{"id":5632,"date":"2023-12-18T13:55:10","date_gmt":"2023-12-18T12:55:10","guid":{"rendered":"https:\/\/centrointernacionaldelperthes.com\/what-is-perthes-disease\/diagnostico\/"},"modified":"2024-03-11T10:22:15","modified_gmt":"2024-03-11T09:22:15","slug":"diagnosis","status":"publish","type":"page","link":"https:\/\/centrointernacionaldelperthes.com\/en\/what-is-perthes-disease\/diagnosis\/","title":{"rendered":"Diagnosis"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5632\" class=\"elementor elementor-5632 elementor-4258\">\n\t\t\t\t\t\t<div class=\" elementor-section elementor-top-section elementor-element elementor-element-c6faa3c mt-8 mt-md-9 elementor-section-boxed elementor-section-height-default elementor-section-height-default smart-sticky-default\" data-id=\"c6faa3c\" data-element_type=\"section\" data-e-type=\"section\">\r\n\t\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\r\n\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div class=\" elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b814c26 mt-md-0 mt-1 pt-md-0 pt-4 elementor-invisible \" data-id=\"b814c26\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInRightShorter&quot;}\">\r\n\r\n\t\t\t\t\r\n\t\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d25d642 mb-5 elementor-widget elementor-widget-heading\" data-id=\"d25d642\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Based on diagnostic suspicion and radiological confirmation.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0a8e1de elementor-widget__width-auto w-sm-50 elementor-icon-list--layout-traditional elementor-invisible elementor-widget elementor-widget-udesign_widget_iconlist\" data-id=\"0a8e1de\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInLeftShorter&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"udesign_widget_iconlist.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\r\n\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-648883e\">\r\n\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\r\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-arrow-alt-circle-right\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M504 256C504 119 393 8 256 8S8 119 8 256s111 248 248 248 248-111 248-248zm-448 0c0-110.5 89.5-200 200-200s200 89.5 200 200-89.5 200-200 200S56 366.5 56 256zm72 20v-40c0-6.6 5.4-12 12-12h116v-67c0-10.7 12.9-16 20.5-8.5l99 99c4.7 4.7 4.7 12.3 0 17l-99 99c-7.6 7.6-20.5 2.2-20.5-8.5v-67H140c-6.6 0-12-5.4-12-12z\"><\/path><\/svg>\t\t\t\t<\/span>\r\n\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">a. During the consultation, a comprehensive assessment of the degree of clinical involvement of the child, and more specifically of the hip, should be performed by a thorough examination.<\/span>\r\n\t\t\t\t\t\t\t\t<\/li>\r\n\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-46eeb52\">\r\n\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\r\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-arrow-alt-circle-right\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M504 256C504 119 393 8 256 8S8 119 8 256s111 248 248 248 248-111 248-248zm-448 0c0-110.5 89.5-200 200-200s200 89.5 200 200-89.5 200-200 200S56 366.5 56 256zm72 20v-40c0-6.6 5.4-12 12-12h116v-67c0-10.7 12.9-16 20.5-8.5l99 99c4.7 4.7 4.7 12.3 0 17l-99 99c-7.6 7.6-20.5 2.2-20.5-8.5v-67H140c-6.6 0-12-5.4-12-12z\"><\/path><\/svg>\t\t\t\t<\/span>\r\n\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">b. The definitive diagnosis is based specifically on the hip radiology: <\/span>\r\n\t\t\t\t\t\t\t\t<\/li>\r\n\t\t<\/ul>\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ea6d580 elementor-widget elementor-widget-text-editor\" data-id=\"ea6d580\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><strong>Radiography in two projections:<\/strong> It is usually the only test to be performed.<\/li><li><strong>MRI or Magnetic Resonance Imaging:<\/strong> test that detects the disease earlier. Although it is rarely used for this purpose.