Orthopedic Problems in Adolescents

Physical health problems encountered duringbone’s neck. Because of this the hip joint becomes
adolescence can affect the development of the body,stiff and painful. Slipped capital femoral epiphysis is the
if not treated. There are few anatomic regions, suchmost common disorder of the hip which can happen in
as spine, knee and ankle, in adolescents which can getboth the hips or one and it is more common in boys
orthopedic problems such as Osgood-Schlatterwhen compared to girls. Basically, adolescents of the
disease, and Slipped Capital Femoral Epiphysis.age ten to eighteen years and who are overweight
Osgood-Schlatter disease is caused due to injury orcan be affected by this condition. The condition can
overuse of the knee which causes swelling and pain inarise over a time interval of few weeks or years. The
the area below the knee, above the shin bone. Thecondition, if resulted because of trauma and is also
patellar tendon and the soft tissues surrounding it getscalled acute slip and if results after a period of time is
inflamed, because of the constant pulling of the areacalled chronic slip. Slipped capital femoral epiphysis is
where the tendon joins the below knee. Usually,caused because of medications, radiation treatment,
adolescents who participate in sports actively and arethyroid problems, and chemotherapy.
athletic, such as football, basketball, soccer, ballet andThere are three degrees of intensity of slipped capital
gymnastics, tend to get the Osgood-Schlatter disease.femoral epiphysis, mild, moderate and severe. In mild
Boys of age eleven to fifteen and girls of age eight toslipped capital femoral epiphysis, only one third of
thirteen are at greater risk. The reason whyfemoral head slips from the thigh bone. In moderate,
adolescents get this problem is that their bones growone third to half slips and in severe, more than half of
faster when compared to the tendons and muscles inthe femoral head slips. The symptoms of this condition
this age and because of this the muscles and tendonsare pain in hip which increases upon movement, pain in
stretch and become tight.thigh, knee & groin and limpness in the leg. When an
The symptoms of Osgood-Schlatter disease areadolescent walks there will be a clicking sound in the
swelling of knee, tenderness below knee area andhip and his/her legs will be turned outwards.
limping. The doctor will check the medical history of theApart from studying the medical history of the patient,
patient and will conduct physical examination andthe doctor will recommend diagnostic procedures such
diagnostic procedures such as taking an X-ray. Theas bone scans, X-ray, magnetic resonance imaging
physician will decide on the treatment to be done byand blood test. The bone scans will determine the
studying the overall health, age, medical history,arthritic changes and degenerative changes in the
tolerance for certain medications and extent of thejoints, which helps to detect tumors & bone diseases
disease. Treatment will include medications, rest,and the cause of pain and inflammation. The X-ray will
compression, elevation, neoprene knee sleeve andgive the inside picture of the bones, tissues and organs.
physical therapy. The main aim will be to control andThe magnetic resonance imaging provide detailed
limit the knee pain by cutting down on theimage of the structures within the body with the help
adolescent’s physical activities. Usually theof large magnets. It is best if slipped capital femoral
Osgood-Schlatter disease gets healed over a periodepiphysis is determined in the early stages, so that the
of time and in very rare cases is a surgery required.femur bone’s head doesn’t slip off any further.
Slipped capital femoral epiphysis is a problem whichThe adolescent may need to undergo a surgery along
affects the hip joint. The ball or head of the thigh bone,with physical therapy.
also known as femoral head slips from the thigh