Brief description of the disease
Osteochondropathy - a disease of children and adolescents, in which bone develops degenerative-dystrophic process.
When osteochondropathy most affected heel, thigh, apophysis vertebral bodies, tibial tuberosity.
At present, the causes of the disease have not been studied until the end, but identified a number of crucial factors:
- congenital or a family history;
- hormonal factors - disease develops in patients with abnormal function of the endocrine glands;
- metabolic disorders of essential substances. Osteochondropathy often disturbs digestion of calcium, vitamins;
- traumatic factors. Osteochondropathy occurs after excessive exercise, including enhancing the contraction of muscles, frequent injuries. Originally, these types of loads leads to a progressive squeezing and after narrowing of small vessels cancellous bones, especially in the areas of greatest pressure.
Osteochondropathy heel bone (Haglund disease-Shintsa) develops most often in girls 12-16l characterized by gradually increasing or severe pain in the calcaneal tuberosity, occurring after exercise. The site of attachment of the Achilles tendon, the heel of the hill marked swelling. Patients begin to walk, leaning on a sock and sports, jumping becomes physically impossible.
Osteochondropathy spine (Scheuermann's disease Mau) develops most often in young men 11-18l. The first stage is characterized by increased thoracic kyphosis (curvature of the spine at the top of his department), the second - back pain (especially during prolonged walking, sitting), fatigue and weakness of the spinal muscles, increasing thoracic kyphosis. In the third stage osteochondropathy complete fusion of the spine occurs apophyses with the vertebrae. Over time, it is developing low back pain with increasing pain.
Osteochondropathy femur (disease Legg-Calve-Perthes disease) occurs in most cases in boys 4-12l. At the beginning of the disease there are no complaints, after pain in the hip, extending to the knee. There are pain after exercise and with rest, so children do not always complain about them. Gradually, limited movement of the hip joint, muscle atrophy, and thigh with a sore hand thinner.
Osteochondropathy tibial tuberosity (Schlatter disease) occurs in boys 12-16l, especially those involved in ballet, sports dances, sports. The patient complains of pain at the patella, swelling. When the voltage of the quadriceps thigh muscle, while squatting, climbing stairs pain increases.
Diagnosis of the disease
To determine osteochondropathy calcaneus based on clinical data and the results of X-ray examination (marked fragmentation, compaction apophysis, "roughness" on the Mount of the calcaneus). Also carried out differential diagnosis osteochondropathy with heel spurs (in older patients), ahillobursitom.
Diagnosing osteochondropathy spine occurs on the basis of the examination (enhanced thoracic kyphosis) and X-ray examination (in the pictures you can see that the shape of the vertebrae change - they become wedge-shaped).
Osteochondropathy femur as determined by X-ray images. It identified five stages of change of the femoral head.
Osteochondropathy tibial tuberosity set of clinical and radiographic examination after the specified.
Therapy osteochondropathy calcaneus is the appointment of non-steroidal anti-inflammatory drugs (if bugged severe pain), physical therapy, a decrease in physical activity. To remove the load on the heel bone using special insoles insoles.
Osteochondropathy spine treated with massage, swimming, underwater stretching, physical therapy. In some cases, in a strong violation of posture prescribed operation.
Treatment osteochondropathy femur can be operative and conservative. Different osteoplastic operations are assigned depending on the stage of the disease. Conservative treatment osteochondropathy is in compliance with bed rest (the patient can not sit), carrying out foot massage, physiotherapy. Practice skeletal extension of both thighs.
For the treatment of tibial tuberosity osteochondropathy prescribed physiotherapy, warmth. If pain is severe, impose a plaster cast. Sometimes resort to surgery - tuberosity fragment removed. Pressures on the quadriceps thigh muscle excluded.
Prevention of disease
To prevent osteochondropathy calcaneus recommended to wear loose shoes.
Prevention osteochondropathy spine is physical therapy sessions to create a muscular corset. Reinforced exercise must be limited. Wearing a corset in this disease effectively.
Good preventive osteochondropathy femur serves massage, swimming.
To prevent tibial tuberosity osteochondropathy athletes during training recommend sewn into the shape of foam 2-4cm thick cushions.