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Suggest medical tests to rule out Perthes disease

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Posted on Fri, 6 May 2016
Question: Hi my name is XXXXXXX I am 40 years old. I live in the UK since I was 8 years old. I come from Johannesburg South XXXXXXX My pelvis was severely damaged at 12 months old causing a hip dislocation. I had to have traction first then a frogman's plaster, removal of plaster caste I was diagnosed and treated before dislocation could be fixed for Perth's disease at the age of 3.5 years. My femoral head didn't grow properly. I was diagnosed and treated for a brain tumour at the age of 15/16 years with radiotherapy and steroids. 18 years old my parents paid for a femoral head reconstruction privately plus my femur to be glued to the femoral head as the damage at 12 months old separated the 2 parts of the femur severely and then all my orthopaedic medical records disappeared. I had my first child at 22 years natural birth no orthopaedic problems caused. My mother hide my medical records for 32years so I have been treated like a story teller with a mental illness. Question is there a way of proving that I had Perth's disease as a child as the doctors don't understand why my femoral head is flattening as there is know way it could be to do with lifestyle over exercise. The other problem I have is that at the age of 26 my leg discrepancy was 6-7 cm. I was assaulted at the age of 30 glue broke ended up with a diagnosis of a thorax scoliosis at the age of 33. Age of 40 leg length 4cm thorax scoliosis a lot worse and getting worse pregnant for the second time. I have no way of proving that Perth's disease has gone away. Doctors refuse to realise circumstances are a lot more different. Can you help me prove my point?
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Answered by Dr. Praveen Tayal (21 minutes later)
Brief Answer:
CT scan of hip can help.

Detailed Answer:
Hello,
Thanks for posting your query.
When a child suffers from Perthe's disease, the head of femur degenerates and undergoes necrosis. It seen only in childhood and is not found in adults. In your case it is best to get a CT scan of the hip done and in case the hip is normal in shape and contour then it is not related to Perthe's disease. At your age it is difficult to disprove that you did not have Perthe's disease during childhood.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12162 Questions

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Suggest medical tests to rule out Perthes disease

Brief Answer: CT scan of hip can help. Detailed Answer: Hello, Thanks for posting your query. When a child suffers from Perthe's disease, the head of femur degenerates and undergoes necrosis. It seen only in childhood and is not found in adults. In your case it is best to get a CT scan of the hip done and in case the hip is normal in shape and contour then it is not related to Perthe's disease. At your age it is difficult to disprove that you did not have Perthe's disease during childhood. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal