What to do if a child complains of leg pain for no apparent reason: symptoms and treatment. Causes of pain in the hip. Diseases of the hip joint and femur

The pain can be accompanied by a feeling of instability, stiffness, and limited movement.

The pains are divided into acute, sometimes arising and not lasting too long, as well as chronic.

Pain can be localized in groin area, in the "fold" between the lower abdomen and top hips. Often the pain radiates to two legs or one. It also happens the other way around, when in the tazo area hip joint gives off pain localized in the lumbar spine.

Patients often confuse groin pain in the thigh with other complaints, such as upper pain femur or with pelvic pain. The cause of pain can also be the muscles located in the thigh area, or irritation and inflammation of the mucous membrane of the thigh bag, while oppressive pain... There are rare cases when the cause of pain in the hip is infectious diseases or tumors.

For what diseases there is pain in the hip:

Causes of hip pain

  1. Most often, hip pain is due to wear and tear. hip joint... With age, the articular cartilage wears out, as a result of which the natural shock absorption of the joint disappears, and the bones hit each other, thereby causing severe pain.

The deterioration of the cartilage is called arthrosis of the hip joint (Coxarthrose). This disease, in most cases, occurs after the age of fifty, but it happens that the disease occurs in youth. A typical localization of pain for osteoarthritis is the thigh area, but unpleasant sensations may also appear in the groin, knee, and buttocks.

The intensity of pain can be influenced by changes in weather conditions: humidity, temperature, atmospheric pressure (meteorological dependence).

Arthritis of the hip joint occurs in the following diseases:

  • rheumatoid arthritis;
  • rheumatism (migratory polyarthritis);
  • juvenile rheumatoid arthritis;
  • spondyloarthropathy.
  • Emotional stress, as well as the desire for the patient to benefit from their illness, can result in pain. For such patients, when they come to the doctor, a strong limp is characteristic, as well as the use of a thick stick as an additional support.

    In such cases, examination shows that active hip flexion up to 90 degrees is limited, while maintaining rotation (arthritis of the hip joint is accompanied, first of all, by a violation of internal rotation).

    Passive movements in the joint are also investigated - usually they are completely preserved.

  • Osteochondrosis of the sacral and lumbar spine, and slightly less often disorders in the sacroiliac joints, are frequent culprits of pain in the thigh.

    In most cases, with these diseases, pain radiates along the back of the thigh and the outer surface of the buttock.

    The most dangerous causes of hip pain

    Hip pain can occur with neoplasms, diseases of the cardiovascular system, as well as severe infections.

    Occlusion and stenosis of the iliac arteries and aorta. Lameness and pain occur, and these symptoms are often interpreted as a signal of damage to the hip joint. A symptom characteristic of arterial stenosis is a murmur over the arteries, which increases after exertion.

    Malignant neoplasms. Primary tumors of the pelvic and femur bones are quite rare: there are lymphosarcoma, as well as foci in myeloma. Bone metastases are much more common (for example, in breast or prostate cancer). The most common lesions of the ilium.

    Infections. The proximal metaphysis of the femur is often affected by osteomelitis. If the child has severe lameness, fever, as well as intense pain, then, first of all, it is necessary to exclude osteomelitis. Tuberculosis is also more common in children under 10 years of age than in adults. The manifestations of tuberculosis are similar to osteochondropathy of the femoral head. Transient hip arthritis is the most common cause of hip pain and lameness in children. Presumably, this disease is of a viral nature. Pelvic abscess (for example, as a consequence of complicated appendicitis), inflammatory diseases genitals in women (especially pyosalpinx), as well as abscesses of the sciatic-rectal fossa can cause lameness and pain in the hip. Pain in these diseases is most likely caused as a result of irritation of the obturator nerve. With retroperitoneal hematoma, signs of damage to the femoral nerve appear, as well as reflected pain in the hip.

    Causes child's thigh hurts

    Hip pain in a child

    Due to the fact that hip pain is a very unusual manifestation in a child, this complaint always requires a visit to a doctor.

    What to do with pain in the hip in a child

    Making an appointment with the doctor, keep a diary where you will describe all the signs of pain your baby is experiencing:

    • When and under what circumstances did the pain start?
    • How does the child describe her pain?
    • Has the baby's gait changed?
    • Does he limp?
    • Is the pain accompanied by fever or pain in other joints?
    • Does it hurt if you touch your hip or when he moves?
    • Has the child recently been involved in a new sport or other physical activity?
    • Are there any complaints of knee pain?
    • Does pain occur if he carries something heavy on the affected side?
    • When does the pain stop?
    • When does the pain get worse?

    What a doctor can do for hip pain in children

    Based on the child's medical history, the doctor will make a diagnosis. Your doctor will examine your child's thighs for swelling and stiffness and will do a frog test. If, in the prone position of the frog, the child is unable to bend or lay aside the diseased hip as well as the healthy one, and / or it hurts the child to do this, this is most likely one of the reasons for concern and will require more accurate research.

    Your doctor will look at your child's gait to see if hip pain is affecting gait. After that, a full examination will follow in order to understand if there are any other problems that cause concern, for example, whether the tonsils are enlarged, whether the child has a rapid heart rate, fever, or there are any other signs of inflammation in the body.

    The doctor, most quickly, will direct you to conduct a series of studies and blood tests. In addition to the examination, the same tests can be used to determine and subsequently treat problems with the hip joint in children:

    • Inflammation synovium(synovitis). Hip synovitis in children is an inflammation of the lining of the hip joint, which is most often accompanied by other signs viral diseases, for example, a respiratory infection of the upper respiratory tract. Like any other viral disease, in most cases, synovitis disappears on its own over time. Your Doctor may send you for a consultation with an orthopedic surgeon if fluid begins to accumulate in the affected hip joint, which must be removed from there.
    • Arthritis in a child. Children have very arthritis, just like adults, children can develop - juvenile rheumatoid arthritis (JRA). With such a disease, it very rarely affects the hip joint, but quite often there is pain and swelling in the knee, ankle or elbow joints, which can be accompanied by fever and rash, and also, as a rule, a violation of everything general condition sick.
    • If the head of the femur has slipped out of the hip joint. Doctors call "epiphysis of the femoral head", occurs in an older child as a consequence of trauma, in which the head of the bone comes out of the glenoid fossa of the pelvic bone. This is a very painful condition and therefore it is easy to diagnose it: severe excruciating pain, stiffness of movement, displacement of the hip as a result of injury. Requires urgent transportation of the baby to the nearest hospital. Immediately upon arrival at the hospital, an anesthetic injection is usually given or a standard light pain reliever is given to completely relax the thigh muscles, which are already convulsively tense by that time. After relaxing them, the doctor will return the head of the femur to its original place - the hip joint. Usually, an X-ray photograph is taken before such a procedure, or ultrasound procedure a sore hip to make sure there are no fractures.

