Perthes Disease, Avascular Necrosis, Pathogenesis, X Ray features, AIIMS, NEET PG, USMLE, Hip Pain

[@HafizahHoshni]

Simply excellent. Very grateful for clear, concise and well presented video. Thank you for the great channel. 😊😊 2/9/2019

[@amberelsley2106]

I got told I had perthes when I was about 4 years old. My mum was constantly told I was a 'lazy child'. After changing my gp I finally had my diagnosis. The damage was so great that I eventually had a hip replacement when I was 18. I'm 25 now & the hip joint has come loose but I'm grateful I can still play & chase around after my daughter & I can still do the job I love ☺️

[@4getful_boy]

Do you still have any pain? Do you have pain after walking like aroumd 5kms

[@amberelsley2106]

Yes I still have pain. Especially in the colder months. Due to walking with a limp when I was smaller I get a lot of back problems too. Is this something you suffer with?

[@4getful_boy]

@@amberelsley2106 doctora couldnt diagnose about what my promlem was for two years and got operated twice when i was 10. I can walk and run like normal people but i cant wear my right shoe or cant cut my right nails. I cant reach my right foot. I have constraint movement on my right leg

[@amberelsley2106]

@@4getful_boy have you been diagnosed with it now? I find that a good fitting, decent shoe helps my pain when walking & doing other activities. I can reach my feet etc perfectly fine now I've had the operation. Before surgery I wasn't much good to anyone & could barely walk most days.

[@Jordanairy]

I was diagnosed with perthes at 28 and they just gave me a cortisone shot. I was to the point of needing a cane and that shot healed me! 4 years later still doing pretty good!

[@henriettereines6273]

I'm glad it worked for you , wished it worked for me.

[@ماجدحسين-و6ذ]

How are you now?

[@Jordanairy]

@@ماجدحسين-و6ذ no pain in the hip still

[@ماجدحسين-و6ذ]

@@Jordanairy I wish him a speedy recovery, God willing

[@pranavkoolkarni]

1. Tendon transfers 2. ulnar, radial and median nerves 3. Peripheral nerve injuries

[@davidlumi1106]

The pain Is crazy. 15years on and I'd admit it's changed who I'm

[@YelpBullhorn]

I had this disease as an eight-year-old boy. I spent nine months in hospital on traction strapped to an abduction frame, which was like some medieval torture contraption! I then spent two years on calipers before making my recovery. I went on to become a long distance runner, completing my first half marathon aged just twelve. I'm fifty now, and my hip is beginning to hurt more and more, and I suspect arthritis, and a looming hip replacement. But hey, could be worse!!! Good informative video by the way.

[@jean-pierreperreault]

THE IDEA IS TO RELEASE THE MUSCULAR TENSIONS THAT COULD BE CRUSHING THE BLODD VESSELS FEEDING ALL TISSUES AROUND THE HIP BONES .

[@EmilyF72]

Same

[@EmilyF72]

I had this condition when I was 8 too

[@jamesmckenna5993]

Same I had it wen I was 8 enjoy runnin but always get hip pain and I am only 32 so can imagine it will Get worse as the time goes on

[@shelleycurreen1182]

Despite the medieval torture, it seems like you came out of it ok compared to some. I had no intervention. Early onset arthritis. Definitely no marathons for me. I'm $40 and very limited in physical activity due to pain. Refused hip replacement for any and all reasons they can think of. One being I'm still in child bearing years. As if I could cope with pregnancy with my hip in the state it is!

[@michaelbell1608]

Found I had it at 14 , hip replacement at 21, now I'm 38

[@JP-rf7cu]

And how your hip doing right now? I had it at 6y.... hospitalized over a year in rehab. I am in a bad pain since 18y..... now 40 I can't handle the pain anymore . .... doctors keep saying I am too young for hip replacement...... they also saying the hip last 15-20 years. Were you without a pain after hip replacement? I mean sure the hip itself, but around that...... thank you

[@michaelbell1608]

@@JP-rf7cu yes compared to the short leg and messed up joint and ball. It made quite a difference. Admittedly it's not in its prime condition now but still manageable I guess . but I did use the heck out of it also

[@JP-rf7cu]

@@michaelbell1608 you were very young when your hip was replaced. Did you do any sports? Like skiing, skating, running........ Usually young people get wild, I am just curious how active you were on the hip..... thank you for you response....... also how does it feel when your hip wearing out. Are you in pain, or just the hip won't move well? Thank you

[@monikadudhraj1227]

Can you make video on blood supply around knee joint?? Your videos are clear,concise and awesome! Thank you!! Love from Nepal

[@xx_alphang_xx9889]

Yo tenia perthes en las dos piernas,pero a traves del tiempo ( 13 años de recuperacion) las bolas del femur me crecieron, eso si deformes, pero la suerte que tengo es que puedo caminar bien y sin ningun problema

[@maia1775]

Thank you. Great explanation ❤️

[@mohamedahmed-xi4gu]

Where is the next video of perthes classification ??

[@ankitbhatt4527]

Very nicely explained bro, pls make the next video also for completion of topic

[@redvalenciamd]

Thanks

[@ShashwatShukla10]

Did you post the follow up video with all classifications of Perthes?