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t<\/div>\r\n\t\t\t\t\t<div class=\" elementor-section elementor-top-section elementor-element elementor-element-7474083 mt-8 mt-md-9 elementor-reverse-tablet elementor-reverse-mobile elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default smart-sticky-default\" data-id=\"7474083\" data-element_type=\"section\" data-e-type=\"section\">\r\n\t\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\r\n\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div class=\" elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-89163 elementor-invisible alpha-sticky-column\" data-id=\"89163\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInLeftShorter&quot;}\">\r\n\r\n\t\t\t\t\r\n\t\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c3c094d elementor-widget elementor-widget-image\" data-id=\"c3c094d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"714\" height=\"434\" src=\"https:\/\/centrointernacionaldelperthes.com\/wp-content\/uploads\/2023\/12\/Caso-de-Perthes-en-la-cadera-izquierda-en-un-nino-de-9-anos.jpg\" class=\"attachment-large size-large wp-image-5466\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t<div class=\" elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-277b1fe mt-md-0 mt-1 pt-md-0 pt-2 elementor-invisible \" data-id=\"277b1fe\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInRightShorter&quot;}\">\r\n\r\n\t\t\t\t\r\n\t\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1a33431 elementor-widget elementor-widget-text-editor\" data-id=\"1a33431\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The radiographic alteration may take a few days or weeks to appear. In this case it is advisable to repeat the X-ray a month after the previous one, or to perform an MRI.<\/p><p>If you have any diagnostic concerns, ask for an appointment on-line right now.<\/p><p>Radiology images will show us the phase in which the disease is, because it is common that the actual onset has occurred long before any onset of symptoms.<\/p><p>In our experience more than 10% of the cases did not show initial symptoms.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t<\/div>\r\n\t\t\t\t\t<div class=\" elementor-section elementor-top-section elementor-element elementor-element-0df0352 elementor-section-content-middle elementor-section-full_width elementor-section-height-default elementor-section-height-default smart-sticky-default\" data-id=\"0df0352\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;none&quot;}\">\r\n\t\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\r\n\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div class=\" elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5e54259 \" data-id=\"5e54259\" data-element_type=\"column\" data-e-type=\"column\">\r\n\r\n\t\t\t\t\r\n\t\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t<section class=\" elementor-section elementor-inner-section elementor-element elementor-element-a52023c elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default smart-sticky-default elementor-invisible\" data-id=\"a52023c\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeIn&quot;}\">\r\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\r\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\r\n\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div class=\" elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-c7d66da \" data-id=\"c7d66da\" data-element_type=\"column\" data-e-type=\"column\">\r\n\r\n\t\t\t\t\r\n\t\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e3ad063 mb-10 mb-md-0 elementor-invisible elementor-widget elementor-widget-udesign_widget_button\" data-id=\"e3ad063\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInLeftShorter&quot;,&quot;_animation_delay&quot;:400}\" data-widget_type=\"udesign_widget_button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"btn btn-link btn-md btn-primary btn-icon btn-icon-right\" href=\"#contacto\" ><span >REQUEST YOUR APPOINTMENT NOW<\/span><i class=\"a-icon-long-arrow-right\"><\/i><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t<\/section>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t<\/div>\r\n\t\t\t\t\t<section class=\" elementor-section elementor-top-section elementor-element elementor-element-d961660 mt-10 pb-md-10 elementor-section-boxed elementor-section-height-default elementor-section-height-default smart-sticky-default\" data-id=\"d961660\" data-element_type=\"section\" data-e-type=\"section\">\r\n\t\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\r\n\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div class=\" elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b23fcfa elementor-invisible \" data-id=\"b23fcfa\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeIn&quot;,&quot;animation_delay&quot;:200}\">\r\n\r\n\t\t\t\t\r\n\t\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-46c40ca mb-4 mt-4 mt-md-0 elementor-widget elementor-widget-heading\" data-id=\"46c40ca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">Perthes Disease<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6ee1dae mb-2 elementor-widget elementor-widget-heading\" data-id=\"6ee1dae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">DURATION OF THE DISEASE: 6,1 YEARS<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d80a93c elementor-widget elementor-widget-text-editor\" data-id=\"d80a93c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<strong>FOUR PHASES: <\/strong>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6a5bf80 elementor-widget elementor-widget-accordion\" data-id=\"6a5bf80\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1111\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1111\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">1.