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    Hip pain is a signal of serious illness

    A healthy, normally functioning joint is hemispheric and the head of the femur is covered by the acetabulum. An articular capsule is attached along its circumference. The mobility of the hip joint, the most powerful in the human body, is quite extensive:

    Pay attention to hip pain

    The support falls on the head of the femur. With support on one limb, the load on the head is equal to four body weights. That is, if a person weighs 70 kg, with support on one lower limb, the load is 280 kg. The movements of the pelvis are aimed at maintaining balance and maintaining stability. The role of the femoral head ligament in this complex mechanism is very significant:

    To improve blood circulation and avoid hip disease, it is recommended to engage in physical activity and perform at least simple exercises:

    The structure of the hip joint

    • lying on your back and bending your knees, spread them on the sides, like a "butterfly";
    • lying on your back, alternately with a raised straight leg, perform movements to the sides with a large amplitude, a more difficult option is "scissors";
    • lying on your back, raise your legs alternately;
    • sitting on a chair with a straight back, bend over, trying to touch the floor with outstretched arms forward;
    • standing with support, do swings back and forth.

    Diseases and symptoms of the hip joint

    Of the most common traumatic injuries, a hip fracture is considered the most dangerous. This is a very thin part of the thigh, which becomes more fragile with age, which is why this disease is so common among the elderly. In other cases, pain in the hip joint may be associated with various factors... With the course of the disease, the joint fluid decreases, the surface of the joint is deformed, and the cartilage is damaged.

    The most common and common problem is arthritis. With age, it primarily affects the hip joint. The pain radiates to the thigh and groin, especially when walking. When getting up from a sitting position, a "lumbago" occurs.

    If you feel It's a dull pain in the right hip joint or left, or both at once, most likely, deforming arthrosis begins to develop. On next stage of this disease, a person feels pain when getting up, turning the body, starting to move. The pain radiates to the groin and knee. The muscles around the pelvic thigh are tense all the time, so joint pain can occur at night.

    Inflammation of the fluid sac (bursitis) often affects the trochanteric fluid sac. In this case, pain is felt in the buttocks. The pain intensifies if you lie on the sore side. Less often, the ileal-scallop and ischial bags become inflamed.

    Tendon inflammation affects people who receive serious physical activity. In a calm state, pain in the hip joint is not felt. Influenza virus, staphylococcus aureus, and other infections can cause septic arthritis. In this case, there is swelling, fever, sharp pain when moving and touching. With tuberculous arthritis, the pain is aching at first, and gradually the entire area begins to swell, causing severe pain in the hip or knee.

    Diseases of the hip joint in children

    For boys 3-14 years old, Perthes disease is typical, in which blood circulation to the femoral head is impaired. The cause may be infectious diseases, excessive stress on the joints, congenital pathology, trauma. Boys who weighed less than 2.1 kg at birth are especially susceptible to this disease. First, there is pain in the knee, and then the pain in the hip joint increases. A blood test shows an infection.

    Injury to the hip joint

    In children, there is juvenile epiphyseolysis - dystrophy bone tissue heads. The cause may be disorders of the endocrine system, bone metabolism, growth hormones. Both hip joints are more often affected, starting with pain in the groin or hip joint. Then there is a noticeable change in the mobility of the hip.

    Treatment of diseases of the hip joint

    The choice of treatment options for the hip joint depends on the individual structure and the cause of the pain. Among medications there are aspirin-free pain relievers, anti-inflammatory drugs and drugs to improve sleep. Exercises that increase joint strength and muscle flexibility can help reduce pain in the hip joints. Remembering that the full weight load falls on the hip with the charter, you need to monitor your weight and, if necessary, lose the excess. Temporarily relieves pain by applying heat or cold to the joint.

    Sometimes, to avoid stress, a cane or special insoles are used that even out the function of the leg. Joint stability and mobility is improved with the use of braces. While symptoms of hip joint disease appear, serious physical exertion should be avoided. Forced loads must be alternated with rest.

    Pathological fracture of the femoral neck

    Folk remedies for pain in the hip joint

    When the leg hurts in the hip joint, it is not enough just to give it a rest. Most likely, these are the first "bells", and in order to prevent serious consequences, it is necessary to carry out a number of measures. The effect comes only from an integrated approach and regular fulfillment of all conditions. A favorable outcome largely depends on the consciousness and endurance of the patient himself. Here are some of the most popular remedies, if you first chose treatment with folk remedies:

    • apply at night a warming compress from a cabbage leaf smeared with buckwheat honey, wrapping it all with cellophane and a warm towel;
    • 50 drops of tincture are taken before meals: 50 g of lilac flowers are poured with 400 ml of vodka for 10 days;
    • it is good to rub the following ointment into the sore joint: protein of 2-3 eggs, 50 ml of alcohol, 50 g mustard powder, 50 g of camphor is mixed until smooth;
    • the shell remaining from the eggs can be finely poured and mixed with yogurt or milk. This gruel can be applied as a compress, wrapping the place in warmth.

    It must be remembered that the disease of the hip joints, in addition to the disease of a traumatic nature, develops gradually. Therefore, it is easier and more productive to deal with it in its infancy. We must lead healthy image life, eat right and well, swim, be always in a joyful mood. Never be discouraged or discouraged.

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    Causes of severe groin pain

    The word groin is usually used when talking about the area of ​​articulation of the thighs with the body. The groin is simply an area of ​​the body, not an anatomical structure of the body. It is in this place that the inguinal ligament is located, passing between the pubic bone and the protruding part pelvic bone... The groin hosts many muscle attachments that pull the hips to the torso and flex the torso. The most common cause of groin and groin pain inside thighs are damage to the adductor muscles - adductors located on the inner side of the thigh. Unfortunately, severe damage and contraction of these muscles leads to pain in the pelvic region. What are the causes of severe groin pain?

