Healthwise

Our Health Library information does not replace the advice of a doctor. Please be advised that this information is made available to assist our patients to learn more about their health. Our providers may not see and/or treat all topics found herein.

Legg-Calve-Perthes disease (LCPD)

Legg-Calve-Perthes disease (LCPD) is a disorder of the upper part of the thighbone (head of the femur) that causes breakdown of the head of the femur. This is followed by new bone formation.

LCPD develops because of loss of blood flow to the head of the femur. This causes breakdown (avascular necrosis) and deformity of the femur where it connects with the hip socket. The bone reforms in the hip area when the blood supply returns to normal. During this time, the femur is soft and may easily fracture and collapse. The head of the femur heals in an abnormal shape and does not fit properly into the hip socket, causing stiffness and pain.

The cause of LCPD is unknown. It occurs most often in children ages 3 to 12. Boys are affected about 4 to 5 times as often as girls. Usually only one hip is affected, although it is possible to have LCPD in both hips.

Symptoms include pain, limping or an uneven gait, decreased movement, loss of height, and loss of muscle mass in the thigh. Treatment depends on the severity of symptoms but may include physical therapy, a brace or cast, or surgery. Occasionally the disease heals on its own without treatment.

Due to the threat of the COVID-19 (Coronavirus), we are taking precautionary measures to protect our staff and patients. We are implementing a temporary NO VISITOR policy at this time. Only patients or patients and their guardians will be allowed into the office. Please note, this is not to inconvenience anyone! The virus is a very real threat and it is essential that we stay healthy in order to provide needed care for our patients. If you are sick, we ask that you CALL the office to speak with a nurse before you come in. The nurse will provide specific instructions for you. Please DO NOT enter the office if you are sick (upper respiratory symptoms, fever, cough, or flu like symptoms). We are closely monitoring the situation and will update you as circumstances change. Thank you for your understanding!!