# Conservative Management of Late-Onset Legg-Calvé-Perthes Disease in a 10-Year-Old Child: A Case Report

## TL;DR

A 10-year-old boy with late-onset Legg-Calvé-Perthes disease improved with conservative treatment instead of surgery due to financial limitations.

## Contribution

Demonstrates successful conservative management of late-onset LCPD in a resource-limited setting.

## Key findings

- The patient showed significant improvement after 6 months of conservative treatment.
- Conservative methods like skin traction and casting can be effective for late-onset LCPD.
- Financial constraints can influence treatment choices in pediatric orthopedic conditions.

## Abstract

Legg-Calvé-Perthes disease is a childhood condition characterized by avascular necrosis of the femoral head, with a poorer prognosis in children over 8 years. This case report describes a 10-year-old boy presenting with persistent left thigh pain, limp, and limited hip motion following a fall 3 months earlier. Imaging revealed osteonecrosis of the left femoral head with degenerative changes. Despite surgical intervention being the standard for late-onset LCPD, the patient was managed conservatively using bilateral skin traction and a Petrie's cast due to financial constraints. Follow-up monthly for 6 months showed significant improvement, highlighting conservative treatment's potential in resource-limited settings.