Parthes Syndrome is caused following a disorder in blood supply to the femoral head. The femoral head is a ball-like structure lying in a depression (or socket) in the pelvic bones. Together they make the hip joint. The femoral head grows quickly during childhood and any damage to the blood supply leads to damage in its ball-like structure. It will grow again within a few months but it tends to lose its round shape.
The aim of the treatment for this condition is to ensure normal growth and to protect the femoral head so it can function throughout the child’s life in a normal hip joint.
Parthes Syndrome appears in children aged 4-12 and we still do not have a complete understanding of exactly why it happens and what dictates the severity of the disease. It is more common in boys and the chances of full recovery decline as the child gets older. We expect full recovery in children under 6 and expect their femoral head to regain its circular shape in its entirety.
At the Legg-Calvé-Parthes Syndrome Clinic at Shaare Zedek we evaluate the severity of the disease according to a number of benchmarks (medical history, test findings and advanced imaging findings) and propose treatment appropriate for the severity of the problem and the age of the child.
The standard treatment today divides into two groups: conservative treatment, to preserve the movement range in the hip joint (physiotherapy, hydrotherapy, stretches and equipment), and surgical treatment, which strives to enhance the structure of the femoral head and guide it to full roundness.
We choose the appropriate treatment based on the child’s age, the severity of the problem and the chances of improvement using each of the methods.
Parallel to our treatment work, we are also participating in an international study into Parthes Syndrome, as part of the global effort to increase understanding, improve treatment and to give our patients the most innovative and effective treatment available.