继发于Perthes病的成人扁平髋:1例报告和综述△

Adult coxa plana secondary to Legg-Calvé-Perthes disease: a case report and literature review

摘要:

Perthes 病 （Legg-Calvé-Perthes disease, LCPD） 是一种特发于儿童的以股骨头坏死为特征的罕见性疾病，病因不明，起病隐匿。随着病程进展，易发展为扁平髋甚至合并严重的髋关节骨性关节炎，头臼匹配差甚至髋臼反倾，常常不得不接受全髋关节置换术，治疗难度大。本文报道 1 例继发于 LCPD 的成人扁平髋骨关节炎患者，并对围绕 LCPD 相关的研究进展进行综述。

Abstract:

Legg-Calvé-Perthes disease (LCPD) is a rare disease characterized by avascular necrosis of the femoral head that occurs specifically in children, with unknown etiology and insidious onset. With the progression of the disease, it is prone to develop into coxa plana or even severe hip osteoarthritis in adulthood due to poor head and acetabulum matching or even acetabular inversion. The adult with coxa plana secondary to LCPD is difficult to treat, and often have to accept total hip arthroplasty. This article reports a case of adult coxa plana and severe osteoarthritis secondary to LCPD, and reviews the research progress related to LCPD.