A Possible Case of Legg-calvé-perthes’ Disease in an Adult Male from Medieval/modern Tomar, Portugal
نویسنده
چکیده
The Legg-Calvé-Perthes’ disease (LCPD) is an idiopathic avascular necrosis of the femoral head, related with a disruption of the blood supply, probably initiated with a trauma. It passes through four stages: the onset of avascular necrosis; subchondral fracture; revascularization and regeneration; and healing. This condition usually appears between 5 and 9 years old and boys are more affected than girls. Besides most cases have been sporadic, some factors, as genetic predisposition and environmental influences have been implicated in the etiology of LCPD. In this study we report a possible case of LCPD in a medieval/modern male adult from an excavation in Tomar, Portugal. In this individual not only we observed the usually features found in LCPD, like the femoral head in a form of mushroom and a slight disto-mesial rotation of the tibia, but also osteoarthritis in the calcaneus and astralagus, probably related to the changes in the femur. We also observed the presence of new bone in the last four thoracic vertebrae, at the right side it looks like melted candle wax down the front of the T9, T10 and T11 and in the T12 it was observed a total filling of the disc space with new bone. It was also noted high levels of changes in the enthesis and bone forming in some bones. This person shows an apparently tendency to ossify soft tissues and would have a very limited movement being heavily dependent on others.
منابع مشابه
Legg-Calvé-Perthes disease and slipped femoral capital epiphysis in the skeletal remains of the Mediaeval Necropolis of Santa Maria (Sintra, Portugal)
This paper discusses the differential diagnosis of unusual and distinct pathological changes in two left femurs and one left pelvic bone fragment from the Necropolis of Santa Maria, Sintra (Portugal), dated from the 14-17 centuries. The differential diagnosis of the lesions gave rise to several possible pathological conditions, namely, slipped femoral capital epiphysis, Legg-CalvéPerthes diseas...
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Legg-Calvé-Perthes disease (LCPD) is an idiopathic osteonecrosis of the femoral head with variable complications and resultant deformity of the femoral head and osteoarthritis. Suggested risk factors are acetabular retroversion, obesity, latitude, hyperactivity, and coagulopathy. The most commonly applied classification is based on radiolucency in the lateral pillar of the femoral head, which i...
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Background: Legg-Calve´-Perthes disease is a juvenile idiopathic osteonecrosis in which the blood supply of femoral head is not sufficient and the bone dies provisionally. The aim of this study is to evaluate outcome of Femoral osteotomy in children with LCPD in our University Hospital. Methods: In a descriptive analytic study, between 2008 and 2013, patients with the diagnosis of Legg-Calv...
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تاریخ انتشار 2014