Case Perthes on the Day of Rare Diseases

Childhood

And it is that there are less common diseases that escape us and that need to raise money for their research and that they know, name and visualizes them, and that those parents who notice something different or suspicious in their children feel relieved and know at least what they face.

Diseases are those that are rare, not those that suffer from it.

Because yes, knowing that there are more people like your comfort. They have been through it before and their experiences serve as support, as well as helping to know where to throw, which specialists to consult and where the shots go.

It happened precisely in the first person with everything that happened to me in the high-risk pregnancy of my daughter Maria, wishing to know more cases like mine, although unfortunately at that time I barely found information or cases similar to mine. That’s why I later left Galissea as a nick, in case anyone needed to locate me when reading my post on calcifications and everything that happened to me. They have been able to rely on me 3 mothers who found themselves in the same situation, and although they seem few, having comforted them even during our mail exchanges, well it is.

Or as happened to another follower, Pitu, with her son’s congenital disease.

Perthes disease

Therefore, from here I invite you to read and upload a photo of you sharing or showing and giving visibility to this Perthes disease so that the issue of rare diseases and the issue at hand, the Perthes case, reaches more people.

Today in my maternity blog I show you the witness of a mother who is going through all this and I hope I can help you if you have any uncertainty with the growth or development of your children.

In fact, doesn’t it happen sometimes when your children complain that you try to downplay it and not give it more prominence at that time? And when the same complaint is repeated, don’t you think to see if something happens to this child? Well, knowing the symptoms closely and making known different cases there will be parents who will have a firmer path until they find out what happens to their children in case of any illness or in any of one of the rare diseases. Super important both research and diagnosis, for healing and even for prevention.

And we go with the letter.

Pablo’s Story

Pablo was 6 years old when he started complaining of pain in his left thigh and groin. We took him to the pediatrician and he was told that the pain was due to growth. After the days as the pain continued, we took Pablo to the emergency room, had an X-ray and was diagnosed with synovitis of the hip. You are advised to take anti-inflammatories and be at rest until the pain disappears. This disappears for a while, but after three months the pain returns accompanied by a noticeable limp, so we take him to the traumatologist.

In the exploration, limitation in the mobility of the affected hip is observed, but since no pathology is seen on the radiographs, the traumatologist decides to perform an ultrasound showing a sign of ischemia, and subsequently, the magnetic resonance of the hip is performed. The diagnosis of resonance is very clear: “Findings compatible with Perthes’ disease”.

What is Perthes disease?

The doctor explains that this disease consists of necrosis of the head of the femur. The disease will last what it takes to regenerate and can cause deformation of the hip and dysfunction in varying degrees.

The treatment will basically consist of not running, not jumping and absolute rest along with anti-inflammatories when there is a pain. It is highly advised to swim and ride a bicycle since they are sports in which the head of the femur does not suffer pressure.

Once diagnosed, periodic x-rays are taken to see the evolution of the head of the femur. Initially, the evolution is good, but after eight months of diagnosis, the control radiograph indicates that something is not going well, it seems that the head of the femur is coming out of the acetabulum and can have serious consequences, so there is no choice but operate. There are two possible surgeries to be performed: acetabular shelf vs varicose femur osteotomy.

In the operating room, Pablo has an arthrography to determine which of the two surgeries is the most appropriate. The traumatologist decides to perform a varicose osteotomy, which involves implanting a metal plate to prevent the displacement of the femur head outside the acetabulum. The operation is a success and two days later Pablo goes home, yes, without being able to support his foot for two months.

From that moment we went to periodic reviews where the reosification of the head of the femur is progressively seen. Two years after the operation, the plaque and implanted nails are removed, so Pablo is fully recovered and can make a completely normal life without any limitation in the sport.

Pablo is currently 14 years old and has no sequel.

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