- NECROSIS: 6 MONTHS<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1111\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1111\"><p><img decoding=\"async\" src=\"http:\/\/centrointernacionaldelperthes.com\/wp-content\/uploads\/2023\/12\/Imagen-2-necrosis--300x253.jpg\" alt=\"necrosis\" width=\"300\" height=\"253\" \/><\/p>\n\n<p>After the loss of blood supply, the cells of the femoral head die, bone necrosis. The cells maintain the bone structure and lie between the mesh of proteins as niches.<\/p>\n\n<p>After their death, more or less intense crushing of the bone begins, due to loss of structural maintenance.<\/p>\n\n<p>The initial deformity that appears can bereversed if we act early.<\/p>\n\n<p><h4><span style=\"color: #005ca5;\">BE PROACTIVE AND TREAT, DO NOT WAIT.<\/span><\/h4>\n\n<p>DURATION: 6 months on average.\n\n<p>Initial phase:\n<ul>\n \t<li>Pain and lameness.<\/li>\n \t<li>Sometimes asymptomatic.<\/li>\n<\/ul>\n<strong>RADIOGRAPHY OF HIP:<\/strong> X-ray usually shows a sclerotic epiphysis and somewhat flattened. In the x-ray the bone appears whiter and more intense. Necrotic bone is compacted and appears more dense, in a white mass..<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1112\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1112\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">2.- FRAGMENTATION: 7 MONTHS<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1112\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1112\"><p><img decoding=\"async\" src=\"http:\/\/centrointernacionaldelperthes.com\/wp-content\/uploads\/2023\/12\/Imagen1-fase-de-fragmentacion-300x280.jpg\" alt=\"fase de fragmentaci\u00f3n\" width=\"300\" height=\"280\" \/><\/p><p>Once the bone loses the bone cells or &#8220;bone maintenance workers&#8221;, the structure or scaffold of the bone collapses.<\/p><p>This scaffold or mesh is made up of proteins and minerals that form the structure.<\/p><p>Now the crushing of the bone continues, but also the reabsorption of the dead tissue begins, by other cells that arrive via the blood.<\/p><p>There will be areas of dead bone and other areas already cleaned. That is why the radiographic aspect is mottled.<\/p><p style=\"text-align: center;\" align=\"center\"><b>THE MOST PLASTIC PHASE OF THE FEMORAL HEAD. It is the best moment for the treatment in cases of the head at risk.<\/b><\/p><h4><span style=\"color: #005ca5;\"><strong>THE BEST SURGICAL THERAPEUTIC WINDOW<\/strong>.<br \/><\/span><\/h4><p><strong>It is the best time to treat if necessary, especially in heads at risk.<\/strong><\/p><h4><span style=\"color: #005ca5;\">BE PROACTIVE AND TREAT. DO NOT WAIT.<\/span><\/h4><p><strong>DURATION:<\/strong> 7 months on average.<\/p><p><strong>RADIOGRAPHY OF THE HIP:<\/strong> a femoral head appears with white areas next to black areas. Sign of necrosis and resorption of dead bone. Mottled appearance of the hip.<\/p><p><strong>HEAD AT RISK:<\/strong> these are signs that indicate the need to operate if we want to have a good final result.<\/p><p><a style=\"font-size: 18px; font-weight: 500; color: #fda700;\" href=\"https:\/\/centrointernacionaldelperthes.com\/en\/school-for-families\/semaphore-in-the-perthes-disease\/\" data-wplink-edit=\"true\"><i><\/i> ANALYZE WITH THE TRAFFIC LIGHT TOOL<\/a> the situation of risk of the hip.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1113\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1113\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">3.- REOSIFICATION: 60 MONTHS<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1113\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1113\"><img decoding=\"async\" src=\"http:\/\/centrointernacionaldelperthes.com\/wp-content\/uploads\/2023\/12\/reosificacion-300x225.jpg\" alt=\"reosificaci\u00f3n\" width=\"300\" height=\"225\" \/>\n<p style=\"margin-bottom: 12pt; line-height: normal;\">Onset when bone tissue reappears after the arrival of new blood channels.<\/p>\n<p style=\"margin-bottom: 12pt; line-height: normal;\">It is usually already present from the 14th month from the beginning of this process.