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A Glossary for Perthes Disease

Acetabulum: The socket part of the hip joint. Arthrogram: Anarthrogram is a radiology procedure in which special X-ray medicine is placed into the hip joint. This X-ray exam shows and evaluates the shape of the ball part of hip joint (femoral head). It also assesses whether the femoral head is covered (contained) by the socket part of the hip joint (acetabulum). Most patients tolerate this procedure very well. A nurse will monitor your child for pain management needs. Sedation is available if needed. Femoral head: The ball part of the hip joint. Leg length discrepancy: A difference in length between the two legs.In some patients with Perthes disease, the affected leg can be shorter. Necrosis: Refers to cell death in general; osteonecrosis refers to bone cell death. Ossification:This is a process of new bone formation. Range of motion: Movement of a joint in all its directions. For example, hip abduction

Perthes Heroes: Earl Cole

At what age were you diagnosed with Perthes? Age 7 What was your treatment plan? Non-weight bearing (no surgery), leg brace, leg casts, wheelchair, crutches, etc. How long were you inactive? Until the age of 13, so around 6 years of being inactive. Once you were healed, what was it like getting back into activities? Perthes doesn’t work like that. I was never healed, but my body did get stronger as I grew older. I was eventually cleared for normal physical activities (run, jump, play), even high school sports (at age 17). However, there would be some pain afterwards with strenuous activity. I was able to have a very fun, athletic and active life as a young adult. You won Survivor:Figi, what was it like accomplishing something like that after overcoming Perthes? It was great to win Survivor Fiji. I was glad to make my family proud. I was also



A second opinion?

Should I get a second opinion? It is frequently not necessary. There are a lot of varying opinions about the treatment of Perthes Disease. A second opinion may add to your confusion though more information is typically better. Try to find a physician trained in Pediatric Orthopedic Surgery who has a special interest in Perthes

How Long?

How long will it last? The initial symptoms of Perthes can last months to years, but the effects can be life long. The symptoms of Perthes aren’t consistent. Some patients will have days or weeks at a time with little pain and minimal limp; however, for some time periods children will have more severe symptoms.


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