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Year : 1981  |  Volume : 15  |  Issue : 1  |  Page : 16-31

Natural History Of Perthes' Disease-A Radiological Study



Correspondence Address:
S. V Sharma


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Perthes’ disease is still an unsolved problem inspite of voluminous literature. Its etipathogenesis is still a controversial subject. Various forms of treatment available today are primarily for its effects rather than for its cause. Goff (1954) described the rarity of the disease among black races particularly Indians, Negroes and Polynesians. Subsequently Trueta (1949), based on his arteriographic studies concluded that arterial supply to the capital femoral epiphysis along the ligamentum teres occurs earlier in life in black races, hence, the ‘danger period’ of capital femoral epiphysis in which it is dependent on a single source of arterial blood supply through the lateral epiphyseal artery, is reduced. Thus, the disease was considered rare among black races. The present study was therefore, undertaken to find out the variations in the natural history of the disease among Indian patients suffering from Perthes’ disease in comparison to other reported series of the world.


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