Which brace is used to contain the femoral head in the acetabulum in Legg-Calve-Perthes disease?

• A. Pavlik harness
• B. Milwaukee brace
• C. Scottish Rite brace
• D. Thomas splint

Answer: (C)

Containment of the femoral head in the acetabulum is essential in Legg-Calve-Perthes disease to allow healing and remodeling while preventing deformity. The Scottish Rite brace is designed to hold the hip in abduction and maintain a position that keeps the femoral head centered within the acetabulum, promoting proper seating as the bone remodels. This targeted positioning is why it’s the best option for managing LCPD among the listed devices.

The Pavlik harness is mainly used in infants with developmental dysplasia of the hip to maintain flexion and abduction, not typically for older children with Perthes. The Milwaukee brace is used for scoliosis, not hip containment. The Thomas splint is an immobilization device for fractures and isn’t suited for keeping the femoral head contained in the acetabulum.