Gelenk-Klinik Dr. Baum - Arthrosebehandlung

Juvenile Hüftkopflösung or Hüftkopflösung of young people (juvenile stands for onset of disease to puberty)

What is an epiphysis?
This question is important for understanding the Epiphysiolysis capitis femoris (the slide of the head cap of the femur or the young person Hüftkopfabrutsch).
The bones are from four different anatomic areas. The epiphysis (end), metaphysics (intermediate unit), Diaphyse (middle part) and the Apophyse (muscle approach). These areas of bone differed by the location on the bone and by its function.
The epiphysis is in childhood and adolescence at both ends of the metaphyses of the so-called growth zone (Epiphysenfuge) delineated. The epiphysis and the Wachstumsfuge play an essential role in the Epiphysiolysis capitis femoris. The epiphysis bears the joint-forming units of bone, while the growth is the cartilaginous epiphysis, and ossified bones of a core (Epiphysenkern).
In the growth zone (Epiphysenfuge) of the thigh bone grows in length. This is done by the Wachstumsfuge and the epiphysis (the end of the long tubular bone) to the ends to grow. This is done by the Wachstumsfuge (Epiphysenfuge) of new bone from hyaline cartilage is formed. At the end of the bone growth at the hip, but also in all other bones ossified this zone completely.

What happens in the growth zone in the Epiphysiolysis capitis femoris (Hüftkopflösung the young person)?

When the young person Hüftkopflösung dissolves and moves the Hüftkopf in Wachstumsfuge neck to the thigh.
Hormonal changes in the growth phase pupertären bones weaken this area so much that the epiphysis under load shifts. This event can be very rapidly (acute) or run on for weeks and months to occur insidiously.
The exact cause of Hüfterkrankung is not known. A change in the hormonal balance of sex hormones and growth hormones in young people seem to complicated processes in the growth zone of highly exposed to disrupt hips.

Anyone who becomes ill on a Hüftkopflösung (Epiphysiolysis capitis femoris)?

The disease probability is about 1:12000.
The Hüftkopflösung primarily affects obese adolescents with a specific body status. Most young men your age are usually big, something dicklich and the pubic area is rather underdeveloped (Dystrophia adiposogenitalis) is also massively hochwüchsige adolescents seem at increased risk for a Hüftkappenabrutsch to have.
The typical age for a Hüftkopflösung is between 9 Age and growth of financial statements. On average around the 12th to 13 Year of life.
It is important that the hip joint disease in 50% of all cases occur on both sides.

What symptoms occur when hazardous, juvenile Hüftkopflösung Ein?

The adolescent Hüftbeschwerden arise because the Hüftkopf against the legs and neck will move to the function of the hip joint limits. Depending on the extent of Hüftkappenabrutsches the limitations of the hip joint varies. Painful movement of the hip joint restrictions are regularly available.
Depending on the course or form of the young people Hüftkopflösung complain about knee pain usually on the inner knee. Pulling on the front thigh complaints are frequently present. The knee pain is usually delayed until a Hüfterkrankung assigned. The risk for the hip joint can only be achieved through a quick medical examination and diagnosis of hip joint position will be banned.
A change in gait may also result. Conditional Schonhinken pain by pain in the hip joint is rather early indications of major shifts in Hüftkopfkappe even an external rotation of the leg and a shorter notice.
Likewise, it may be by the slide of the hip flexor Hüftkopfes to a strong external hip rotation come. This is also a clinical sign of the disease. (Mann-turning positive sign).

How do we diagnose a Hüftkopflösung (Epiphysiolysis capitis femoris)?

Immediate X-ray examination of both hips in two levels is crucial to Hüftkopflösung to diagnose. The Hüftkopflösung can be around half the children on both sides occur.
The disease of the hip joints with modified Hüftkopfbereich can immediately be ascertained.

We distinguish between different forms of the disease, depending on the time course.

