In a prospective five-year study, 294 episodes of acute transient synovitis of the hip were diagnosed in 275 children. The average annual incidence was 0.2% and the accumulated risk of suffering at least one episode was 3%. The risk of recurrence was 20 times greater than the risk of having a single episode. Perthes' disease was diagnosed from one to five months after the acute attack of synovi...

Naturally occurring avascular necrosis in the femoral head of SHR, which resembles Perthes' disease in man, was observed histologically. Of 96 epiphyses from 48 SHR, 34 epiphyses from 27 SHR showed a hallmark of necrosis during the period of 10 to 40 weeks after birth. The complete necrosis over the whole epiphyseal nucleus without revascularization was seen at the age of 10 and 15 weeks. Then ...

Valgus extension osteotomy (VGEO) is a salvage procedure for 'hinge abduction' in Perthes' disease. The indications for its use are pain and fixed deformity. Our study shows the clinical results at maturity of VGEO carried out in 48 children (51 hips) and the factors which influence subsequent remodelling of the hip. After a mean follow-up of ten years, total hip replacement has been carried ou...

Perthes disease was recognised as a separate clinical entity over a hundred years ago and since that time, a huge number of scientific articles related to the disease have appeared in the literature. In spite of this high level of interest, the aetiology of the disease is still unknown and consequently no preventive measures can be considered, so treatment too is directed towards the effects of...