    Anyone can lose balance while climbing stairs, walking on snow or ice, playing sports, dancing. This can damage adductor muscles and lead to stress points (aging athletes and dancers are at particular risk). Although the causes of severe pain in the same area can be arthritis, having sex, or simply sitting for a long time with tightly crossed legs. Pain in the groin and inner thighs usually occurs during sports or sporting events... The most dangerous in this regard are football, hockey, basketball and tennis. Unfortunately, it happens that athletes or dancers do not fully warm up these muscles before performing, which leads to overload, which threatens injuries such as stretching the groin muscles, tearing the muscles on the inner side of the thigh or its main flexor - the iliac muscle. As with many injuries, stretching and warming up before exercise can help prevent injury.

    Severe groin and thigh pain usually occurs due to a stretching of the adductors on the inner thigh, the quadriceps on the front of the thigh, and the hamstring on the back of the thigh. Lengthening these muscles leads to more freedom of movement in the hip joint and an increase in their strength, which many athletes and dancers strive for. The strength and flexibility of these muscles are very important for athletes and dancers. The importance of the internal thigh muscles becomes apparent when a dancer or gymnast performs the split. Muscle flexibility is of great value to them because it indicates strength. However, many athletes and dancers overextend these muscles, which can damage them. Cyclists, roller-skaters, skaters and skiers experience severe groin pain due to the specific hip position required for these sports. In equestrian sports, the muscles on the inner thighs work while riding. It becomes common reason for overvoltage adductors. If such a load acts long time, this leads to groin pain.

    Anyone who has ever squatted for a long time will agree that adductors get very tired in this position. When you do squats in the gym to give your muscles a sip, it often overloads the adductors. Overloading, stretching and overusing the mouse are the main causes of injury in this area of ​​the body. The adductors long and short muscles connect the pubic and femur bones. Tension points in these muscles cause pain in the groin and upper inner thigh. Tension points at the top of the longus muscle can make it difficult for the knee to move. Pain usually worsens with increased activity, as well as while standing or carrying a load.

    The adductor muscle is located behind the long and short muscles, it runs from the groin along the entire length of the thigh and connects the ischial bones to the back sides of the two thigh bones. Tension points in this muscle cause pain in the groin and inner thigh, which can extend down to the knee. In order to find adductors and work with them, you must first become familiar with what a femoral triangle is. Sit on the floor and stretch your legs in front of you. Bend one of the legs at the knee and place its sole on the knee joint of the straight leg (from the inside). If this position is not very comfortable for you, you can do the same on the couch. The bent leg in this case will be located completely on the sofa, and the other - as if you are sitting.

    Feel the inner thigh of the bent leg. First, find the joint of your hip with your pelvis. This is where the inguinal ligament is located. It runs from the outer end of the pubic bone to the femur. The inguinal ligament forms the basis of the femoral triangle, the outer part of which is formed by the sartorius muscle, and the inner part is formed by the adductor longus muscle. The lower part of the triangle is formed from the inside by the tissues of the iliac muscle, and from the outside by the tissues of the comb muscle. You can feel the pulse in this triangle. femoral artery... Here you can find The lymph nodes which increase when the immune system fights infection.

    It is impossible to find the adductor short muscle, since it lies under the long muscle. The longus adductor muscle is the most visible, and therefore it is easy to find and feel it with your fingers from the groin to the middle of the inner thigh. Once you've found tight bands and tension points, press down on the muscle at that point to relax it. However, if your fingers cannot do this task efficiently enough, use a tennis ball or some other small, hard ball. In general, there are many different devices on the modern market that can help you. The basis for success is regular training. You should exercise until the muscles are completely relaxed. You may need to do this exercise several times a day for a while before you are successful.

    The child has a leg pain in the thigh when walking causes

    All Causes and Treatments for Hip Pain

    If there is pain in the hip, then the day is hopelessly ruined. It interferes with walking, it interferes with sitting, it interferes with lying. But why does the leg hurt? What does aching pain in the hip mean, and why do you most often need to call an ambulance in case of acute pain? When should you see a doctor?

    In order to answer the last question, one must first assess the scale of the incident. And for this you need to figure out where and how the leg hurts in the thigh.

    Pain when walking

    These feelings can be triggered by:

    • The turning point. A fracture of the neck or hip bone is considered one of the most difficult fractures, worse - only the heels and knees. With such a fracture, the patient feels very strong and sharp pain in the hip, practically cannot walk. He urgently needs medical attention.
    • Sprains, bruises, other trauma. Injuries are common and are most felt when walking. Pain after injury is usually dull, intensifies and begins to pulsate when walking. Sometimes observed nagging pain in the thigh.
    • Arthritis, arthrosis in the early stages manifest themselves only when walking. The patient gets tired faster, after walking, aching pain occurs in the hip.
    • The early stage of bursitis sometimes also shows itself only with active movements. After a short run or long walk a person suddenly discovers a sharp burning pain in the thigh.

    In the thigh and groin

    This symptom usually means:

    • Coxarthrosis. With this disease, pain forms in the groin and radiates to the thigh or to both thighs. The pain - "breaking", builds up over several weeks when moving. It passes if the patient is provided with peace. During seizures, leg movements are severely limited.
    • Aseptic necrosis bone heads. This disease is very similar in symptoms to coxarthrosis, but the pain grows to unbearable in a few days, not weeks.
    • Arthritis. In advanced cases, arthritis manifests itself as pain that radiates to other parts of the body, including the groin. It manifests itself both day and night, both at rest and during exercise. Severe pain can be aching or burning.

    Painful sensations that radiate to the leg

    If the discomfort begins with the lower back, passes through the thigh and goes further down the leg, then the matter is in osteochondrosis or hernia lumbar spine. In this disease, the nerves of the lower spine are pinched by a shift in the vertebrae, hernia, or inflammation. At the same time, the pain alternates - it can be aching, and burning, and unexpectedly shooting through the entire leg.

