Paediatric orthopaedic diseases
Author Marketing BMM | 2022.06.02.
The speciality of paediatric orthopaedics is that, if detected early, lesions can be treated much more effectively than in adulthood, as the skeleton, joints and muscles are still developing. In addition to the investigation and treatment of complaints, it is also important to screen children for orthopaedic conditions. At the Budapest Musculoskeletal Private Clinic, our doctors with outstanding expertise and decades of experience use the most modern therapies. There is no waiting time at our clinic, you can choose when and where you want to come for an examination.
Congenital malformations
According to WHO data One in 33 newborn babies affects someone with a congenital malformation, which refers to hereditary, acquired, or environmental conditions that develop from conception to birth. developmental disorders we understand. Some of these are paediatric orthopaedics area.
Hip fuck
The hip fuck is the most common congenital malformation affecting the musculoskeletal system, with an incidence rate of about 1%. For girls 5 - 10x so frequent, than for boys. Inside the womb abnormal development of the hip joint, which typically results in the following symptoms during or after childbirth kificamodik the hip joint. Hip dislocation is more common in babies with breech presentation, but the underlying cause of the disorder is genetic causes can also stand for paediatric orthopaedics experts according to.
Symptoms
In infancy, many cases of hip dysplasia are not noticeable, so it is important to hip screening. A hip dislocation can be indicated if the skin folds on the baby's thighs are not symmetrical or if the baby holds the two legs in different positions when sleeping. In children who can already walk symptom of limping. The hip ficam is the paediatric orthopaedics diagnosed by your doctor.
Management
Hip spica in infants can be treated by keeping the baby's legs in a constant in the extended position are fixed. This can be achieved, for example, by using a spreader bar or a special aid. This permanent position correction of the joint helps the hip joint to develop properly. If infantile treatments do not work or fail, hip dislocation can be treated with surgery.
Canine foot deformity
The bumblefoot is a gene that is determined by several genes inherited malformation, which occurs twice as often in boys as in girls. Environmental impacts, intrauterine pressure may also contribute. It is a relatively common paediatric orthopaedic condition.
Symptoms
The bumblefoot easy to diagnose by viewing the foot. The legs are in a forward facing position, in a forced position. The foot is smaller than average and turned inwards. Children walk on the outside edge of their foot, unable to step with a full foot.
Management
Treatment of the bumblefoot can be started at a few days of age using plaster casts, which correct the position of the foot.
Perthes disease
In Perthes disease, the disturbed blood supply to the head of the femur, which prevents it from ossifying properly, it ends up flattening. This in turn easily damages the head of the femur, and the hip sprains are also more common. Perthes' disease is often seen in paediatric orthopaedics surgeries, in the It is most common in children aged 3-13 years. It is three times as common in boys as in girls.
Symptoms
Symptoms of Perthes disease include pain around the hips, in the knees or in the groin area. The pain is usually dull, and children have less stress on their feet as a result. With rest, symptoms are relieved. In most cases, only one leg is affected, but in about 10% cases both limbs are affected. Other features include thin muscles, possibly shortened legs and limited mobility. If the disease is suspected, a paediatric orthopaedic specialist is recommended.
Management
Perthes' disease cannot be treated, the length, intensity and frequency of painful periods can be reduced, but it cannot be cured.
Spinal deformities
Spinal deformity in childhood a common pathology in paediatric orthopaedics surgeries. Some of these diseases are of unknown origin, but rapid growth, long hours of sitting still at school and lack of exercise may also contribute to their development. Incorrect posture can cause the physiological curves of the spine to become sub-optimal and can also lead to lateral curves.
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Scoliosis
Scoliosis (also known as scoliosis) means an abnormal lateral curvature of the spine, which is vertebrae on each other displacement, causes twisting. It usually occurs around the age of 10-12 years. This paediatric orthopaedic condition occurs twice as often in girls as in boys.
Symptoms
A characteristic symptom of scoliosis is that the shoulder higher on one side than on the other. In addition, the back pain, limping and reduced physical performance are also common. In more severe cases, cartilage wear may develop over time.
