Joseph, Benjamin and Price, Charles T (2011) Principles of Containment Treatment Aimed at Preventing Femoral Head Deformation in Perthes Disease. Orthopedic Clinics of North America,, 42 (3). pp. 317-327.

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Abstract

The aim of treatment of Perthes in the early part of the disease is to prevent the femoral head from getting deformed by muscular forces and weight-bearing stresses transmitted across the acetabular margin. To achieve this, femoral head extrusion must be preempted in children who are older than 8 years at onset of the disease by ensuring containment as soon as the disease is diagnosed. In children younger than 8 years in whom femoral head extrusion occurs, containment must be obtained by the early stage of fragmentation.

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