    When walking, the condition worsens - pain is clearly felt in the leg, from the hip and below.

    In the right thigh and left thigh

    Asymmetrical pain (in only one hip) may indicate many possible problems... If we discard diseases in which the spine, groin, knees and other parts of the body are involved, then the cause may be:

    • Piriformis syndrome. The muscle compresses the sciatic nerve, which sends distress signals. The nature of the pain is "nervous", strong, causing weakness and numbness of the limb.
    • Radiculitis. Damage to the nerves, the nature of the pain is acute.
    • Good / malignant formations, metastases in the thigh. An aggressive neoplasm can grow rapidly, compressing tissues and nerves. At the same time, the patient feels a pressing, aching pain syndrome day and night, with exertion and at rest.
    • Injuries, damage to nerves, bone and muscle tissue, blood vessels. Unpleasant sensations can vary over a wide radius.

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    Pain in the back of the thigh

    Unpleasant sensations located specifically in the back most likely mean a banal sprain or other injury. The painful sensations are itchy and bothersome, recently a person performed exercises in which the legs were involved.

    If there were no prerequisites for injury, then the protrusion of the lumbar spine may be the cause - a pinched nerve in the lower back gives itself out as a single symptom.

    The pain is acute and pronounced, accompanied by weakness in the leg.

    Inner and outer thigh

    If the inner or outer thigh suffers, then the main reasons will be:

    • Overvoltage. Weakness and moderate pain occurs when a person overdoes exercise. Most often, this is to blame. If the pain occurs after exercise and does not go away for 4-5 days, it is possible that there is a muscle rupture.
    • Muscle injury.
    • Rheumatism, arthritis. In these cases, in fact, the thigh itself hurts, but discomfort can manifest itself on the inner or outside... The nature of the pain is the same as for the hip as a whole.
    • Gout. The accumulation of lactic acid in the muscles after exercise can cause an overwhelming burning sensation in the muscle tissues.
    • Diseases of the veins. Varicose veins veins, for example, can cause pain on one side of the thigh. Unpleasant sensations are aching, persistent in nature, intensified with intense exertion.
    • Neuralgia. With nerve damage, the symptoms can be very different, as well as pain. Only a doctor can confirm or deny neuralgia.

    Front of the thigh

    This pain has several diseases that are unique to it:

    • Hypertonicity of muscles. If the nerves in the spine are pinched, the muscles in the front of the thigh may be able to constant voltage, which leads to a fighting sensation comparable to constant overvoltage. Sometimes the patient cannot localize the pain, his complaint is “the leg in the thigh area hurts”.
    • Paresthetic meralgia. It appears dull pain in the front of the thigh. It intensifies if you pull the bent leg to the stomach.
    • Iliopsoas syndrome. In this disease, the muscle is constantly tense, as in hypertonia. The manifestations are similar - the pain of overexertion.

    Pain syndrome in the soft tissues of the thigh

    Such a symptom can be caused both by pathologies of the hip itself, and by systemic diseases:

    • Injuries, bruises. Aching pain caused by a blow to soft tissues.
    • Sarcoma, other neoplasms in soft tissues... The tumor presses on muscles and other structures.
    • Gout. If lactic acid and other wastes from the muscles build up in the body, the hip can get sore anywhere - front, back, and side. The patient feels liquid fire spreading over the soft tissues.
    • Diseases of veins and other vessels, diseases of nerves and muscles. Varicose veins, neuralgia, myopathy can "shoot" in any part of the body, and the hip is no exception. The nature of the pain depends on the pathology.

    When and to which doctor to go?

    Since hip pain can be the cause of a serious illness, you need to see a doctor when it appears. It's better to play it safe than to run to the doctors. Doctors to contact:

    • Therapist. A jack of all trades who will both advise and send to the right specialist if necessary.
    • Traumatologist. If the pain was preceded by an injury, you can immediately go to it.
    • Surgeon. Most likely, the therapist will refer the patient to him. The surgeon will understand the causes of pain, prescribe the necessary examinations and treatment.
    • Orthopedist. It makes sense to go to him if there are disorders in the development of the musculoskeletal system.
    • Neurologist, oncologist, cardiologist. The advice of these doctors can come in handy in some cases.

    If you don't know who to contact, talk to a therapist.

    Diagnostic methods

    Among the required methods are anamnesis, examination, blood test. Often, doctors use palpation to feel a sore spot.

    After these procedures, the doctor can decide what to do next. Some patients need CT and MRI, some need ultrasound and X-rays, and some have to do other tests.

    Usually the list of methods ends here, unless the disease is very exotic or secretive.

    How to relieve pain?

    What to do if your hip hurts? If the pain is very severe, then you need to urgently call an ambulance - it will help eliminate discomfort and take you to the hospital. First aid consists of ensuring the rest of the diseased limb and taking analgesics, non-steroidal anti-inflammatory drugs (Diclofenac, for example) are well suited. For injuries, there are separate recommendations - in case of bruising or stretching, you can apply a cold compress to the sore spot, in case of a fracture, you need to fix the affected joint (apply a splint).

    You should not use folk remedies for pain relief - for the most part they are ineffective.

    The thigh is a relatively protected body structure, but even it can be hit literally and figuratively. A sore thigh gives a person a lot of trouble, therefore, the sooner he starts treatment, the better it will be for him. Pain can be a harbinger of both "minor" diseases and cancer on last stage, so if your hip hurts, do not postpone going to the doctor.

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    Causes of hip pain in children and adults

    From an anatomical point of view, the thigh is the part of the leg from the knee to the hip joint. The femur is the longest in human body... And the hip and knee joints are the largest and strongest.

    Hip pain can occur at different ages. Appear during physical exertion or at rest. Temporary or permanently disturbing. It can be caused by the most different reasons... It can occur in the groin area, in the front or back of the leg, give it to the knee and even to the lower back. It so happens that the thigh itself has nothing to do with it, and the cause of the unpleasant sensations lies in a completely different place.

    Causes

    Even minor discomfort in the hip area can cause a lot of inconvenience, especially if you like an active lifestyle. The painful sensations that occur after physical exertion are considered safe. Provided that they disappear within two to three days and are not accompanied by swelling and redness of tissues, crunching or clicks in the bone.

