Health

Tenotomy for Treating Perthes Disease in Children




Perthes disease, also called Legg-Calvé-Perthes Disease, is when the head of the thigh bone dies, collapses, and heals over several years. Treating Perthes during this time is critical to having the best outlook for your child’s hip. Watch this animation to learn more about a tenotomy, or the cutting of a key tendon, to help restore motion and containment to the hip.

To learn how Perthes disease develops, watch our animation here: https://youtu.be/0b_0EzYSiUE

Watch our other videos about treating Perthes disease:
Non-Surgical : https://youtu.be/46B7T_srszs
Pelvic (hip-bone) surgery: https://youtu.be/hzh4ZOgX9to
Femoral (thigh-bone) surgery: https://youtu.be/gm3UrEx5Gi4

Perthes disease affects the head of the thigh bone, which is a ball that fits into a socket in the hip bone. As children grow, the ball and socket put pressure on each other to form a close-fitting, spherical joint. Since Perthes causes the ball to die, keeping the ball contained within the socket is critical to help the joint heal into a more spherical shape. This is called the “principle of containment,” which aims to keep the ball contained within the socket, and keep it in motion. But if a few key muscles become too tight, they can pull the hip out of the socket, which is called a “loss of containment.” A tenotomy, or the cutting of a tendon, is a minimally invasive procedure that reduces pressure on the hip joint, and allows the hip to move more freely. This is often combined with casting. At Children’s Hospital Colorado, a tenotomy is one of several non-surgical options to treat your child’s Perthes.

To learn more, visit our website here:
https://www.childrenscolorado.org/conditions-and-advice/conditions-and-symptoms/conditions/legg-calve-perthes/

Connect with Children’s Colorado:
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Website: http://www.childrenscolorado.org

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