1. threatened Hüftkopfabrutsch (Epiphysiolysis capitis femoris imminens) Epiphysenlösung starting with the relaxed X-ray Epiphysenfuge
2. dangerous acute Hüftkopfabrutsch (Epiphysiolysis capitis femoris acuta) complete replacement of Wachstumsfuge legs like a neck fracture of the hip joint
3. creeping Hüftkopfabrutsch (Epiphysiolysis capitis femoris lenta) Hüftkopfes the slow drift of the femur with concomitant loosening of Wachstumsfuge.

The Hüftkopfkappe or epiphysis of the femur is always in a typical way back and moved inside. A second level in the X-ray technology to Lauenstein (in flexion and moderate Abspreizung of the hip joint) is always required.
The various forms of the disease are not rigid to be seen. It may at any time to a massive slip of Hüftkopfkappe come complete with walking and Stehunfähigkeit of adolescents.

Why is the absolute Hüftkopfabrutsch orthopedic emergency?

Due to the misalignment between the femur and the Hüftkopfkappe is a critical flow situation. This may be late or non-treatment to permanent damage in young people. The Epiphysenbereich may die or grow increasingly less favorable position.
If the diagnosis of Epiphysiolysis capitis femoris asked, we need to operate quickly. The type of surgery depends on many parameters.
The hip replacement may be the only goal of the attachment of the epiphysis Hüftkopfes (in situ fixation of Hüftkopfkappe) or it can improve a position by repositioning the Hüftkopfkappe necessary.
The Epiphysiolysis capitis femoris is one of the major orthopedic emergencies that do not tolerate deferment. A non-surgical therapy does not exist. With an acute Hüftabrutsch is no further exposure is possible and should no longer be attempted. In this form, the position of Hüftkappe by a so-called Repositionsmanöver improved, a discharge of the resulting bruise in the hip joint is in line with the hip replacement was urgently needed.
Since the Juvenile Hüftkappenlösung often affects both sides, we both sides for an immediate supply of the hips through. The asymptomatic side, depending on age, with stable wires or send me Zugschrauben.

What impact can the Epiphysiolysis have capitis femoris?

The prognosis for Epiphysiolysis capitis femoris depends essentially on the early diagnosis and therapy.
Following the Hüfterkrankung can sometimes among young people called Chondrolyse of the hip joint (M. Waldenström) observed. This leads to a complete destruction of the cartilage in the hip with no known cause. The prognosis of this disease after cartilage Epiphysiolysis capitis femoris, despite long-term relief of the hip performed very poorly.

The Hüftkopflösung the Hüftkopfabrutsch occurring with subsequent circulatory disturbance of the epiphysis of the femur can Knochentod of Hüftkopfes lead. This is the Hüfterkrankung M. Perthes Hüftkopfnekrose and the adults in the emergence of similar, but the prognosis is completely different.
The compensatory mechanisms growth shortly before completion are significantly lower than the six-year-old child with Perthes M.. The adaptation is still significantly better than in an adult with a Hüftkopfnekrose.
The consequences of a circulatory disorder in a Hüftkappenabrutsch are always a delay in the disease course and a change in Hüftform, which then result in the premature or Hüftverschleiß Hiparthritis to treatment.
The Fehlform or Einklemmungserscheinungen can lead to deformity of the hip joint lead (impingement of the hip).

Contents:
When the young person Hüftkopflösung dissolves and moves the Hüftkopf in Wachstumsfuge neck to the thigh.
Hormonal changes in the growth phase pupertären bones weaken this area so much that the epiphysis under load shifts. This event can be very rapidly (acute) or run on for weeks and months to occur insidiously.
The exact cause of Hüfterkrankung is not known. A change in the hormonal balance of sex hormones and growth hormones in young people seem to complicated processes in the growth zone of highly exposed to disrupt hips. The treatment is an emergency treatment, immediate surgery may help severe complications for the young people to avoid. Hüftkopftod in acute Hüftkappenlösungen are particularly feared, The Chondrolyse (complete cartilage loss) after a Hüftkappenlösung, Epiphysiolysis capitis femoris can arise without a cause to know.

Region:
Hip, hip,
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Hip disease

Symptoms:

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