RT Journal A1 Hunt, D. M. A1 Holmes, Z. A1 Pickering, W. A1 Cohen, H. A1 Glueck, C. J. A1 Freiberg, Richard A1 Crawford, Alvin A1 Roy, Dennis A1 Glueck, Helen A1 Stroop, Davis T1 Correspondence JF The Journal of Bone & Joint Surgery JO The Journal of Bone & Joint Surgery YR 1998 FD April 1 VO 80 IS 4 SP 604 OP b DO UL http://dx.doi.org/ AB The etiology of Legg-Perthes disease is poorly understood, but recent reports have suggested a strong association with heritable thrombophilic defects. Glueck et al., in their study "Association of Antithrombotic Factor Deficiencies and Hypofibrinolysis with Legg-Perthes Disease" (78-A: 3—13, Jan. 1996), reported that 59 per cent (twenty-six) of forty-four children who had Legg-Perthes disease had a thrombophilic defect: nineteen (43 per cent) had protein-C deficiency, four (9 per cent) had protein-S deficiency, and three (7 per cent) had hypofibrinolysis. As part of an ongoing, unpublished study, we screened twelve white individuals who had Legg-Perthes disease for heritable thrombophilic defects. The ten male and two female patients had a median age of eleven years (range, six to forty-three years). None of the individuals had a personal or family history of thromboembolism.