ORTHOPEDICS/ HIP AND KNEE / KIDS’ HEALTH
Astonishingly kids may also commonly suffer of Hip pain and most frequently, this kids disorder is caused by damages.
Younger children may not be able to explain that they were damaged, and they may take time prior to complaining of hip pain.= until they became unable to walk or until some limps starts developing.
Kids Hip Pain / Some Causes
Damages, cracks and muscle tensions and sprains around the hip joint are typically noticeable except in young children.
Here are two most expected hip pain reasons that kids are most frequently suffering of:
Transient synovitis
“Synovia” is a term signifying joint, and “itis” means inflammation; therefore, synovitis means joint inflammation.
Transient synovitis in children is most commonly causing hip pain in preschool and younger school-age children.
Transient synovitis in children is exploited by limping, hip pain followed by refusal to walk, without fever or any other symptoms. Although it habitually occurs with a viral infection.
Transient synovitis symptoms generally disappear in a few days without any therapy.
Septic arthritis
It is a very rare condition but a serious hip pain cause in children when it happens.
Septic arthritis is a septic (infection related) arthritis.
A septic hip disease in children frequently occurring suddenly, refers to an infection in the hip joint that can cause hip pain.
A refusal to walk, along with fever and occasionally other symptoms like an infection, are the common signs of septic arthritis.
Another bacterial cause may engender septic arthritis is called Group B streptococcus.
Osteomyelitis (bone infections)
In addition to septic arthritis, sometimes, infections of the bones and muscles surrounding the hip joint can cause hip pain.
Other causes –
More kids hip pain causes may include juvenile rheumatoid arthritis, bone cysts, and cancers such as osteosarcoma and Ewings sarcoma.
Legg-Calvé-Perthes Disease
Legg-Calvé-Perthes disease, called Perthes disease, classically arises in children between four and eight years old.
Perthes disease is more frequrnt in boys, particularly those who are energetic and who are short for their age.
Therapy
Therapy may include physical therapy for mild cases, dynamic activities limitation and surgery for more serious cases.
Slipped Capital Femoral Epiphysis
Slipped capital femoral epiphysis typically affects boys between the ages of 10 and 16 and classically those who are overweight.
It happens when the neck of the femur slips laterally to the growth plate away from the femoral head that is still in the hip joint.
Indications of slipped capital femoral epiphysis can include knee, groin, thigh, or hip pain, hip stiffness, limping, and as it worsen, a child may not be able to walk at all.
Slipped capital femoral epiphysis is treated with surgery to hold the femur in place without slipping again.
Kids Hip Pain / Tests
To help assistance in the diagnosis, tests can include:
Hip (pelvis) x-rays
Complete blood count (CBC) with differential
Erythrocyte sedimentation rate (ESR)
C-reactive protein (CRP)
Rheumatoid panel (rheumatoid factor, ANA)
Blood culture
Other tests for hip pain might include an ultrasound, magnetic resonance imaging (MRI) or computed tomography (CT) of the hip or a bone scan.