in Pediatrics: including leading experts, with high professional qualifications (professors, associate professors, doctorates, masters), experienced, having worked in different hospitals. big hospitals like Bach Mai, 108.. The doctors are all well-trained, professional, have a heart - reach, understand young psychology. Besides domestic pediatricians, the Department of Pediatrics also has the participation of foreign experts (Japan, Singapore, Australia, USA) who are always pioneers in applying the latest and most effective treatment regimens. . Comprehensive services: In the field of Pediatrics, Vinmec provides a series of continuous medical examination and treatment services from Newborn to Pediatric and Vaccine,... according to international standards to help parents take care of their baby's health from birth to childhood. from birth to adulthood Specialized techniques: Vinmec has successfully deployed many specialized techniques to make the treatment of difficult diseases in Pediatrics more effective: neurosurgery - skull surgery, stem cell transplantation. blood in cancer treatment. Professional care: In addition to understanding children's psychology, Vinmec also pays special attention to the children's play space, helping them to have fun and get used to the hospital's environment, cooperate in treatment, improve the efficiency of medical treatment.

Reference source: babycenter.com