<\/p>\n<p style=\"margin-bottom: 12pt; line-height: normal;\">It is the longest lasting phase, about 60 months on average. Bone deformities are already established, but can still be reversed and have good results.<\/p>\n<p style=\"margin-bottom: 12.0pt; text-align: center; line-height: normal;\" align=\"center\"><b>TREATMENT BEFORE THIS PHASE IS IMPORTANT<\/b> in cases of &#8220;femoral head at risk&#8221;.<\/p>\n<p style=\"margin-bottom: 12pt; line-height: normal;\">Areas of new bone appear where there was none. This new bone is called &#8220;osteoid&#8221; and is first determined in the external column and in the subchondral bone, that is to say, the bone under the articular cartilage.<\/p>\n<p style=\"margin-bottom: 12pt; line-height: normal;\">In some cases subluxation of the hip also appears, in which case it MUST BE TREATED surgically. It is called &#8220;head at risk&#8221; and if not treated, it will suffer intense deformity and final osteoarthritis at an early age.<\/p>\n\n<h4><a href=\"https:\/\/centrointernacionaldelperthes.com\/en\/school-for-families\/semaphore-in-the-perthes-disease\/\"><i><\/i><span style=\"color: #fda700;\"> ANALYZE WITH THE TRAFFIC LIGHT TOOL<\/span><\/a><span style=\"color: #005ca5;\"><span style=\"color: #fda700;\"> the risk of the hip.<\/span> <\/span><\/h4>\n<h4><span style=\"color: #005ca5;\"><strong>BE PROACTIVE AND DO NOT WAIT<\/strong><\/span><\/h4><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1114\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1114\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">4.- REMODELING PHASE: after healing and until the end of growth.<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1114\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1114\"><p><img decoding=\"async\" class=\"alignnone size-medium wp-image-4283\" src=\"http:\/\/centrointernacionaldelperthes.com\/wp-content\/uploads\/2023\/12\/fase-remodelacion-231x300.jpg\" alt=\"remodelaci\u00f3n\" width=\"231\" height=\"300\" \/><\/p>\n<p>In this phase the Perthes has healed. The femoral head is already of normal density. Bone deformities are visible and stable.<\/p>\n\n<p><h4><span style=\"color: #005ca5;\">THE BONY DEFORMITIES ARE ALREADY DEFINITIVE.<\/span><\/h4><\/p>\n<p><h4><span style=\"color: #005ca5;\">CARTILAGINOUS DEFORMITIES MAY CONTINUE TO PROGRESS.<\/span><\/h4><\/p>\n<p>The patient should be monitored until the end of their growth.<\/p>\n\n<p>Growth disturbances of the femur are the norm and cannot be ignored.<\/p>\n\n<p>Follow-up by your perthes specialist is essential until growth is complete.<\/p>\n\n<p>Remodeling image: The femoral head is already of normal density and with residual bone deformities. It is mandatory to monitor the evolution of the deformity: Ovalization process.<\/p>\n\n<p>In 40% of cases an oval head will occur. <strong>Avoid it.<\/strong><\/p>\n\n<p>In addition, the frequent occurrence of difference in the length of the lower limbs should be monitored.<\/p>\n<p><h4><a href=\"https:\/\/centrointernacionaldelperthes.com\/escuela-de-familias\/semaforo-del-phertes\/\"><i class=\"fas fa-traffic-light\"><\/i> <span style=\"color: #fda700;\">ANALYZE WITH THE TRAFFIC LIGHT TOOL<\/span><\/a><span style=\"color: #fda700;\"> THE RISK OF HIP OVALIZATION.<\/span><\/h4><\/p>\n<p><h4><span style=\"color: #005ca5;\"><strong>BE PROACTIVE AND DO NOT WAIT<\/strong><\/span><\/h4><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t<\/section>\r\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Based on diagnostic suspicion and radiological confirmation. a. During the consultation, a comprehensive assessment of the degree of clinical involvement of the child, and more specifically of the hip, should be performed by a thorough examination. b. The definitive diagnosis is based specifically on the hip radiology: Radiography in two projections: It is usually the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":5614,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-5632","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Diagnosis - Centro Internacional del Perthes<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/centrointernacionaldelperthes.com\/en\/what-is-perthes-disease\/diagnosis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diagnosis - Centro Internacional del Perthes\" \/>\n<meta property=\"og:description\" content=\"Based on diagnostic suspicion and radiological confirmation. a. During the consultation, a comprehensive assessment of the degree of clinical involvement of the child, and more specifically of the hip, should be performed by a thorough examination. b. 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