Horizontal skin traction in abduction in physiotherapy management of Legg–Calvé–Perthes disease

Elżbieta Modrzejewska, Natalia Tomska, Agnieszka Turoń-Skrzypińska, Piotr Kacperczyk, Maciej Kołban


Legg–Calvé–Perthes disease is one of the many types of avascular necrosis with etiologies that have not been clearly confirmed yet. It affects the hip joint and is more prevalent in boys between the ages of 3 and 10. The purpose of this paper is to present physiotherapy management of Legg–Calvé–Perthes disease (LCPD) with horizontal skin traction in abduction.
The treatment can be either conservative or operative. In both the cases, appropriate rehabilitation must be performed to facilitate the child’s full recovery. The objective of the comprehensive treatment is to restore the shape of the affected head of femur. The entire course of the disease, from onset to resolution, may take as long as a few years. This article is intended as an effective guide to choosing suitable exercises in the given stage of treatment.


Legg–Calvé–Perthes disease, therapeutic exercises, skin traction in abduction

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Gu Y., Da Paz AC. Can an enlarged acetabulum cover the femoral head well in Legg-Calve –Perthes disease. J Pediatr Orthop 1999; 8B:173-6.

Kandzierski G. Choroba Perthesa. Mechaniczne przeciążenia i zaburzenia rośnięcia głowy kości udowej w etiologii i patogenezie (Praca habilitacyjna). Wyd. Folium, Lublin 2001.

Wise L. Current Management and Rehabilitation in Legg-Calvé Perthes Disease. Human Kinetics Athletic Therapy Today 2010;15,4 : 30-35.

Kandzierski G. Uwagi na temat etiopatogenezy choroby Perthesa: własna hipoteza na podstawie badań doświadczalnych. Ortop Traumatol Rehab 2004;6, 553-560.

Jonsater S., Coxaplana Coxa Plana histo-pathologic and arthrographicstudy. Acta Othrop Scand 1953;(supl.12):2-92.

Douglas D.,Rang M. The role of trauma in the pathogenesis of the osteochondrosis. Clin Ortop 1981;158:28-32.

Nowotny J. Podstawy kliniczne fizjoterapii w dysfunkcjach narządu ruchu. Medipage Warszawa 2006.

Wise L. Current Management and Rehabilitation in Legg-Calve –Perthes Disease. Human Kinetics-Athletic Therapy Today 2010;15,4: 30-35.

Popko J. Karpiński M. Choroba Legga-Calvego-Perthesa. Pediatria po dyplomie 2012;16(4):41-45,

Czupryna K., Donocik-Jurgielewicz J., Szumakowicz-Bożek E. i wsp. Choroba Perthesa –przykłady ćwiczeń leczniczych stosowanych u młodszych dzieci.

Niethard F.U. Clinical findings in Legg-Calve-Perthes disease.Mapfre Medicina1995;6:41-42.

Grzegorzewski A., Bowen JR, Guille J. Tet al. Treatment of the collapsed femoral head by containment in Legg-Calve-Perthes disease. J Pediatr Orthop 2003;23:15-19.

Herring J. A. Current concepts review. The treatment of Legg-Calve- Perthes disease . A critical review of the literature. J Bone Joint Surg 1994;76(A):448-458.

Synder M., Grzegorzewski A., Jak powinniśmy leczyć chorobę Perthesa? Artykuł poglądowy. Ortop Traum Rehab 2004,6(6):770-772.

Radło W., Sułko J., Kotulski D. Wyniki leczenia zachowawczego dzieci z chorobą Perthesa. Ortop Traum Rehab 2004,6(5):589-594

Zarzycka M., Zarzycki D., Kącki W. i wsp. Odległe wyniki leczenia zachowawczego choroby Perthesa. Ortop Traum Rehab 2004,6(5):595-603.

Bowen JR, Foster B. K., Hartzel CR. Legg-Calve-Perthes disease. Clin Orthop 1984;185:97—108.

Kiepurska A. Late results of treatment in Perthes disease by functional method. Clin Orthop 1991; 272:76-81.

DOI: http://dx.doi.org/10.5281/zenodo.2525861


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