Hi Lisa. I'm sorry that your family has to take this journey, but you will be amazed at how strong you are and how brave your son is. I just have a few questions. Have you seen an pediatric orthopedic surgeon, preferably one associated with a Childrens Hospital? Where in Oklahoma are you, close to what major city? We are in Denver, Co. My son Jared is 7 and he sees an ortho doc at TCH in Denver. I could send an email to Jareds doc and see if he knows of anyone in your area. Sometimes he does, sometimes he doesn't. Some families have little or no health insurance and so they go to Shriners Hospitals for care. You can consult with more than one doc, but you most likely will get more than one recommendation of course of treatment. Because of your sons age he may be a good candidate for intervention. The younger one is when they develop Perthes the longer time there is for regrowth. Being older than eight years usually indicates a need for surgery with 50% head
involvement. Has the doc indicated what stage or phase your son is at? Keeping the range of motion is a good thing to focus on, you could ask about physical therapy. Some docs do PT before surgery, some after. Sounds like what you are doing is helpful. Keeping the muscles strong is hard work but helps to keep away a limp. Better to prevent it if you can then to try to undo it later. The classification the doc gave you was based on the gap between the head of the femur and the acetabulum, (how it sits in the socket). Jared has had an arthrogram, petrie cast to return range of motion, a femoral osteotomy, and recently the hardware removal from the osteotomy. He has full head involvement, acetabulum is affected also. His femur was pushing out of the socket, so it was recommended for the osteotomy to tip the femur deeper in the socket. So far so good. Jared is 16 months into Perthes, we still have a long way to go. This is just part of our lives. We have learned to
adapt a few things, and think about our activity and how that might affect him. We have a 504 plan at school this year to make some accomadations and to cover for some absences from surgeries and hospitalization, also leaving school early counts as an absence. Start making a list of questions to ask your doctor. No doc has a crystal ball to see into the future, but most have experience on their side and can share expectations. You and your family want the best clinical outcome possible for your son, your doc should want the same thing. The up side of Perthes is that it is not life threatening, just life altering, how much can depend on attitude. You did nothing to cause this, your son did nothing to cause this, it just happened. You will get through this, but it is important to have a medical team to support you on your journey. Ask questions, get answers, being a nurse I'm sure you know how to deal with most docs. When your child is the patient you can wear your mom
hat and use your nurse knowledge. This group has many who have been through this or are in the middle of this, please ask questions, or even just vent, this is a support group to help families who are affected by LCPD. Will be waiting to hear from you. Take care.
Jenny/Jared 7
brawmerlisa <brawmerlisa@...
Hi everyone. My name is Lisa and I've been reading the posts on this
group for the last month. This group has more information than I've
found anywhere. Thank you to the owner and all who post.
I'm a nurse with 3 children and work at a retirement center. Two boys
and one girl. My oldest is 11 and was diagnosed with perthes two months
ago. I'm a little concerned with our doctor. Just one look is all he
took of the x-ray. Now he wants to do surgery. That bugs me. No further
diagnostic intervention prior. I live just north of the Texas in
Oklahoma. Can someone recommend a doctor for a second opinion. I just
don't trust what the doctor says. I would like to have an arthrogram
done first. My son can move fairly well. I started exercising him with
out the doctor saying so. It helped and he walks with less pain. Any
information would help. I do know the doctor said he was classified as
a B hip. The lateral edge is in tact with 50% involvement. Lisa