Orthopedic Issues in Adolescents

February 22, 2011 by  
Filed under Adolescent Health Issues

Physical well being difficulties encountered throughout adolescence can have an effect on the improvement of the physique, if not treated. You can find couple of anatomic regions, like spine, knee and ankle, in adolescents which can get orthopedic difficulties including Osgood-Schlatter illness, and Slipped Capital Femoral Epiphysis.

Osgood-Schlatter illness is triggered as a result of injury or overuse of the knee which causes swelling and discomfort within the region beneath the knee, above the shin bone. The patellar tendon as well as the soft tissues surrounding it gets inflamed, due to the continuous pulling of the region exactly where the tendon joins the beneath knee. Typically, adolescents who participate in sports actively and are athletic, like football, basketball, soccer, ballet and gymnastics, have a tendency to get the Osgood-Schlatter illness. Boys of age eleven to fifteen and girls of age eight to thirteen are at higher threat. The cause why adolescents get this issue is the fact that their bones develop more rapidly when compared towards the tendons and muscles in this age and due to this the muscles and tendons stretch and turn out to be tight.

The signs and symptoms of Osgood-Schlatter illness are swelling of knee, tenderness beneath knee region and limping. The physician will check the medical history of the patient and will conduct physical examination and diagnostic procedures like taking an X-ray. The physician will determine on the therapy to be completed by studying the overall well being, age, medical history, tolerance for particular medicines and extent of the illness. Therapy will consist of medicines, rest, compression, elevation, neoprene knee sleeve and physical therapy. The primary aim will likely be to control and limit the knee discomfort by cutting down on the adolescents physical actions. Typically the Osgood-Schlatter illness gets healed more than a time period and in really uncommon circumstances is really a surgery necessary.

Slipped capital femoral epiphysis can be a dilemma which impacts the hip joint. The ball or head of the thigh bone, also referred to as femoral head slips from the thigh bones neck. Due to this the hip joint becomes stiff and painful. Slipped capital femoral epiphysis will be the most widespread disorder of the hip which can occur in each the hips or 1 and it really is a lot more widespread in boys when compared to girls. Essentially, adolescents of the age ten to eighteen years and who’re overweight could be affected by this situation. The situation can arise more than a time interval of couple of weeks or years. The situation, if resulted due to trauma and is also referred to as acute slip and if outcomes following a time period is known as chronic slip. Slipped capital femoral epiphysis is triggered due to medicines, radiation therapy, thyroid difficulties, and chemotherapy.

You will find 3 degrees of intensity of slipped capital femoral epiphysis, mild, moderate and severe. In mild slipped capital femoral epiphysis, only 1 third of femoral head slips from the thigh bone. In moderate, 1 third to half slips and in severe, a lot more than half of the femoral head slips. The signs and symptoms of this situation are discomfort in hip which increases upon movement, discomfort in thigh, knee & groin and limpness within the leg. When an adolescent walks there will likely be a clicking sound within the hip and his/her legs will likely be turned outwards.

Apart from studying the medical history of the patient, the physician will recommend diagnostic procedures like bone scans, X-ray, magnetic resonance imaging and blood test. The bone scans will determine the arthritic changes and degenerative changes within the joints, which helps to detect tumors & bone diseases as well as the cause of discomfort and inflammation. The X-ray will give the inside picture of the bones, tissues and organs. The magnetic resonance imaging provide detailed image of the structures within the physique with the help of large magnets. It really is best if slipped capital femoral epiphysis is determined within the early stages, so that the femur bones head doesnt slip off any further. The adolescent may need to undergo a surgery along with physical therapy.


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