Hip range of motion in Perthes’ disease: Comparison of pre-operative and intra-operative values

Background Children with early Perthes’ disease and clinical loss of motion are commonly noted to have normal or almost normal hip range of motion (ROM) when examined under anesthesia (EUA). Despite anecdotal comments about this observation, no series has documented these findings. The lack of such...

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Bibliographic Details
Published in:Journal of children's orthopaedics 2007-03, Vol.1 (1), p.33-35
Main Author: Stanitski, Carl L.
Format: Article
Language:English
Subjects:
Documentation
Hip joint
Muscle pain
Original Clinical
Pediatrics
Range of motion
Surgery
Traction (Orthopedics)
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Summary:Background Children with early Perthes’ disease and clinical loss of motion are commonly noted to have normal or almost normal hip range of motion (ROM) when examined under anesthesia (EUA). Despite anecdotal comments about this observation, no series has documented these findings. The lack of such data led to this study. Methods Consecutive patients with unilateral Herring class B or C Perthes’ disease in mid to late Waldenstrom's fragmentation stages who failed a non-operative course of hip motion restoration had hip range of motion (ROM) documented pre-operatively and intra-operatively by a single, experienced pediatric orthopedic surgeon. The opposite normal hip's ROM was used as the control. Joint congruity was assessed arthrographically. Results Twenty-seven patients, 6–10 years old (average 7.9 years) with early Perthes’ disease were reviewed. Twenty-one of 27 patients (77.7%) had full or almost full hip ROM of the involved side when examined under anesthesia (EUA). Six patients (22.3%) had limited abduction (
ISSN:1863-2521
1863-2548
DOI:10.1007/s11832-007-0009-5