Co-occurrence of Blount's disease and Legg-Calve-Perthes disease: is obesity a factor?

被引:1
作者
Jardaly, Achraf H. [1 ,2 ]
Hicks, James W. [2 ]
Doyle, John S. [2 ,3 ]
Conklin, Michael J. [2 ,3 ]
Gilbert, Shawn R. [2 ,3 ]
机构
[1] Lebanese Amer Univ, Gilbert & Rose Marie Chagoury Sch Med, Byblos, Lebanon
[2] Univ Alabama Birmingham, Dept Orthoped Surg, Birmingham, AL USA
[3] Childrens Hosp Alabama, Dept Pediat Orthopaed, Birmingham, AL USA
来源
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2022年 / 31卷 / 02期
关键词
Blount's disease; Limp; obesity; Perthes disease; BODY-MASS INDEX; BIOMECHANICAL ANALYSIS; ADOLESCENTS; ETIOLOGY; CHILDREN; HIP;
D O I
10.1097/BPB.0000000000000888
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Legg-Calve-Perthes disease (LCPD) and Blount's disease share a similar presenting age in addition to similar symptoms such as limp or knee pain. A little overlap is mentioned about both diseases. We sought to present cases of children having both conditions to discuss the implications of this co-occurrence on diagnosis and management. After institutional review board approval, we retrospectively reviewed records of four children who developed both Blount's disease and LCPD. Patient details and outcomes were analyzed. Radiographs were evaluated for the lateral pillar classification, Stulberg classification, tibial metaphyseal-diaphyseal angle and tibiofemoral angle. Two of the cases were initially diagnosed with Blount's disease and subsequently developed Perthes, one case presented initially with both disorders and the final case had Perthes followed by Blount's. Three children were obese and one was overweight. The common symptom to all patients was an abnormal gait, which was painless in two children and painful in two. Blount's disease required surgery in three children. Radiographs showed Lateral Pillar B, B/C border and C hips, and the final Stulberg was stage II (n = 2) or stage IV (n = 2). Obesity is associated with Blount's disease and LCPD, so obese children can be at an increased risk of developing both disorders. Therefore, a child with Blount's disease who has persistent, recurrent or worsening symptoms such as gait disturbance or thigh or knee pain might benefit from a careful physical exam of the hips to prevent a delayed or even missed LCPD diagnosis.
引用
收藏
页码:E180 / E184
页数:5
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