- Keller's disease: a disease of the skeletal system
- Symptoms Keller I
What is the disease Keller
Osteochondropathy - a bone disease that occur in childhood and adolescence, occurring in a series of stages and manifest aseptic necrosis (death of tissue without infection) most of loaded areas of the skeleton, their destruction and subsequent restoration. This happens because the local circulatory disorders of bone, compromising its supply, which causes aseptic necrosis. Among the diseases of the skeletal system osteochondropathy up about 3%.
Why are there osteochondropathy unknown, but a certain value have a genetic predisposition, trauma, infection, endocrine disorders, metabolic disorders and so on.
Disease Keller - is osteochondropathy, which exists in two versions - osteochondropathy navicular bone of the foot (navicular bone - one of the small bones located in the middle of the foot) - a disease Keller I and osteochondropathy heads of metatarsal bones (they are located at the base of the toes) - a disease Keller II.
Symptoms Keller I, its diagnosis and treatment
The disease was first described by the German Keller radiologist at the beginning of the last century. This is a fairly rare disease, which suffer from the boys up to 7 years. Sometimes the disease appears and in girls, but much less frequently.
The disease usually occurs on one side. At the same time on the inner edge of the foot comes back a little swelling
Prevention and treatment of edema - it is important to understand the root cause
and pain that increases when the load (walking). This causes the child to walk, leaning on the opposite, the outer edge of the foot. Pain concerned child for a year, and then disappear.
The diagnosis is usually made by accident, on the basis of X-ray images, which are clearly visible to the phase-out and destruction of the same phase-out (for 1-3 years) restoration of the navicular bone of the foot.
Treatment is carried out in the form of discharge of the foot and its immobilization (creation of immobility) using a plaster cast. Plaster is usually imposed for a period of 4 weeks. After the plaster is removed, restrict the movements of the child: you can walk with support (crutches, canes), you can not run and jump. For the early recovery of bone administered drugs that improve blood circulation and metabolism, thermal procedures, hardware physiotherapy (eg, iontophoresis with calcium chloride). The child is encouraged to wear orthopedic shoes stable
Orthopedic shoes - how to determine what is right for you?
to retain the shape of the foot.
If treatment is started promptly and correctly performed, the disease ends in recovery without any disorders of the foot. If you do not pay attention to the disease (which is very common), the form can be broken scaphoid, which will lead to the formation of flat feet
Flatfoot - help physiotherapy
To prevent the occurrence of the disease Keller I, I need to avoid high physical loads in children aged up to 7 years.
Symptoms Keller II, its diagnosis and treatment
Keller II disease has been described for 6 years later, Keller's illness I American traumatologist Freiberga. Keller subsequently studied and described in detail the disease.
The disease usually occurs in teenage girls, and sometimes there are familial cases of the disease. The most common localization - Head II or III metatarsal bones are rarely affected several bones.
In the occurrence of the disease is set to a genetic predisposition, often starting torque is uncomfortable wearing tight shoes, or any other chronic injuries.
The disease usually begins unnoticed. In place of the destruction of bone pain appears at first load, and then alone. The girl starts to limp. Especially difficult to walk barefoot in shoes with thin soft-soled, on an uneven surface.
At the level of lesion on the dorsum of the foot there is swelling, the head of metatarsal bone increases in size, changing its shape and becomes painful at a palpation. After some time shortened head adjacent to affected bone finger limited movement in the joint. Pain continues for about two years and then usually resemble, but if treatment is not carried out, there may occur again due to changes in the joint.
Diagnosis of the disease is based on data from X-ray studies. Treatment - the restriction of movement by applying a plaster cast on foot for 3-4 weeks. After removing the bandage is recommended to avoid overloading. Assign also physiotherapy, massage, leg and foot muscles, gymnastics. If untreated, the disease may last for more than three years, after which the disturbed function of the joint.
Prevention of osteochondropathy
Osteochondropathy: bone and joint diseases
Stop is to reduce physical exertion and wearing comfortable shoes.