Which brace is indicated for Coxa Plana or Legg Calve Perthe's Disease?

• A. Milwaukee Brace
• B. Scottish Rite
• C. Philadelphia Collar Brace
• D. Forester Brace

Answer: (B)

The main idea here is to maintain containment of the femoral head within the acetabulum to allow proper remodeling in Legg-Calvé-Perthes disease (coxa plana). The Scottish Rite hip abduction orthosis is designed to hold the hip in a abducted position with controlled alignment, which centers the femoral head in the socket during the healing and remodeling phases. Its adjustable abduction angle lets clinicians progressively increase or maintain the degree of containment as the disease evolves, helping preserve a spherical head and reduce the risk of deformity or incongruity later on.

The other braces are used for different conditions: the Milwaukee brace is for scoliosis, the Philadelphia collar for the cervical spine, and the Forester brace is typically used for congenital hip dislocation (DDH). Thus, for Perthes disease, the Scottish Rite brace is the most appropriate option because of its specific design to contain and stabilize the hip joint during the disease course.