Publication: Conservative Management of Late-Onset Legg-Calvé-Perthes Disease in a 10-Year-Old Child: A Case Report
Date
2025
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Legg-Calvé-Perthes disease is a childhood condition characterized by avascular necrosis of the femoral head, with a poorer prognosis in children over 8 years. This case report describes a 10-year-old boy presenting with persistent left thigh pain, limp, and limited hip motion following a fall 3 months earlier. Imaging revealed osteonecrosis of the left femoral head with degenerative changes. Despite surgical intervention being the standard for late-onset LCPD, the patient was managed conservatively using bilateral skin traction and a Petrie’s cast due to financial constraints. Follow-up monthly for 6 months showed significant improvement, highlighting conservative treatment's potential in resource-limited settings.
Description
Rishi Ram Banjade
Kathmandu Medical College and Teaching Hospital, Sinamangal ,Kathmandu, Nepal
Sandesh Dhakal
Department of Orthopaedics, Kathmandu Medical College, Sinamangal ,Kathmandu, Nepal
Prithu Nepal
Department of Orthopaedics, Kathmandu Medical College, Sinamangal ,Kathmandu, Nepal
Niraj Kumar Sharma
Department of Radiology, Kathmandu Medical College and Teaching Hospital,Sinamangal ,Kathmandu, Nepal