(LCPD; Osteonecrosis of the Hip; Avascular Necrosis; Ischemic Necrosis; Coxa Plana; Osteochondritis)
|Damage and repairs to the femoral head causes a limp.|
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- Small or short for age
- Delayed bone age
- Athletic, active child
- Race: Asian, White, Eskimo
- Secondhand smoke exposure
- Sex: Male
- Age: 4-8 years
- Blood clotting abnormalities
- Hip pain
- Groin, thigh, or knee pain
- Reduced range of motion in the hip
- Shortening of the leg, or legs that are not the same length
- Muscle weakness in the upper thigh
American Academy of Family Physicians http://familydoctor.org
National Osteonecrosis Foundation http://www.nonf.org
Canadian Orthopaedic Association http://www.coa-aco.org
Canadian Orthopaedic Foundation http://www.canorth.org
Adkins S, Figler R. Hip pain in athletes. Am Fam Physician. 2000 Apr 1;61(7):2109-2118. Available at: http://www.aafp.org/afp/20000401/2109.html. Accessed May 7, 2013.
Kleigman, Behrman, et al, Eds. Nelson Textbook of Pediatrics.18th Edition. Saunders Elsevier, Philadelphia PA, 2007.
Legg-Perthes disease. National Osteonecrosis Foundation website. Available at: http://www.nonf.org/perthesbrochure/perthes-brochure.htm. Accessed May 7, 2013.
Leet AI, Skaggs DL. Evaluation of the acutely limping child. Am Fam Physician. 2000 Feb 15;61(4):1011-1018. Available at: http://www.aafp.org/afp/2000/0215/p1011.html. Accessed May 7, 2013.