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Perthes' Disease

Anonymous Author (October 2008)

Re: Perthes' Disease
Asked by esme597

Question:
 

Hi all I am a newbie to this site. My son (6) was diagnosed with having Perthes' Disease 2 years ago. It is a disease in the ball and cup joint of the hip. I

just wanted to know if any other members have been through this same disease and would like to share their experiences with me. I think we have been very lucky so far and had a mild form of it.



My Advice:

Hi
 

I was born with Perthes' disease 45 years ago.It wasn't detected at birth (as most severe cases are now).It was picked up because I had a very wise mother who when I began to walk noticed that my gait was unusual ,I had a limp and would fall to the left side.I was fortunate to be seem by a very skilled orthopeadic surgeon ,I recieved treatment for a severe form of Perthes' disease until I was 4 and remained under his care with yearly checkups until I was 15.I led a very full and active life  running ,climbing ,jumpingand playing many sports until my mid 20's when I began to limp again.Over a 10 year period the hip became more fixed and rotated ,I began to experience increasing pain in the hip and eventually had minimal movement in it.I fell pregnant adding more weight to the hip which meant simple tasks like sitting on a toilet was like an olympic sport .When my daughter was 19 months old,I had a total hip replacement.I now have a slight limp but have no pain and have regained movement.

You said your son had a mild form of it which is really good and he may not have any major problems however my advice to you woud be to make sure your son is under a skilled orthopeadic specialist who can monitor his progress.Treatment options have changed a great deal over the past 45 years and while Perthes's disease is not common we know more about it now.The specialist will advise you about activities your son can do that won't cause any stress on his hip,swimming is highly recommended as there is no strain or impact on the joint and it helps keep movement in the joint .Being over weight or obese greatly affects the hip joint so it is important to make sure you son remains within his correct weight range.(that was my downfall) and has a healthy diet.

Most people with Perthes disease eventually require a hip replacement because the joint becomes fixed.If your son does require a hip replacement later in life reassure him that it will make his life so much better.Not all have it done at 35.Mine was replaced at a young age due to the severity of the disease in my hip and the limitations it put on my activites of daily living.But it's not all doom and gloom I regained so much by having it done and can once again lead an active life.

I hope this helps and remember this is my experience,there may be other Minti's out there with a very different story.

 If your son wants to ask any questions I'd be happy to chat to him after all us Perthes' kids have to stick together.

 

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esme597
October 2008 | esme597
Re: Perthes' Disease

Hi Kiwigypsy, Thank you for this link, it is very helpful. The first signs i had of any problems with Casey was when he was three. Up until this age, he had been a normal little boy and very active. Not long after his 3rd b'day, he started crawling again instead of walking and telling me his left shin was hurting. I took him to the dr and was told he had an hip infection and was given antibiotics. The pain in his shin was secondary pain from the hip. It seemed to improve with the medication and then he had no real trouble until he was 4, when it all flared up again. That was when he was diagnosed. After all this time I am still unsure how it all started.



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kiwigypsy
October 2008 | kiwigypsy
Re: Perthes' Disease

Hi

I also had perthes as a child and also have two children, both of whom have it - one very mild with no intervention whatsoever and the other has had some pretty invasive surgeries, but is doing extremely well.  I am 45 years now and due to have a hip replacement soon.

I would like to comment on the statement made regarding severe perthes being picked up at birth now days.  Nothing could be further from the truth!  Perthes does not develop until 2 years old at the youngest and that is to do with the bones in a baby/very young child being mostly cartilage, which is why a break generally is a greenstick fracture.  However, hip dysplasia is found at birth, as is clicky hips.

I have set up a site that you might find of interest, as it contains information about what perthes is, what its doing to the body and why; what the latest treatments and therapies are; a pretty comprehensive medical glossary explaining everything in plain english; plus links to medical papers and support groups at www.perthesnz.bravehost.com

 



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Kellzacar
October 2008 | Kellzacar
Re: Perthes' Disease

Hi Rose,

Thanks for sharing your story and it is a sure thing that you have helped someone by sharing . .  Perthes' disease sounds very much like something most parents should be aware of!

Cheers Kellz



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esme597
October 2008 | esme597
Re: Perthes' Disease

Hi Rose, Thanks so much for your advice. Casey, my son, has been very fortunate as far as I can tell from other peoples experiences. We had 7 days in traction when he was first diagnosed and he had to be stopped from any weight-bearing activities for the first 12 months(which was heart-breaking for him and for us), but that is all we have had to do so far. He has been under an orthopaedic surgeon from day one and on our last visit was given the all clear as far as letting him play any sports that he wants to. This was just the best news for all of us. As he has a sister who is only 13 months younger than him, it has been very hard to stop him running, jumping etc with her. But we have always tried to be positive about the whole thing, as when we were in traction, there was a little 10 month old baby who needed heart surgery in the same ward as us that couldn't have the operation that he needed until he was six. Although we were devastated about the perthes' at the time, that little baby really put things into perspective for us. I try to be a positive person and I am sure that this has only brought us all closer together as a family. Thank you so much for sharing your experience of this disease with me and I wish you all the best for the future. Your advise is very much appreciated.

 



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      rose04
October 2008 | rose04
Re: Perthes' Disease

You are very  Welcome!

Great to hear Casey has the all clear to enjoy his sport and enjoy life to the fullest now.

 



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      DaisyUK
November 2008 | DaisyUK
Re: Perthes' Disease

Hello, yes I have a son with Perthes disease too and felt really alone and then I found Perthes Association on the web http://www.perthes.org.uk  After talking to the people on the helpine I felt so much better and have since met up with lots of other parents.  I can hardly wait to go to the Annual Christmas party they hold because it;'s the one place where Ethan and his brothers and sisters can all go and enjoy themselves together. I'm so sick of him being missed off party lists cos parents think he is a liabilty.

Having hard Perthes disease myself I know what he is going through, I only wish the Charity had been there when I was a kid - I know my parents were scared to death when they were told your daughter has Perthes disease and I'm afraid there is nothing we can do - they thought I was going to die!  Far from it, I qualified as a nurse and specialised in Orthopaedics, before having my 3 children and to date I have no major problems.

Ethan has had occasional traction and been in broomsticks a couple of times just for a few weeks to stretch the tendons, but he is cheerful and positive and never gives up.

 



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emmie
October 2008 | emmie
Re: Perthes' Disease

This is great  advice thanks for sharing   your experience of perthes disease xx



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