Perthes disease. Etiology. Symptoms. Physiotherapy

Many Pediatric Orthopedic Departments in Europe treat children with aseptic necrosis of femoral head. The illness is known in orthopedics as Legg - Waldenström - Calve - Perthes disease, described as the Perthes disease, or LCP disease. The treatment in all Orthopedics Centers mostly is similar - conservative, by physiotherapy and in cases with deformity of proximal end of femur-like varus deformity, partially dislocation / lateralization of femoral head-is done surgery. In many congresses and symposia-discussions about causes of the Perthes disease are very controversial. In our article we describe the causes of this illness. We are providing a lot of evidence that etiology is connected with trauma and concerned mostly children with symptoms of Minimal Brain Dysfunctions (MBD).