Best Practice Case Studies-Osteochondrosis

Pdf Summary

Osteochondrosis refers to a group of disorders affecting the immature skeleton, primarily due to abnormal development, injury, or overuse of the growth plate and nearby ossification centers. While the exact causes are often unclear, factors may include genetic predisposition, repetitive trauma, or vascular and hormonal influences. Typically appearing between the ages of 10 and 14, these conditions are more common in boys due to higher involvement in activities that could result in trauma or overuse.<br /><br />Different forms of osteochondrosis affect various parts of the body, each presenting distinct symptoms and requiring specific management strategies. Legg-Calvé-Perthes disease affects the hip and is caused by partial interruption of blood supply to the immature femoral head, commonly seen in children aged 4-8. Key symptoms include hip pain, an atraumatic limp, and sometimes knee pain.<br /><br />Osgood-Schlatter disease and Sinding-Larsen–Johansson disease commonly cause anterior knee pain, with the former due to repetitive traction on the tibial tubercle and the latter affecting the inferior patellar pole. Both conditions are aggravated by activity and direct pressure, often resolving with activity modification and NSAIDs.<br /><br />Sever disease, causing heel pain in young athletes, is particularly exacerbated by physical activity and cleats. Nonoperative treatment includes activity modification, shoe adjustments, and stretching.<br /><br />Freiberg and Köhler bone diseases impact the foot, affecting the metatarsal head and navicular bone respectively, and are characterized by pain, swelling, and changes visible on radiographs.<br /><br />For pain relief, precise diagnosis followed by interventions tailored to adjust activities, use supports, and occasionally proceed to orthopedic referral for advanced treatment options is recommended. The self-limiting nature of many osteochondrosis conditions implies they resolve as the child reaches skeletal maturity.

Meta Tag

Edition 2nd Edition

Related Case 2nd Edition, CASE 14

Topic Foot and Ankle

Keywords

2nd Edition, CASE 14

2nd Edition

Foot and Ankle

osteochondrosis

immature skeleton

growth plate

Legg-Calvé-Perthes disease

Osgood-Schlatter disease

Sinding-Larsen–Johansson disease

Sever disease

Freiberg disease

Köhler bone disease

pediatric orthopedic