    In people leading a sedentary lifestyle, hip pain may appear when walking, with unusual, high loads or with drastic change provisions. They usually go away on their own. However, their appearance is the first signal that pathological changes, which in the future may lead to the development of serious diseases.

    In addition, pain in the thigh muscles can be caused by traumatic or non-traumatic causes.

    Traumatic

    Why can pain and discomfort occur? The most common cause is a variety of injuries, which include:

    1. Ligament and muscle damage.
    2. Closed injuries of the hip joint and damage to the pelvic bones, especially the pubic or sacrum.
    3. Injury to the first lumbar vertebra.
    4. Fractures of the femoral neck - the narrowest place in the femur, which is especially common in the elderly.
    5. Knee injury.

    According to statistics most of injuries, more than 6% of all possible fractures, constitute precisely the damage to the femoral neck. Up to 90% of cases occur in old age.

    Non-traumatic

    Pain in the muscles of the thigh can appear not only as a result of injury, but also with age. Why it happens? As a rule, the reason for this is joint wear. Often in older people, there is a violation of production synovial fluid which serves as the main lubricant.

    Excessive friction between the surfaces of the bone will initially cause pain in the hip when walking, and when serious damage and at rest. However, this is far from the only reason. If you did not fall or bump, then joint pain can be caused by:

    • Arthrosis of the hip joint, a disease that often occurs in people after 40 and is characterized by a slow development over two to three years. The main feature is aching pain that is localized in the groin or spreads down the front and inner surfaces, and sometimes radiates to the knee. In the early stages of development, as a rule, hip pains when walking, climbing stairs, when trying to get out of bed or a chair. Gradually, it becomes more and more difficult to do these simple actions, and unpleasant sensations and stiffness begin to appear at rest.
    • Inflammation of the bursa, tendons and ligaments. It can occur in the left, in the right, or in both joints at the same time. More often, because of the love for high heels, women suffer from this ailment. The main difference is that discomfort occurs in the upper region and spreads along the outer surface of the leg.
    • Inflammation of the hip joint itself. According to statistics, this form of arthritis occurs only in 4% of cases, more often this disease affects the knee, wrist or hand. However, it may be the reason too. If pain spreads both along the front and back surfaces, and the leg itself has begun to move poorly, then most likely it is arthritis.
    • Aseptic necrosis of the head of the bone. This diagnosis is made by doctors in about 5% of patients who complained of stiffness and discomfort in the leg. In many ways, the symptoms of this disease coincide with arthrosis, but unlike it, they develop in just a few days. Necrosis can be caused by injury, long-term use of high doses of corticosteroids, autoimmune diseases and any other factors infringing blood circulation in the joint.
    • Polymyalgia rheumatica - rare disease, which is found in only 1% of people. Doctors cannot say for sure why such a pathology occurs. Most often it is a complication after the transferred viral infection, usually after the flu and only affects people over 50. Sometimes severe stress can provoke it. The main symptom is severe pain arising in the upper leg, spreading down the front, inner and back of the thigh and radiating to the lower back or knee. They are accompanied by a general weakness and the inability to do something on their own. Often such patients cannot even get to the doctor themselves.

    Other reasons

    What to do if there is pain in the hip? First of all, do not postpone a visit to the doctor and do not self-medicate. There are many reasons why it can occur, they are not always associated with joints or muscles. In some cases, these can be diseases of completely different organs. That is why you should not try to diagnose yourself, based only on your feelings. In addition to disorders in the hip joint, pain can be caused by:

    1. Piriformis syndrome - arises from a pinching of the sciatic nerve and is manifested by pain that spreads down the leg from the back of the thigh, radiates to the knee and sometimes to the lower back. The pinched nerve causes severe spasm muscles, which in turn limits the movement of the leg and leads to pain in the hip.
    2. A pinched nerve in the lower spine can also cause pain radiating to the left or right hip joint.
    3. Cardiovascular disease, which causes persistent narrowing of the aorta and iliac arteries that feed the joints of the pelvis and lower extremities.
    4. Iliopsoas syndrome, in which damage to the femoral nerve and adjacent muscles occurs. They can call him various injuries, changes in the spine or organ diseases abdominal cavity... Usually, unpleasant sensations in this case appear on the inside of the leg and in the groin.
    5. Tumors of the femur, pelvic bones or metastases, which can occur, for example, with prostate cancer.
    6. Infections that affect bones and joints, such as osteomyelitis, tuberculosis of the hip, or abscesses that can occur with complicated appendicitis.
    7. Inflammatory diseases of the female or male genital area. In this case, discomfort usually occurs in the groin and on the inside of the leg.

    If you experience pain in the hip, especially if it comes on suddenly and gets worse over time, you should see a doctor as soon as possible. Only with the correct diagnosis will you get the effect of the treatment.

    Features of pain in children

    Unlike an adult, pain in a child, if they are not associated with trauma, can occur for completely different reasons. This could be:

    • Congenital dislocation, the cause of which in most cases is an impaired formation of the hip joint. Usually, this pathology is noticed almost immediately after birth, but in some cases it can manifest itself in a child at a later age.
    • Osteochondropathy of the hip joint is a pathology that can occur in a child during the period of his active growth, that is, from 4 to 14 years old and lead to a violation in the development of the joint. It manifests itself as discomfort, lameness and a gradual loss of leg mobility.
    • Epiphyseolysis of the head of the bone is a pathology in which a child stops bone growth, leading to asymmetry of the legs at an older age. Doctors cannot say exactly why such a violation occurs. But most often it appears due to an injury in the hip area. It is usually found in adolescents leading an active lifestyle and especially in those who are fond of football and basketball.
    • Osteomyelitis and, as a consequence, coxitis - inflammation of the hip joint.
    • Hidden fractures that can occur in a child when the process of bone formation is disturbed, for example, due to rickets.

    But even this is not all the reasons that can cause hip pain in children. That is why if a child complains of discomfort in this area, you should not postpone a visit to a pediatrician or pediatric orthopedist. Timely referral to a specialist will help to avoid many problems in the future.

    How to treat hip pain

    Hip pain is a common complaint of patients, including women and children. Let's analyze the causes of pain in the hip, methods of treatment.

