Perthes disease, symptoms

In general, boys from 3 to 14 years old are exposed to this danger.
5% of cases - damage to both legs.
Important: Girls have a heavier disease.
This problem can be inherited from previous generations of your family!

Reasons.
The reasons are not fully understood. These can be:
1. Injury to the limb.
2. Overload of the joint.
3. Recent infection.
4. Disturbance in metabolism.
5. Congenital damage to the hip joint or part of the spinal cord responsible for this joint.

Symptoms and Illness.
Perthes syndromes are the following: pain in the hip or knee joint and lameness manifests, however X-rays of indications can not give. Later, fatigue manifests during walking. The muscles of the buttocks atrophy, the joint decreases and flattenes, the leg is shortened. At this stage, it is necessary to do an x-ray to check the changes that have occurred in the joint. Also during this period, a circulatory disturbance is detected.
Important: Primary manifestations of the disease may not be observed.

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Signs of circulatory disorders are blanching and cooling feet, high sweating, lowering the pulse in the fingers of the diseased limb, the skin wrinkles.
Further, the shape of the joint is changed from spherical to mushroom( or saddle).
The process can be either one-sided or two-way.

Rarely, primary symptoms are accompanied by a rise in body temperature, inflammatory manifestations in the blood.

Description.
The head of the femur is injured, and there is also osteochondropathy( dying).Further develops coxarthrosis. In addition, the necrosis of the bone tissue, and then its resorption. The disease usually passes slowly( from 2 to 5 years) with a visit to the dispensary.
Important: The prognosis is unfavorable if coxarthrosis develops during adolescence! A favorable outcome is a manifestation of coxarthrosis in old age. It is also very good when the problem does not affect the zone of limb growth.

These changes take place in five stages:
1. Necrosis;
2. Secondary fracture of the femur;
3. Resorption of spoiled fabrics;
4. Replacement of the precursor tissue with a connective tissue;
5. Ossification of a new education.
Timely measures taken cause a reverse process( regeneration), after which a full, but weak articular tissue is formed.
In the event that pathological changes occur in the form of a joint, a subluxation may occur.

Perthes disease and treatment.
Both conservative treatment method and its combination with operative method is used. If the treatment is started at the time, the pathological process of destruction of the joint tissue will not occur.
Initially, unnecessary strain on the joint should be avoided. For this, orthopedic adaptations, crutches are used. It is necessary to return the joint to its natural form and signs, to exclude subluxation. It is also required to mobilize the joint, apply a variety of medications to improve blood circulation. Still prescribe funds for inflammation.
Assigns osteoprotectors and chondroprotectors, angioprotectors. These drugs help the joint tissue to recover, cause venous outflow and arterial blood flow. To these preparations trace elements are added: calcium, phosphorus, sulfur - in a combination with ascorbic acid or with each other.
Other stages of the disease require surgical methods of treatment, getting rid of biochemical disorders. This type of treatment is good because the patient does not need to fix the joint with orthopedic devices, the terms of treatment are also shortened.
The benefits come from physiotherapy, physiotherapy, massage, electrophoresis, sanatorium treatment. The first two procedures help regeneration, restore the functions of the injured limb and prevent atrophy of surrounding tissues.
When making a diagnosis it is important to pay attention to the fact that some other less serious diseases are similar with this disease.

Care.
The bed or half-bed regime is assigned depending on the age of the child. To lay the patient it is necessary only on a back or a stomach or belly with a moderate cultivation of legs or foots, but not on a side. You can sit down, but with support under your back.

As in a conservative treatment a child can gain excess weight, and, therefore, again reload the aching leg, then a special diet and moderate stress on the joint is needed.

Further life.
It is necessary to further limit excessive load on the joint, while small ones are shown. It is required to carry out a special diet, and, probably, and medicamental therapy. In addition, you need to visit sanatoriums and similar organizations.
A person must choose a profession that excludes the burden on his legs. In addition, you should always see your doctor.
If you do not follow the listed conditions of rehabilitation, the patient may later have repeated attacks of the disease or other problems!