Key result
An inpatient nonsurgical program increased passive hip abduction by an average of 13 degrees, enabling 61% of children with Perthes disease to achieve the ≥30 degrees required for containment.
Why the study?
Does a nonsurgical inpatient program improve restricted passive hip abduction in children with Perthes disease?
Observational (n=74)
Does a nonsurgical inpatient program improve restricted passive hip abduction in children with Perthes disease?
An inpatient nonsurgical program can improve hip abduction in children with Perthes disease, allowing 61% to achieve the required motion for containment treatment.
May support inpatient programs for Perthes disease; hypothesis-generating and requires randomized confirmation before practice change.
The purpose of this study was to document the ability of a nonsurgical program to improve restricted passive hip abduction in children with Perthes disease. Containment as a form of treatment was recommended if passive hip abduction of 30 degrees or more could be achieved. Medical records and radiographs were retrospectively reviewed for 74 children. Age at admission and onset, side, length of stay, and measurement of passive hip abduction at admission/discharge were recorded. The average increase in abduction with the hip extended was 13 degrees. Forty-two children achieved 30 degrees or more of abduction with the hip extended. Average length of stay was 13 days. Management of restricted abduction in an inpatient setting can allow consideration of containment in 61% of children previously not thought to have the required motion.
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Carney et al. (2004) conducted an observational in Perthes disease (n=74). Nonsurgical program (inpatient setting) was evaluated on Achieving passive hip abduction of 30 degrees or more. An inpatient nonsurgical program increased passive hip abduction by an average of 13 degrees, enabling 61% of children with Perthes disease to achieve the ≥30 degrees required for containment.
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