PMID: 9165442Apr 1, 1997Paper

Psychosocial development and premorbid skeletal growth in Legg-Calvé-Perthes disease: a study of nineteen patients

Journal of Pediatric Orthopedics. Part B
T T Lahdes-VasamaE J Marttinen

Abstract

We studied psychosocial development and skeletal growth in 19 newly diagnosed patients with Legg-Calvé-Perthes disease (LCPD). Eleven patients had problems in visuospatial skills and five of 12 school-aged children had learning difficulties. The growth velocity of the patients was evaluated from 4 years before until 2 years after the diagnosis was made. Eight patients had a catch-up growth with +1.2 (0.9-1.7) delta SDS score (SDS: mean and ranges) before the diagnosis. Four patients with short stature and retarded bone age slightly diminished their growth velocity. Overnight serum growth hormone (GH) concentration and insulin-like growth factor I (IGF-I) levels were examined in the first nine consecutive patients. One patient had a high and another had a low mean GH concentration level, whereas all patients had IGF-I levels within normal limits. These results suggest that different kinds of growth disturbances may be associated with LCPD.

Citations

Jan 1, 2011·ISRN Orthopedics·Randall T Loder, Elaine N Skopelja
Sep 2, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Jennifer C LaineUNKNOWN International Perthes Study Group

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