15/08/2021
Back from the beach this week and Elliott had his yearly checkup with his Perthes doctor. His x-ray showed much more positive re-ossification (bone growth) in the femoral head. Dr. Shoenaker also commented that the shape of the femoral head is perfect for the socket and he is very happy with it. They checked his range of motion/abduction in both hips and were very happy with how he continues to be very flexible.
That being said, he does have a leg length discrepancy. ☹️ We had noticed he tends to limp when he walks. Well, one leg is longer than the other so that would explain it! The doctor said since Elliott had such a bad case of Perthes, he would have almost expected the LLD. The growth plate in his affected hip was disturbed in his treatment and that has caused it. For now, they gave him a lift to wear inside his shoe. At this point, he’s only 1/4- 1/2 an inch off. The doctor explained that as he grows, the discrepancy MAY become worse. If that is the case they will need to perform a procedure around age 14.
I had read that Perthes kids are more likely to get scoliosis. Doctor said everything looked great with his spine.
We are about 4 years since his diagnosis and we are happy Elliott’s re-ossification stage continues to go well! I pray every day for those kiddos who are just starting their Perthes journey. Hang in there, it does get easier. 💙🙏🏼