Management
Treating scoliosis a few times a week from physiotherapy which can be prescribed by the paediatric orthopaedic specialist for young patients. In addition, the daily regular exercise is also important. In addition to the prescribed exercise at home, a good complementary sport is Swimming, which loads the muscles of the body evenly and harmoniously, while not putting too much strain on the joints. In the case of more advanced scoliosis, a custom-made corset may also be appropriate. In the most severe forms of scoliosis surgery may be the solution, in which the joints are stiffened to reduce the curvature.
Scheuermann's disease
A condition of unknown etiology with which young patients often present to paediatric orthopaedics. A Scheuermann's disease is that the ossification of vertebral bodies a circulatory disorder develops in the area. Because of this bone cells die, and cartilage cells take their place. These will eventually form bone cells, but until they do, the vertebra is very sensitive, and can be easily deformed.
Symptoms
In milder cases, the disease may remain asymptomatic, but back pain, pressure sensitivity, difficulty moving and fatigue may occur. Deformities of the spine may be visible to the eye on the affected back section. The diagnosis of Scheuermann's disease can be aided by a standing X-ray.
Management
Aggravation of this common paediatric orthopaedic pathology continuous physiotherapy can be prevented. The aim is to relieve the load on the vertebral body until the spine has finished growing. This is greatly aided by strengthening the muscles around the spine, and stretching the muscles. In more advanced stages, a corset may be prescribed by an orthopaedic specialist.
Transient hip arthritis (transitoric coxitis)
Temporary hip arthritis is more common in younger children. Typically after upper respiratory infections and diarrhoeal diseases the disease develops.
Symptoms
A characteristic symptom is that a few days after the respiratory infection, the child very severe hip pain which in many cases means that they cannot even stand on their feet. It may develop a few days after a respiratory or gastrointestinal infection, or even 2-3 weeks afterwards.
Management
To make a diagnosis an ultrasound scan of the hip joint is required, which shows fluid proliferation on the vascular side with the joint structures intact. Treatment requires rest, 2-3 days of bed rest and usually 3-5 days of anti-inflammatory treatment. If the limping returns, an additional X-ray may be necessary to assess possible complications (Perthes' disease).
Lower end axle misalignments
In a normal axial position, the axes of the leg and the femur are continuations of each other. In this case the inside and outside of the joints are subject to the same load. If the femur and the leg form an outward or inward angle, we speak of an O-leg and an X-leg.
Symptoms
Pediatric orthopaedic surgeons can also diagnose lower limb misalignments by physical examination. In more advanced O-foot or X-foot recognisable at a glance. However, to make a precise diagnosis, the doctor may order an X-ray, which clearly shows the extent and cause of the misalignment. If the axial misalignment is more significant, one side of the joint is under increased stress, so cartilage wear over time, and may also cause joint pain and difficulty moving.
Management
Smaller shaft misalignments are typically more aesthetic problem and will grow out of the child over time, so they do not require any special treatment. For more significant axial misalignment, surgery is the solution.
Lower limb length difference
For children in the growth phase, the lower limb length difference is common. Slighter differences do not cause a pronounced complaint, but if the difference in length between the two legs is significant, then joint pain you can apply. In children, it is typically caused by a growth disorder of one side limb. And after growth is complete, the lower limb length discrepancy is most often caused by poorly fused bones.
Symptoms
The most common symptom a gait disorder, the nature and severity of which depends on the difference in length between the two limbs.
Management
A significant difference in lower limb length upsets the balance of muscle tone. This can be remedied by physiotherapy treatments. A heel lift in the shoe can help to even out the difference between the two feet. In some cases, surgical intervention may be necessary.
Specialist paediatric orthopaedics
At Budapest Musculoskeletal Private Practice we place great emphasis on the healthy development of the youngest children, as the optimal development of bones, muscles and joints in childhood has an impact on our whole lives. In our paediatric orthopaedics department, our dedicated and experienced doctors pay great attention to the early detection of diseases and the most effective treatment.
If your child has a musculoskeletal complaint or would like to take him/her for a musculoskeletal screening, please call +36 (1) 44-33-433
