Journal of the Bahrain Medical Society

Year 2020, Volume 32, Issue 3, Pages 26-29

https://doi.org/10.26715/jbms.32_2020_3_4

Case Report

Legg Calve Perthes Disease, A Cause of Unresolved Transient Synovitis

Alia Khalil Ebrahim AlRabia1*, Rameshchandra Nair2

Author Affiliation

1MBBS, General Physician, Shifa AlJazeera Medical Centre, Manama, Bahrain

2MBBS DORTH, Orthopedic Surgery, Shifa AlJazeera Medical Centre, Manama, Bahrain

 

*Corresponding author:

Dr. Alia Khalil AlRabia, General Phyician, Shifa AlJazeera Medical Centre, Manama, Bahrain; Email: a.k-alrabea94@hotmail.com, Tel. No.: (+973)-34224045

Received date: February 5, 2020; Accepted date: August 3, 2020; Published date: September 30, 2020


Abstract

Legg Calve Perthes disease is a self-limiting disorder characterized by avascular necrosis of unknown etiology affecting the femoral capital epiphysis. Complete revascularization of the avascular epiphysis invariably occurs over a period of two years, and the need for treatment of Perthes disease may therefore be questioned. Most recently, it has been observed that the development of Perthes disease can be preceded by recurrent or prolonged transient synovitis (TS) of the hip joint. We present a case of a five-year-old girl who was brought to the clinic with a history of intermittent hip pain and a limp for over a period of nine months.

Keywords: Legg Calve Perthes Disease; Transient synovitis; Avascular necrosis; Supervised neglect