- Perthes disease - if you suddenly limped
- How is
Perthes disease - a disease of the femur and the hip joint in children. The children themselves are generally not able to describe the first symptoms of the disease. In the early stages of Perthes' disease in a child may at times appear limp. Further, the disease progresses and lameness increases. Then, the child begins to feel pain in the knees
Living with pain in the knees: a walk to facilitate
, Thigh or groin area when the legs presses the body weight and / or movements of the hip joint. Further, the hip joint may become less mobile. If a child is sick for a long time, his bad leg would be slightly shorter and thinner sound.
Despite the pain and lameness, children with Perthes' disease generally healthy. Perthes disease usually affects children between the ages of three and eleven years. It is more common in boys than in girls. More than 75% of patients struck by only one hip joint.
Causes of Perthes' disease is unknown. The disease goes through several stages of development. First, there is a temporary cessation of blood flow to the femoral head, resulting in the latter slowly softens and collapses. Because of this, the femoral head, OK - round, flat or becomes deformed, becoming like a mushroom. Then, the bone begins to pinch, sometimes largely deformed.
Most children with Perthes' disease recover completely, although it may take two to five years, while the damaged bone to recover. If the femoral head was not seriously deformed femur and the hip joint will function normally. More serious deformation may restrict the mobility of the joint and early arthritis.
In the early stages, as a rule, Perthes disease can not be identified with the help of X-rays. For a more accurate diagnosis using ultrasound and magnetic resonance imaging. If the X-ray image are clearly visible typical of Perthes' disease changes, the use of other methods of diagnosis is not required.
The objectives of treatment for Perthes' disease - to reduce pain and stiffness in the joints and prevent deformation of the femoral head. Selection of treatments depends on the child's age and severity of disease.
Children under the age of five years with milder forms of Perthes' disease is generally recommended to avoid strenuous physical activity, and the appearance of pain in the joints
Joint pain - how to understand what is going on?
- A lot of rest. Other treatments are rarely used.
Children older than five years with Perthes' disease sometimes have to wear special orthopedic devices - usually within one or two years. With a very strong deformation of the femoral head, and if the child refuses to wear retainers may be necessary surgery.
The treatment period can be psychologically very difficult for children and their parents. Limiting activity can cause a child's irritability
Irritability - you try to control my temper
and increased anxiety
Anxiety - how to distinguish normal from disease?
. Parents need to show understanding and patience; if necessary, seek the advice of a child psychologist.