[@jean-pierreperreault]

A friend of mine's child has had the diagnosis. Perthes disease cause has no explanation. I have an hypothesis. The problem is blood supply to the head of femur bone, Blood vessels run through muscles (the ones acting on around the hip. Tight muscles often apply what I call: "the garden hose principle" tensions (even dehydration of the muscles (what we don't use, we lose!" crushing or pressing the blood vessels stopping completely or partly the blood supply to certain areas. Get bac to me if you read this. I'd be curious to hear what happens with your child. AND would be happy to help from a distance (for free). I am a massage therapist specializing in pain relief. I teach how the muscular system can cause lots of unexplained diseases

[@g7cap687]

Hi,I have perthes disease on my left femur head.I am 24 years old.I had it since 5years old.Right now it hurts a lot,the length of the femur neck+head has decreased and is causing the nerves to be pressed.I have no idea how to decrease the pressure from the fumur head from the acetabulum.My email is [e-mail]

[@jean-pierreperreault]

THE IDEA IS TO RELEASE THE MUSCULAR TENSIONS THAT COULD BE CRUSHING THE BLODD VESSELS FEEDING ALL TISSUES AROUND THE HIP BONES .

[@dheerajrao6976]

Is this disease curable or what can be the more ways to handle it ? Perthes is one of the less known disease and that's why there is lesser awareness on this. Traction exercise is good or not in this, pls help and resolve my query.

[@yogeshbikram4093]

Where is classification of perthes? Link please

[@bharathraja9199]

Yes

[@cathihargaden1608]

What is Cateralls classification then? He was my consultant as I had residual perthes only diagnosed at the age of 25 years of age

[@saadyahassan9349]

Caterall Classification based on amount of involvement of femoral epiphysis as Group 1 half of head with sclerosis, fragmentation & collapsed head Group4 entire epiphysis involved

[@jmanza.1]

Is it normal to suffer with groin problems? I’ve had perthes since I was born

[@rameen5450]

good!

[@TheYoungOrthopod]

Thanks!

[@РайонексРоссия]

thank you for your work great explanation but your voice is more like a lullaby i find it hard to open my eyes

[@bijumaman3865]

Its painful

[@MandeepKaur-zw9ov]

Hi Dr. ..my son is eleven years old. ...He has pain in hip joints. ..uneven growth of hip balls. ...please suggest us what to do. ....

[@TheYoungOrthopod]

Please visit a nearest Orthopaedic surgeon. They will evaluate his condition and advice accordingly. Thankyou.

[@jean-pierreperreault]

Hi! Where is your child in the medical process? Was that just pain or any Diagnosis was made yet? A friend of mine's child has had the diagnosis. I am a massage therapist specializing in pain relief. Perthes disease cause has no explanation. I have an hypothesis. The problem is blood supply to the head of femur bone, Blood vessels run through muscles (the ones acting on around the hip. Tight muscles often apply what I call: "the garden hose principle" tensions (even dehydration of the muscles (what we don't use, we lose!" crushing or pressing the blood vessels stopping completely or partly the blood supply to certain areas. Get bac to me if you read this. I'd be curious to hear what happens with your child. AND would be happy to help from a distance (for free).

[@SIVAKUMAR-wh5oy]

@@jean-pierreperreault hi sir I am siva both sides hip pain .

[@SIVAKUMAR-wh5oy]

@@jean-pierreperreault please help sir

[@mandeepkaurjattana2412]

Jean-Pierre Perreault I saw ur written today. Thanks.

[@esmailalsuhmani7890]

♡

[@jackiedavies6956]

I had perthese disease in both hips as a child and have gone on to have avasular necrosis in both hips at the age of 45 needed hip replacement in the right hip and now the left will need to be done. Would like to know if this was inevitable or could it have been prevented along with the severe osteoarthritis or is it just in my genes

[@daleridden3016]

I had legg calve perthies when I was a child. Now that I am a adult I found that I have post legg calve perthies but my medical doctor will do nothing to prove that I am WRONG. But everything that I can dig up on it it shows and tells me that I do have post legg calve perthies but the doctor will not listen to me or to an expert about the condition. So what I have learned that they think that you are CRAZY and that there is nothing wrong with your legs but that you are only weigh too much. So I guess that I still need to figure out a place to get the much needed hard proof to show my doctor that I have the condition and that it is NOT in my mind but that it is the TRUTH. If you have the disease as an adult FIGHT, a good FIGHT and teach your MEDICAL DOCTOR WRONG.

[@MrWoof-ki3uo]

the disease is somewhat genetic, caused by mutations in COL21A. It's actually characterized by avascular necrosis to the femoral head, not the other way around. OA is very common with it, not much you could have done. Surprisingly, very little research has been done on the disease

[@zippyx6042]

i was told by my doctor that I have the worst of this in USA so am lucky just kidding not be able to play sports ever and maybe being in a chair for the rest of my life sucks.

[@jean-pierreperreault]

Pressure point all muscles of the buttocks and around the hips like this .THE IDEA IS TO RELEASE THE MUSCULAR TENSIONS THAT COULD BE CRUSHING THE BLODD VESSELS FEEDING ALL TISSUES AROUND THE HIP BONES . Use a ball like a baseball for little kids (not the hard one, but the one that is softer; like made of rubber ) . BE DILIGENT . IT IS NORMAL TO FEEL DISCOMFORTS OR PAIN WHILE DOING THE PRESSURE POINTS - Heere a video to demonstrate. kzbin.info/www/bejne/eYHYn3htepyMf8U

[@sam1706]

I have it to, im getting a hip replacement because i want my life back

[@sam1706]

Im 16 btw

[@kathybradbury]

In other words, “growing pains”.

[@robertayoder2063]

Not even close

[@MrWoof-ki3uo]

if u call cell death to the femoral head "growing pains"

[@hammadahmad920]

Love from pakistan

[@409_manohar6]

kzbin.infoRIlw2nHtu8Q?si=gfV_q1P9c5h6jx-j At 18, I was diagnosed with AVN, the pain was unbearable. Miraculously, after 2 years, I found relief. Now, my AVN stage is 5 for the left hip and 4 for the right, with stable bone density.