This orthopedic disorder
is known by many names: Legg-Calve-Perthes disease, Legg-Perthes disease,
Perthes disease, coxa plana, aseptic or avascular necrosis of the femoral
head. All of these names still amount to - a deterioration of the
head of the femur (thighbone) due to insufficient blood supply. As
a result of the insufficient blood supply the head of the femur begins
to die and disintegrate. The disintegration can be seen, through
x-rays as a flattening of the femoral tip.
Most often, only one leg
is affected. This condition occurs more frequently in males, between
the ages of 4 to 10 years. Some family bloodlines tend to have extremely
high incidence of this condition, while other bloodlines appear to be less
susceptible.
Symptoms of this condition
will vary according to the severity of the degeneration. Physical
indications of this condition may include: knee pain (may be the only initial
indication), thigh pain, muscular atrophy in the upper thigh, restricted
movement in the hip, limping, difficulty walking, and asymmetry (unequal
length) of legs.
Positive diagnosis can usually
be achieved through x-rays of the hip and/or pelvis.
Treatment of this condition
will also vary dependent upon severity. In mild cases, enforced rest
may be adequate. Resting can allow the body to generate new bone
cells replacing the damaged ones. In more advanced cases surgery
may be needed.
The long-term prognosis
of this condition is dependent upon the extent of the damage. It
is critical that the dog is treated by a veterinarian as early as possible
in the progress of this disorder.
Dogs that have had Legg-Calve-Perthes
disease (regardless of the degree of severity) should never be used for
breeding.
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