    Causes of pain in adults

    Hip pains accompany the symptoms of various diseases, if pain occurs, consult a doctor who will diagnose it.

    1. Arthrosis. It is detected in women after forty years. Characterized by sharp painful sensations in the thigh area, slowly dropping to the knee. During rest, they are not felt, with physical exertion they reappear.
    2. Joint infarction. The patient has severe pain in the outer thigh. The disease is characterized by a rapid course.
    3. Lumbar injury. The cause of pain in the hip area. There are pains in the hip that do not radiate into the groin.
    4. Heart disease is the cause of pain.
    5. Oncological diseases.
    6. Muscle disease of rheumatic origin. It appears as a result of a viral disease or due to excessive mental stress.

    Causes of pain in a child

    If a child has a hip pain, this is a signal for parents to urgently consult a doctor. Causes of pain:

    1. Inflammation of the synovium (synovitis). Synovitis in a child is an inflammation of the lining of the hip joint, which occurs against the background of viral diseases. Pathology goes away without requiring treatment. The doctor will refer the parents to an orthopedist to remove fluid from the hip joint.
    2. Arthritis in a child occurs in children as well as in adults. It is characterized by a tumor in the knee, ankle, elbow joints, fever and rash.

    When does hip pain appear?

    Pain in the hip area can be of a different nature - acute or chronic, when the joint hurts constantly.

    It often hurts rear part thigh, inner or top part... By nature, the pain is divided into pulling, sharp, sharp, aching. It hurts at the same time in the thigh and buttocks or the thigh and lower back.

    Typical patient complaints:

    1. Prolonged stress on the muscles causes pain in the hip joint. Redness in a sore spot, muscles go numb.
    2. It's hard to walk, stand, lie down.
    3. Increased pain during menstruation.

    Characteristic features of pain:

    1. If injured, it hurts instantly.
    2. If work is associated with heavy physical exertion, pain occurs several hours after exertion.

    Types of pain

    Painful sensations in each person manifest themselves in different ways:

    1. Chronic pain in the hip is felt by patients at night or during inflammatory processes (possible oncological diseases- it is necessary to carry out diagnostics).
    2. Pain that appears during physical exertion and subsides when the diseased joint is at rest.
    3. Pain in violation of the normal perception of heat and cold. There is a tingling sensation, goosebumps in the neck of the thigh. The condition is associated with neuralgia.
    4. The pain is pulling, it hurts left leg... The diagnosis is osteochondrosis. The reasons are constant sitting near the computer, posture is disturbed.
    5. The leg hurts from hip to foot. The pain manifests itself in the back and in the buttock, the cause is inflammation of the sciatic nerve, sciatica. The symptom is a feeling of numbness and weakness in the leg.
    6. Hip joint hurts in right side, the pain radiates to the lower back, accompanied by numbness in the buttocks. Such symptoms are a consequence of the abnormal structure of the spine (scoliosis).

    Diagnostics

    Eliminate self-medication, see a doctor. First pass initial inspection, in which the doctor asks where and how the hip joint hurts, reveals sore spots by palpation. If injuries or fractures are excluded, tests are done so that the doctor can determine the cause of the disease. The study is carried out by methods: angiography, electromyography, tomography, X-ray photo, ultrasound.

    If a fracture is found, the movement in the area of ​​the joint is limited by the imposition of a plaster cast. If the fracture is complex and you need to collect bone fragments, you will need surgical intervention In case of arthrosis, the joint is replaced with an endoprosthesis.

    Treating hip pain

    Than to treat, what treatment is better to choose.

    • In case of severe pain, the doctor prescribes treatment with analgesic drugs reducing pain. If the pain persists, stronger drugs are prescribed. For inflammatory diseases, anti-inflammatory drugs are prescribed.
    • Ice is used in the treatment of a joint with inflammatory process... Ice is applied to the sore joint twice a day. The duration of the session is ten to fifteen minutes.
    • If the cause of the pain lies in arthritis, then they warm the joint area with a heating pad attached to the sore spot, or take hot baths.

    See your doctor to find out the cause of your hip pain. He, depending on the diagnosis, will refer to a traumatologist, surgeon, neurologist, orthopedist, oncologist. Remember, treatment is about eliminating the cause of the pain, isolating pain syndrome- one of the stages of treatment.

    Pain in the hip in children: what is the symptom, the reasons, for what diseases it happens

    Any symptom is a signal from the body that an organ, department or whole system is disturbed. To find out why hip pain occurs in children, you need to rule out some diseases. Make sure the kid goes through modern diagnostics, specify what caused the pain in the hip and how to quickly and effectively improve the condition.

    The list of diseases in which there is pain in the hip in babies:

    • Injuries and bruises of the hip joint;
    • Spinal column injuries;
    • Synovitis;
    • Arthritis;
    • Epiphysis of the femoral head.

    Trauma is the most common cause of pain in children. The child may bump his hip, unsuccessfully step on the leg or fall on it, and notice the problem or pain after a while. An ailment such as synovitis, for example, occurs as a result of the development of a viral infection. As a result, fluid can build up in the hip joint. Therefore, you should pay close attention to the complaints of your child and immediately consult a doctor.

    Treatment of violations in endocrine system children should be taught only by a qualified specialist. Only a doctor can tell you how to treat hip pain, how to get rid of complications of hip pain and how to prevent its occurrence. The following doctors can answer the question of what to do if your baby has hip pain:

    Before prescribing treatment, the doctor may prescribe an x-ray or ultrasound of the hip joint, and certain tests. During the exam, the doctor will pay attention to your child's gait to understand how a hip problem is affecting the musculoskeletal system. Believing that everything will go away by itself is not worth it, some ailments that cause similar symptom can have negative consequences for a growing organism.

    Arm yourself with the knowledge and read a helpful informative article about Hip Pain in Children. After all, to be parents means to study everything that will help maintain the level of health in the family at the level of "36.6".

    Find out what can cause an ailment, how to recognize it in a timely manner. Find information about what are the signs that can identify ailment. And what tests will help identify the disease and make the correct diagnosis.

    In this article, you will read all about the methods of treating diseases such as hip pain in children. Clarify what effective first aid should be. How to treat: choose drugs or folk methods?

