A 10-year-old boy has been diagnosed with Legg-Calv?Perthes disease. Which of the client's responses would indicate compliance during initial therapy?

Question

Options

• ADrinking large amounts of milk
• BNot bearing weight on affected extremity
• CWalking short distances 3 times/day
• DPutting self on weight reduction diet

• A
  8% (2)
• B
  88% (23)
• C
  4% (1)

Explanation

(A) This condition causes aseptic necrosis of the head of the femur in the acetabulum. Drinking large quantities of milk at this time cannot hasten recovery. (B) The aim of treatment is to keep the head of the femur in the acetabulum. Non瓀eight-bearing is essential. Activity causes microfractures of the epiphysis. (C) In addition to non瓀eight-bearing, clients are often placed on bedrest, which helps to reduce inflammation. Later, active motion is encouraged. (D) Weight is not generally an issue with this disease. Slipped femoral capital epiphysis, which is most frequently observed in obese pubescent children, usually requires a weight reduction diet.

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