Osteochondropathy or Chondropathy

Osteochondropathy or Chondropathy

Osteochondropathy or chondropathy

TRAUMATOLOGY -2006

Osteochondropathy – a group of diseases occurring in childhood and adolescence due to malnutrition (malnutrition) of bone tissue. In the area of bone blood flow is disturbed and there are areas of necrosis.

The disease usually occurs in the epiphysis and apophysis of long bones of extremities and vertebrae. Pineal gland – is part of the growth of bone tissue. Apophis – the protrusion of bone near the growth zone, to which are attached muscles and ligaments. Usually this is the final part of a long bone. Chronic diseases occur more often develops in the lower extremities, which are under greater stress. Most are caused by hereditary osteochondropathy.

Disease Legg-Calve-Perthes disease.

Disease Legg-Calve-Perthes disease or chondropathy femoral head is also called juvenile osteochondrosis of the femoral head. Sick more often boys aged 4 to 12 years. Usually appears first injury to the hip, and then disrupted the blood supply of the femoral head.

First, there is necrosis of the bone tissue sections of the femoral head. This can be seen on x-rays. In the second stage of the disease the femoral head collapses under the influence of a large load. The next stage is called the stage of fragmentation. This is accompanied by resorption of necrotic bone areas. If untreated, there comes the fourth stage – osteosclerosis. The head of the femur is restored, but its normal shape changes. The final stage, with little treatment – deforming arthrosis of the hip in violation of its functions.

At the beginning of the disease is almost no complaints. Then there are pains in the hip, which give the knee. Often the pain occur after exercise, and disappear after rest and at night. A child can not ignore the pain and do not complain. Gradually, there is limitation of movement in the hip joint. During this period, you will notice weight loss side of the thigh with the patient, caused by muscle atrophy. For the diagnosis of X-rays are carried out. Radiologically are five stages of the disease, corresponding to changes in the femoral head.

Treatment chondropathy femur. Treatment can be conservative and operative. Conservative treatment includes bed rest is mandatory. The patient is prohibited even to sit in order to avoid pressure on the femoral head. Apply skeletal traction in both hips. Assigned to a daily massage of the lower limbs, physiotherapy. Surgical treatment is to perform a variety of bone and plastic surgery. Types of surgery depend on the stage of the disease.

Keller's disease.

This chondropathy bones of the foot. There are disease and illness I Keller Keller II.
Keller is a disease I chondropathy navicular bone of the foot. The disease develops in children aged 4 to 12 years. The patient, pain and swelling of the upper (back) surface of the foot over the navicular bone. While walking the pain worse. The child is lame. To clarify the diagnosis performed x-rays of bones of the foot. Discover reshaping the navicular bone and its fragmentation.

Treatment consists of unloading of the foot. Applied plaster cast for 4-6 weeks. After removing the plaster is assigned physiotherapy, physiotherapy, combined with a reduction in the load on the foot. Within 1-2 years the child must wear orthopedic shoes.

Keller's Disease II is a chondropathy heads of metatarsal bones. Most often the disease is subjected to the second metatarsal bone. The patient having pain in the lesion. Pain increases sharply when walking, especially barefoot on uneven terrain and shoes with soft soles. There may be a shortening of the fingers. When probing reveals a sharp pain base of fingers. The heads of metatarsal bones increase in size. The diagnosis and stage of disease refine by X-ray images.

Treatment of the disease conservative Keller II. Stop unloading. For this plaster is applied Sapozhok for one month. The child must wear orthopedic shoes, because there is a high risk of developing flat feet. Used massage, physiotherapy, physiotherapy. The disease lasts for 2-3 years. In the absence of a good effect on conservative therapy and the development of deforming arthrosis expressed appointed joint surgery.

Kienbock's disease.

This chondropathy lunate bones of the hand. It is manifested in the development of avascular necrosis of the bone. Developing the disease in men 25-40 years after the big injury or prolonged mikrotravmatizatsii hand, when dealing with a lot of physical strain on the wrists. The patient having discomfort in the wrist, constant pain, which intensified during exercise movements. At the base of the brush swelling occurs. Gradually developed limited mobility in the radiocarpal joint. Limitation of joint mobility, in turn, causes a reduction of the forearm muscles and atrophy. Clarify the diagnosis with X-ray studies.

Treatment of Kienbock disease. Limit the load on the bone. To do so, at 2-3 months of plaster cast is applied. After removing the plaster appointed massage, physiotherapy, exercise therapy. With the development of deforming arthrosis expressed using surgery.

Schlatter disease or illness Ostguda-Schlatter.

Schlatter's disease occurs in males between 12 and 16 years, especially those involved in sports, sports dance, ballet. Under heavy load develops chondropathy tuberosity of the tibia. Tuberosity of the tibia is located on its front surface, below the patella. By the tuberosity of the tibia is attached the quadriceps femoris.

The young men of the process of ossification of the tibial tuberosity is not finished yet, and it is separated from the actual tibial cartilage zone. At a constant load on the tuberosity of the blood supply is broken, bumpy areas are necrosis, and then recovery. By the age of 18 tuberosity fuses with the tibia and the recovery occurs. The patient complains of pain below the patella, swelling. Pain increases with the voltage of the quadriceps femoris, while climbing stairs, squatting.

Clarify the diagnosis radiologically. Treatment is to remove the load on the quadriceps muscle. Appointed by the heat, physical therapy procedures. In severe pain superimposed cast. Occasionally we have to use surgical techniques that are promptly deleted fragment of the tibial tuberosity.

Center of Traumatology and ORTHOPAEDICS – Hospital FCS – MOSCOW

Treatment and rehabilitation center for Health Care – Moscow
APPLICATION for medical treatment abroad

REHABILITATION IN ISRAEL – Levinstein rehabilitation center

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