Perthes Disease, or Legg-Calve-Perthes Disease: A Case Study

Jaya Prabha M J

Abstract: Perthes disease represents a childhood hip disorder in which the temporary loss of blood flow to the femoral head leads to avascular necrosis, gradual weakening of the bone, and a prolonged cycle of collapse and regrowth. In my view, the condition unfolds through distinct phases that shape the eventual outcome, beginning with necrosis and moving through fragmentation, reossification, and final healing. It is evident that children in the early school years, particularly boys, face the highest risk, and the slow progression often creates uncertainty for families as symptoms fluctuate before a diagnosis is made. This raises another point about how subtle signs, such as limping or referred pain to the thigh or knee, can be overlooked until functional limitations become more noticeable. Taking this further, clinical assessment relies heavily on imaging, since structural changes determine both the severity and the course of management. The case description of a young child with pain, restricted movement, and early radiographic changes reflects the way such presentations often unfold in real-world practice, where parents seek care only after symptoms persist. In my view, treatment often blends medication, controlled activity, casting, and targeted physical therapy to support joint preservation, although the risk of lasting deformity remains a meaningful concern. Nursing care focuses on pain relief, mobility support, education, and vigilant monitoring to guide families through a lengthy healing process. The overall narrative underscores how early recognition and consistent care can influence long term hip shape and function, even when the disease follows an unpredictable path.

Keywords: Perthes disease, femoral head necrosis, childhood hip disorder, clinical features, management

How to Cite?: Jaya Prabha M J, "Perthes Disease, or Legg-Calve-Perthes Disease: A Case Study", Volume 14 Issue 12, December 2025, International Journal of Science and Research (IJSR), Pages: 561-563, https://www.ijsr.net/getabstract.php?paperid=SR251207192548, DOI: https://dx.doi.org/10.21275/SR251207192548