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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Crutches And Cast A Necessity For Perthes Disease?

Hi Im writting from Hungary my guestion would be : I have a son who was diagnosed with phertes disease,and he is not accepting crutches and cast he just does not care . The doctors say i should make him accept crutches but he is not doing it so if i give up what will happen? He keeps saying he is fine only in the mornings he feels a bit of pain. Im very concerned about this and i feel very helpless please if you can give me some advice. Thank u and greetings a very upset mum Judy
Tue, 30 Jun 2015
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Pediatrician,  's  Response
Hi, I had gone through your question and understand your concerns. You should be worried but not too much. I see similar cases amongst young people who visit my clinic. In the first meeting, I advise my patients to go on crutches. Crutches or a walker will be necessary to reduce weight bearing on the affected hip.Treatment for Perthes focuses on helping the bone grow back into a more rounded shape that still fits into the socket of the hip joint. After 2 years of treatment, most children return to daily activities without major limitations. protect the shape of the femoral head, and restore normal hip movement. If left untreated, the femoral head can deform and not fit well within the acetabulum, which can lead to further hip problems in adulthood, such as early onset of arthritis.
Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing your son good health.
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Are Crutches And Cast A Necessity For Perthes Disease?

Hi, I had gone through your question and understand your concerns. You should be worried but not too much. I see similar cases amongst young people who visit my clinic. In the first meeting, I advise my patients to go on crutches. Crutches or a walker will be necessary to reduce weight bearing on the affected hip.Treatment for Perthes focuses on helping the bone grow back into a more rounded shape that still fits into the socket of the hip joint. After 2 years of treatment, most children return to daily activities without major limitations. protect the shape of the femoral head, and restore normal hip movement. If left untreated, the femoral head can deform and not fit well within the acetabulum, which can lead to further hip problems in adulthood, such as early onset of arthritis. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your son good health.