icd-9 code for perthes disease

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How is Perthes disease diagnosed and treated?

Diagnosis and Tests How is Perthes disease diagnosed? If your child is experiencing symptoms of Perthes disease, your healthcare provider will order an X-ray. X-rays are a common way to confirm a diagnosis. Your provider may also order additional studies, such as an MRI, to see how far the disease may have progressed.

What is the rate of incidence for Perthes disease?

Perthes disease is rare, afflicting about one in 10,000 children. Perthes disease usually affects children between the ages of four and eight years, but the range can extend to between two and 12 years old. Both hips are affected in up to 15% of children.

What are the symptoms of Perthes disease in children?

The first symptoms of Perthes disease are usually a limp or a change in the way your child walks or runs. Your child may not even notice or feel these changes. You, as the parent, may be the first to see them while watching your child play. Other symptoms include:

What is the diagnosis code for Legg-Perthes disease syndrome or osteochondrosis?

Search results for “Legg-Perthes disease syndrome or osteochondrosis”. Diagnosis Code I251 Diseases of the circulatory system / Ischemic heart diseases / Chronic ischemic heart disease.

Is avascular necrosis the same as Perthes disease?

Perthes disease is a rare childhood condition that affects the hip. It occurs when the blood supply to the rounded head of the femur (thighbone) is temporarily disrupted. Without an adequate blood supply, the bone cells die, a process called avascular necrosis.

Is Legg Calve Perthes avascular necrosis?

Legg-Calvé-Perthes disease (LCPD) is avascular necrosis (AVN) of the proximal femoral head resulting from compromise of the tenuous blood supply to this area. LCPD usually occurs in children aged 4-10 years. The disease has an insidious onset and may occur after an injury to the hip.

Is Perthes disease progressive?

Legg-Perthes disease is a disorder of the hip in children. Although the cause of the disease is unknown, compromise of the vascular supply to the developing femoral head leads to progressive subchondral bone collapse, variable remodeling, and deformity.

Is Perthes self-limiting?

Perthes' disease is a self-limiting disease of children characterized by interruption of the blood supply to the capital femoral epiphysis resulting in necrosis of the epiphysis.

What is a Perthes hip?

Legg-Calve-Perthes disease, also known as Perthes disease, is a disorder of the hip in young children that usually occurs between the ages of 4 and 10. The hip is made up of the femoral head — the “ball,” which is the upper part of the femur — and the acetabulum — the “cup” that fits around the femoral head.

What Is hip Perthes disease?

Legg-Calve-Perthes (LEG-kahl-VAY-PER-tuz) disease is a childhood condition that occurs when blood supply to the ball part (femoral head) of the hip joint is temporarily interrupted and the bone begins to die.

Is Perthes disease curable?

Most children with Perthes' disease eventually recover, but it can take anywhere from two to five years for the femoral head to regrow and return to normal, or close to normal.

What are the stages of Perthes disease?

What is Legg-Calvé-Perthes disease?Phase 1 - Initial phase. Blood supply is absent to the femoral head and the hip joint becomes inflamed, stiff, and painful. ... Phase 2 - Fragmentation phase. The body starts absorbing the dead bone and forming new bone. ... Phase 3 - Reossification phase. ... Phase 4 - Healing phase.

What can be mistaken for Perthes disease?

Other diseases that cause epiphyseal dysplasia can be mistaken for Perthes, such as multiple epiphyseal dysplasia or spondyloepiphyseal dysplasia. However, these conditions are typically synchronous and symmetric in appearance unlike Perthes.

Can adults get Perthes disease?

Degenerative osteoarthritis can occur with age in adults with Perthes. It seems to depend on two things. If the ball reshapes itself and fits into the socket, arthritis is usually not a concern.

Is hip Perthes disease genetic?

Legg-Calvé-Perthes disease is usually not caused by genetic factors. The cause in these cases is unknown. In a small percentage of cases, mutations in the COL2A1 gene cause the bone abnormalities characteristic of Legg-Calvé-Perthes disease.

Can Perthes disease cause problems later in life?

Perthes' disease is a condition where the top of the thigh bone in the hip joint (the femoral head) loses its blood supply and so the bone is damaged. The bone gradually heals and reforms but Perthes' disease may cause hip problems later in life.

How old is Perthes disease?

Perthes disease usually affects children between the ages of four and eight years, but the range can extend to between two and 12 years old. Both hips are affected in up to 15% of children.

How long does it take for Perthes disease to respond to treatment?

Fortunately, Perthes disease can respond well to treatment. In most cases, after two to five years of treatment/observation, many children can return to their normal activities without limitations. Children who develop Perthes disease who are six years old or younger have an excellent prognosis with observation alone.

What is the condition of the hip joint?

Perthes disease is a rare childhood condition affecting the hip joint. Bone in the “ball” (femur head) part of the “ball and socket” hip joint dies from lack of blood supply. When the blood supply returns, a new femoral head forms. Treatments include time/observation, drugs, physical therapy, casting and surgery. Most children return to normal activities without limitations.

Does secondhand smoke cause Perthes disease?

There is a much lower incidence rate in Native Americans, people with African heritage, Polynesians, Blacks and in Australian aboriginals. Exposure to secondhand smoke may also increase your child's risk of Perthes disease, although the exact reasons why are not known.

Is Perthes disease more common in boys than girls?

Perthes disease is five times more common in boys than in girls. Perthes disease often affects children who are very active, even athletic. Children tend to be smaller than average for their age. The disease is also more common in Asians, Eskimos and Caucasians.

Can Perthes disease be prevented?

Although Perthes disease can’t be prevented, the good news is that treatments are available and they can be highly successful. Some children show no symptoms, others have mild pain and subtle symptoms. As the parent, be watchful of any change in your child’s walk or running mechanics or any evidence of a limp.