    You will also find out what can be dangerous untimely treatment ailment, pain in the hip in children, and why it is so important to avoid the consequences. Everything about how to prevent hip pain in children and prevent complications.

    A caring parents will find on the pages of the service complete information about the symptoms of hip pain in children. What is the difference between the signs of the disease in children at 1, 2 and 3 years old from the manifestations of the disease in children at 4, 5, 6 and 7 years old? What is the best treatment for hip pain disease in children?

    Take care of the health of loved ones and be in good shape!

  • When a child complains of pain in knee joint, examine the hip joint.

    Does the child have a fever? If available, urgently perform a blood culture + diagnostic arthrotomy to rule out septic arthritis (do not rely solely on hip aspiration).

    Consider slipping the epiphysis of the femur in a teenager. If the child develops unexplained painful lameness, the hip joints should be clinically and radiologically examined. Usually, in such cases, the child should be hospitalized for observation and adherence to the appropriate regimen (+ traction). An examination is also carried out to exclude tuberculous lesions of the hip joint or Perthes disease. If the patient had a limitation of movement in one hip joint, which spontaneously passed after several days of rest (on bed rest), and the X-ray picture of this joint is normal, retrospectively, a diagnosis of transient synovitis of the hip joint (also known as an irritated hip joint - "Irritable hip"). If other joints are affected, consideration should be given to the diagnosis of juvenile rheumatoid arthritis.

    Perthes disease. This is osteochondritis of the femoral head, affecting children aged 3 to 11 years (usually 4-7 years). In 10% of cases, it is bilateral, in boys it occurs 4 times more often than in girls. Perthes disease is pain in the hip or knee and causes lameness. When examining the patient, all movements in the hip joint are painful. On the roentgenogram of the hip joint in the early stage of the disease, an expansion of the inter-articular gap is noted. In more later stages of the disease, a decrease in the size of the core of the femoral head is observed, its density becomes inhomogeneous. In even later stages, collapse and deformation of the femoral head can occur, as well as new bone formation. Severe deformity of the femoral head is a risk factor for the early onset of arthritis. The younger the patient, the more favorable the prognosis. For mildly expressed forms of the disease (less than the head of the femur is affected according to the lateral radiograph, and the total capacity of the joint cavity is preserved), treatment consists in observing bed rest until the pain subsides. Subsequently, X-ray observation is necessary. For persons with a less favorable prognosis (1/2 of the femoral head is affected, the inter-articular gap is narrowed), a varus osteotomy may be recommended to retract the femoral head into the acetabulum.

    Slipped upper thigh epiphysis. In men, this condition occurs 3 times more often than in women, and adolescents aged 10 to 16 suffer. In 20% of cases, the lesion is bilateral; 50% of patients are overweight. This displacement occurs along the growth plate, while the pineal gland slides down and back. The disease is manifested by lameness, spontaneous pain in the groin and along the front of the thigh or knee. When examining a patient, flexion, abduction and medial rotation are impaired; in the patient's lying position, the foot is rotated outward. Diagnosis is by a lateral radiograph (anteroposterior radiograph may be normal). In untreated cases, avascular necrosis of the femoral head may develop, and improper tissue adhesion is also possible, which is conducive to the development of arthritis. When slipping to a lesser degree, a bone nail can be used to prevent further slipping, and with pronounced degrees of it, complex reconstructive operations are necessary.

    Tuberculous arthritis of the hip joint. It is rare nowadays. Children aged 2-5 years and the elderly are more likely to get sick. The main symptoms are pain and lameness. Any movement in the hip joint causes soreness and muscle spasm. An early x-ray sign of the disease is bone loss. Subsequently, a slight unevenness of the articular edge and a narrowing of the inter-articular gap develop. Even later, bone erosions can be detected on radiographs. It is important to ask such a patient about contacts with patients with tuberculosis. It is necessary to determine the ESR, perform an X-ray chest and the Mantoux reaction. The diagnosis can be confirmed by bnopsia of the synovium. Treatment: rest and specific chemotherapy; chemotherapy should be performed by experienced nursing staff. If significant destruction of the hip joint has already occurred, arthrodesis may be necessary.

    Patients often visit a doctor of different ages and complain that their leg hurts in the thigh. In this case, pain sensations can be constant or periodic, occur after physical exertion or independently of it. In some cases, the pain is combined with loss of sensitivity and limited movement. As a rule, pain is localized in the groin, in the area between the lower abdomen and the upper thigh, and may be localized in one or two legs. Sometimes patients confuse pain that is concentrated in the lower back or pelvis with pain in the hip.

    Common causes of hip pain

    The appearance of pain in the hip always indicates a problem in the patient's body - if the discomfort is not associated with trauma, then on the second or third day of the disease, you should consult a qualified orthopedist or rheumatologist and undergo a medical examination.

    The most frequent reason hip pains can be:

    1. (it is also called coxarthrosis) - given diagnosis Exhibited in about 30% of cases of doctor visits for hip pain. This disease is characterized by a slow course, although sometimes it can develop very quickly after physical exertion, trauma or severe psycho-emotional stress. It is registered in most cases after 40 years, more common among women.

    Coxarthrosis is characterized by the fact that the leg hurts in the thigh area and in the groin. The pain can go down the front or side of the thigh, spread to the buttocks, or give to the knee. It appears when walking, as well as when getting up from a chair or bed. At rest, as a rule, pain does not bother.

    Another characteristic feature of this disease is the limitation of mobility. So, the patient cannot move the sore leg to the side or lift it to the chest. At the same time, during movements in the affected joint, a peculiar one is heard, with the further development of the disease, the affected leg becomes shorter than the healthy one.

    2. Aseptic necrosis of the femoral head (the so-called hip joint infarction) causes hip pain in 5% of cases. The symptoms of this pathology are very similar to coxarthrosis, so it is sometimes difficult to distinguish between these two diseases. That is why, to look for an answer to the question - why does hip pain appear, and decide how to eliminate this unpleasant symptom should define qualified doctor.

    It is worth considering that necrotic processes in the head of the femur always develop at a rapid pace, so the symptoms of this lesion become intense within a few days after the onset of the disease. Typical symptoms heart attack of the hip joint - a quick onset, pain on the outer surface of the thigh, lack of stiffness of movements and crunching when walking.

