Legg-Perthes Disease: Literature review

Authors

  • Marcos Vinícius Santana Silva
  • Juan Benito Campos Diz Atan
  • Lucas Cristo Conilho Macedo Müller
  • Christiano Costa Esposito
  • Paulo César Silva
  • Manoel Luiz Ferreira

DOI:

Keywords:

Legg-Perthes Disease. Osteonecrosis. Femur Head Necrosis. Femur Head.

Abstract

Legg-Calvé-Perthes is a condition known by many names: aseptic or avascular necrosis of the femoral head, osteocondritis deformans juvenilis and coxa plana. It occours in young, small-breed dogs when there is necrosis of the femoral head and neck due to lack of blood supply. Typically clinical signs consist of lameness in one leg with deformity of the rip joint occouring in young dogs between 4 to 12 months old. The diagnosis is made by clinical signs and confirmed by radiographs. Treatment varies depending on the severity of the condition. The most of cases, pain is severe and surgical treatment is required. It consists is excision of the femoral head to form a pseudo-joint with good range of mobility.

References

Bassett FH, Wilson JW, Allen BW et al: Normal vascular anatomy of the head of the femur in puppies with emphasis on the inferior retinacular vessels. J Bone Joint Surg 51:1139, 1968

Berson JL, et al. A retrospective study of the efficacy of femoral and neck excisions in 94 dogs and cats. Vet Surg 1980; 9:88.

Caffey J. Pediatric X-ray diagnosis. 6th ed. Chicago: Year Book Medical Publisher; 1973. p.1165.

Catterall A. The natural history of Perthes disease. J Bone Joint Surg 1971; 53B:37-53.

Demko J, McLaughlin R. Developmental orthopedic disease. Vet Clin North Am Small Anim Pract 2005; 35(5):1111-35.

Denny HR; Butterworth, SJ. Cirurgia ortopédica em cães e gatos. 4th ed. São Paulo: Roca. P. 362-64.

Fossum TW. Cirurgia de Pequenos Animais. 1st ed. São Paulo: Roca; 2002. p. 941-1042.

Gambardella PC. Legg-Calvé-Perthes disease in dogs. In: Bojrab MJ, editor. Disease mechanisms in small animal surgery. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 1993. p. 804-7.

Gibson KL, Lewis DD, pechman RD. use of external coaptation for the treatment of avascular mecrosis of the femoral head in a dog. J Am Vet Med Assoc 1990; 197(&):868-70.

Hislop HM. Legg-Calvé-Perthes. Atjournal 2003.

Junggren GL. A comparative study of conservative and surgical treatment of Legg Perthes disease in the dog. J Am Anim Hosp Assoc 1966; 1:6-10.

LaFond E, Breur GJ, Austin CC. Breed susceptibility for developmental orthopedic disease in dogs. J Am Anim Hosp Assoc 2002; 38(5):467-77.

Laredo Filho J, Dias LS, Kuwajima SS. Doença de Legg-Calvé-Perthes. Clin Ortop 2001; 2:71-90.

Ljunggren G. Legg-Perthes disease in the dog. Acta Orthop Scand 1967; 95:7-79.

Lee R, Fry PD. Some observations on the occurrence of Legg-Calvé-Perthes disease (coax plana) in the dog, and an evaluation of excision arthroplasty as a method of treatment. J Small Anim Pract 1969; 10(5):309-17.

Lee R. A study of the radiographic and histological chnages occuring in Legg-Calve-Perthes Disease (LCP) in the dog. J Small Anim Pract 1970; 11:621-38.

Kealy JK. McAllister H. Diagnostic radiology and ultrasonography of the dog and cat. 3rd ed. Philadelphia: W.B. Saunders; 2000. p. 297.

Maman E, Yaniv M, Segev E. Legg-Calve_perthes disease-literature review and updates. Harefuah 2007; 146(1):68-72.

Montegomery RD, Milton JL, Horne RD, Coble RH Jr, Williams JC. A retrospective comparison of three techniques for femoral head and neck excision in dogs. Vet surg 1987; 16(6):423-6.

Nunamaker DM. Legg-Calvé-Perthes. In: Newton CD, Nunamaker DM, editors. Textbook of small animal orthopaedics. Philadelphia: JB Lippincott; 1985. p. 949-52.

Pidduck H, Webbon PM. The genetic control of Perthes’ disease in toy poodles – a working hypothesis. J small Anim Pract 1978; 19(12):729-33.

Robinson R. Legg-Calvé-Perthes disease in dogs: genetic aetiology. J Small Anim Pract 1992; 33:275-6.

Roperto F, Papparella S, Crovace AA. Legg-Calvé-Perthes disease in dogs: histological and ultra structural invertigations. J Amer Anim Hosp Assoc 1992; 28:156-62.

Smith, MM. Perthes, disease. In: Slatter, DH, editor. Textbook of small animal surgery. Philadelphia: W. B. Saunders; 1993. p. 1966-1977.

Sturion DJ, Sturion MAT. Radiologia Veterinária. Edunopar; 2000. p.634-42.

Vasseur PB, Foley P, Stevenson S, et al. Mode of inheritance of Perthes disease in Manchester terriers. Clin Orthop 1989; 244:281-92.

Wallin B. Perthes sjukdom hos West Highland White Terrier, en genetic studie. Swenk Veterinarttinding 1986; 38:114-18.

Warren DV, Dingwall JS. Legg-Perthes disease in the dog: a review. Can Vet J 1972; 13(6):135-7.

Published

2015-09-11

Issue

Section

Medicina veterinária

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