Medical news
of the North Caucasus
Scientific journal
Mass media registration certificate dated December 7, 2006.
Series ПИ #ФС 77-26521.
Federal service for surveillance over non-violation of the legislation in the sphere of mass communications and protection of cultural heritage.
ISSN 2073-8137

Site search

Correspondence address
310 Mira Street, Stavropol, Russia, 355017

+7 8652 352524; +7 8652 353229.

+7 8652 352524.


Clinical case of treatment of the Legg–Calve–Perthes disease by extended parasympathetic blockade

[Notes from practice]
Ildar Akhtyamov; Vladislav Lobashov; Damir Zaidullin; Oleg Anisimov;

This article presents a clinical case of an effective conservative treatment of the Legg – Calve – Perthes disease in girl eight years old. The follow-up period was 7 years. The selected method of treatment was an extended parasympathetic blockade in the spine lumbar part using a Ropivacaine 0.2 % solution administered daily for 12 hours. The treatment duration was 8 days.


1. Akhtyamov I. F. New approach of treatment early stages of avascular necrosis of hip. Vestnik travmatologii i ortopedii im. N. N. Priorova. 2011;1:33-37.
2. Akhtyamov I. F., Anisimov O. G., Lobashov V. V. Method of threatment early stages of Perthes desease. Zhurnal travmatologii i ortopedii Rossii. 2014;3:122-128.
3. Kamosko M. M., Zabolotskii D. V. [et al.] Method of treatment development dislocation of hip. Patent RU 2 417 080 C2 03.02.2009
4. Catterall A. The natural history of Perthes’ disease. J. Bone Joint. Surg. Br. 1971;53(1):37-53.
5. Herring J. A. Legg-Calve-Perthes disease. Part II: Prospective multicenter study of the effect of treatment on outcome. J. Bone Joint. Surg. Am. 2004;86(10):2121-2134.
6. Kim H. K. Pathophysiology and new strategies for the treatment of Legg-Calvé-Perthes disease. J. Bone Joint. Surg. Am. 2012;94(7):659-669. https://doi.org/10.2106/JBJS.J.01834
7. Rab G. T., Wyatt M., Sutherland D. H., Simon S. R. A technique for determining femoral head containment during gait. J. Pediatr. Orthop. 1985;5(1):8-12.
8. Terjesen T., Wiig O., Svenningsen S. The natural history of Perthes’ disease. Acta Orthop. 2010;81(6):708-714. https://doi.org/10.3109/17453674.2010.533935
9. Ferguson A. B. Jr. Pathology and treatment of Legg-Perthes disease. Jr. Pediatr An. 1976;5(4):113-129.

Keywords: Legg – Calve – Perthes disease, non-operative treatment, prolonged epidural analgesia

Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy