Blount’s disease — causes, symptoms and treatment in children and adults

What causes Blount’s disease in children — symptoms and treatment

Blount’s disease is known as the curvature of the tibia in its upper part, which inevitably entails the deformation of the knee joint in some cases is not reversible.

Through such processes, the growth of the sprout of the cartilage significantly slows down or almost stops.

Disease Erlacher of Blount leads to rapid wear of the knee joint from the inside.

The causes of the disease

Until the end of the causes of the disease are unknown, but several theories have been offered, which is the place to be this pathology.

One of the main reasons doctors call a disorder of normal functioning of the epiphyseal plate, which is located at the top of the tibia.

Due to these records is the growth and elongation of bones. The reasons for the defeat of this disc are as follows:

  • excessive body weight (as adult and child);
  • early walk (for children);
  • infectious diseases;
  • various kinds of injuries.

Damage to the plates is observed in the Central part, but in the posterior cells continue to divide. Externally, it is possible to observe the development of limbs, only from the outside.

Among other reasons should also emphasize the lack of vitamin D. When a shortage in food or violation of its absorption in the body may experience a genetic mutation that eventually will lead to the development of Blount’s disease.

Signs and symptoms of pathology

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The disease occurs in children from infancy and has characteristic symptoms.

At the age of 2 to 3 years, visible signs, namely the curvature of the tibiae, as a rule, this is due to start normal walk child.

After a while, if you do not take any measures, the deformation of the limbs is greatly increased, which affects the General condition of the child (fatigue) and the way he walks.

For bilateral lesions characterized by the absence of proportion of leg length – they are shorter by bending, and the hands on the background of the whole body seem long. Cases are known when the fingers reached the knee.

Among other signs and symptoms noted:

  • the curvature of the legs in the form of bayonets;
  • on the tibial bone formed by the coracoid protrusion;
  • dotirovanie of the tibia inwards;
  • reduced muscle tone;
  • observed flat feet.

Diagnosis of disease

For the clear, and most importantly a correct diagnosis is required to carry out such procedures as x-rays of the knee joints and the overall clinical picture.

In some cases, or when different complications that can be directly associated with diseases of bone or cartilage, may require a computer tomography; for a detailed study of the adjacent soft structures make MRI.

For the timely detection and prevention of the development of this pathology in the child, it needs to take to the doctor.

Diagnosing children is as follows: the child is asked to become so that it was possible to reduce limb and to the lateral surface of the contact. When the distance between the reduced limbs more than 5 cm it is necessary to do the examination.

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How to treat the disease

In childhood and adolescence, with the slightest curvature, which can indicate a disease of Blount, you need to seek the assistance of a children’s podiatrist and begin immediate treatment.

As a rule, the deformations of the potential extent is assigned to a massage and a course of medical physical culture.

During the course, the emphasis is on correcting posture, but effective are medications that stimulate the muscles. For patients suffering from flat feet is assigned to orthopedic shoes and a range of recreational exercises.

To eliminate the possibility of development of deforming arthrosis it is necessary to pass prevention.

At a younger age, it is sufficient to use a stage plaster bandage in combination with restorative therapy. If after all these steps, the deformation is not resolved (under 6 years of age), surgical intervention is necessary.

With surgery, the fragments of the femur and tibia are excised, and imposed the Ilizarov frame.

The land on which the operation was performed, are held together by screws and plates. Sometimes bone fragments are fixed with a metal frame installed on the outer side. In some cases, the knee joint remains unstable, then hold the plastic cords.

One important aspect is the treatment of the disease in childhood as in adolescence, the disease takes on these forms, in which the lower extremity by bending is considerably shortened and it is not always possible to resort to hardware stretching.

Preventive measures

To avoid various complications it is necessary to carry out prevention of the lower extremities and some rehabilitation. This is the role of the physiotherapist is who you need to be observed.

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Generally, post-operative prophylaxis is to restore the walk as an independent and with the help of a Walker and crutches.