    3. Injuries to the lumbar spine - become etiological factor in 40% of cases of visits for femoral pain. They manifest themselves as follows: unilateral lesion and pain in the leg, pain from the hip extends to the entire limb, and irradiation in the groin is not typical. Patients complain that pain occurs both day and night, often it is localized in the lower back or in the buttocks.

    4.- occurs in only 1% of cases, most often hip pain develops after severe stress or flu. Characterized by severe weakness, symmetrical joint damage, pain and stiffness in the hips, and pain in the shoulder joints.

    5. Arthritis of various origins - develop in about 2-4% of cases of pain in the hip. Examination may reveal ankylosing spondylitis, various types of reactive lesions of the hip joints. Patients note morning stiffness of the joints, the pain becomes most intense at night, and may subside somewhat when walking. A characteristic feature of hip pain due to arthritis is that it occurs more often in young people aged 15-40 years.

    Leg pain in children - a special reason for examination

    I must say that if a child has a leg pain: hip, knee or another part of it, you should see a doctor immediately... Cause maybe congenital dislocations hips, fractures of the femoral neck, as well as various bone or articular pathologies.

    Concomitant pathologies of the body

    Hip pain can also occur in the presence of a cancerous process in the body, severe heart damage, stenosis or occlusion of the iliac arteries, tuberculosis, pelvic and inflammatory diseases genitals.

    There are many reasons for the appearance of pain in the hip, so only a qualified doctor can prescribe the necessary examinations and, according to the data obtained, carry out a differential diagnosis.

    The treatment program must be individualized

    If the leg hurts in the thigh and home treatment is ineffective, the cause may be a severe pathology of muscles, bones or joints, so it is worth applying not only folk remedies but also achievements traditional medicine, because traditional methods of therapy are best used in combination with other techniques. It should also be remembered that getting rid of hip pain can only be done by eliminating its cause, and not by isolating the pain syndrome.

    By the way, you may also be interested in the following FREE materials:

    • Free books: "TOP-7 harmful exercises for morning exercises which you should avoid " | "6 rules for effective and safe stretching"
    • Reconstruction of knee and hip joints in arthrosis- free video recording of the webinar, which was conducted by the doctor of exercise therapy and sports medicine - Alexander Bonin
    • Free lessons on the treatment of lower back pain from a licensed exercise therapy doctor... This doctor has developed a unique system for the restoration of all parts of the spine and has already helped more than 2000 clients with various problems with back and neck!
    • Wondering how to treat a pinched sciatic nerve? Then carefully watch the video at this link.
    • 10 necessary components nutrition for a healthy spine- in this report you will find out what the daily diet should be so that you and your spine are always in healthy body and spirit. Very useful information!
    • Do you have osteochondrosis? Then we recommend that you study effective methods of treating lumbar, cervical and breast osteochondrosis without drugs.

    The article will tell you what to do if your child has a hip pain. You will learn what may be associated with pain in the hip in a child, and how to help the child.

    Pain in the hip area can occur due to severe physical exertion, and also be unrelated to them. The child can experience these unpleasant sensations constantly, but at the same time they can be episodic in nature, manifested, as a rule, in the morning, and accompanied by limited movements.

    Hip pain in a child can damage the integrity of the ligaments and muscles that are located in the hip joint. As a rule, they are most felt on the back of the thigh and the outer - buttocks.

    Causes of hip pain

    If a child has hip pain, it could be due to a worn hip joint. In this case, the abrasion of the articular cartilage occurs, and the bones, hitting each other, cause acute pain. This disease is called arthrosis of the hip joint. Of course, most often people who have crossed the 50-year mark are sick with it, but it happens that even at a young age it is impossible to protect oneself from it. There are arthrosis acquired as a result of injuries, metabolic disorders, congenital defects of the lower extremities.

    If the child begins to limp, there is a fever, and the pains are getting worse and worse, an examination should be urgently carried out to exclude osteomyelitis - an inflammation of an infectious nature that affects part of the bone marrow and subsequently passes to bone tissue.

    In addition, in children under the age of 10, there is a very high statistics of tuberculosis of the bones, affecting the spine and joints.

    In any case, in order not to be the cause of pain in the hip, the best solution would be to see a specialist in a timely manner. The doctor can be called at home, and before his arrival, try not to make movements that cause pain, take painkillers (ibuprofen or paracetamol are recommended for children).

    Hip pain is most common with the following conditions:

    Trauma... Lameness, sparing position with slight bending, outward rotation, abduction of the leg to the side, sharp pain in the hip when extending or applying pressure to both large skewers are primarily suspicious of a previous injury or excessive one-sided load on the hip due to, for example, riding a scooter or playing football (pain in the tired iliopsoas or gluteal muscles).

    Diseases should be excluded neighboring bodies(inguinal lymphadenitis, hernia, inguinal cryptorchidism) and abdominal organs (appendicitis, sinus abscess), processes in the spinal cord (reactive limitation of the hip joint mobility). Similar symptoms can be a consequence of heavy lifting in diseases of the lower extremities and spine.

    Habitual subluxation of the hip joint... Soreness when sliding part of the tense fascia lata along the greater trochanter at the end of extension in the hip joint or at the beginning of flexion.

    Infectious coxitis... Often this is a consequence of osteomyelitis near the acetabulum or in the metaphysis of the thigh with a breakthrough of pus into the joint (pyoarthrosis).

    Causative agents: staphylococci, streptococci, pneumococci, salmonella, E. coli (in infants).

    Diagnostics: X-ray reveals early diffuse osteoporosis. An insignificant reaction of the adjacent bone tissue indicates a tuberculous etiology. Puncture of the joint.

    Deforming osteochondropathy of the hip joint... Increasing pain in the hip joint, sparing position, lameness, soon atrophy gluteal muscles and thigh muscles from inactivity, especially in children 4-8 years old, sometimes up to 14 years old, that is, in the period accelerated growth before closing the growth zone of the epiphyseal cartilage. Girls account for 10% of patients, in 10-20% of patients, both hip joints are affected ( differential diagnosis with hypothyroidism).

    Diagnostics: X-ray first reveals the expansion of the joint space, then the deformation of the femoral head (flattening, compaction, then blurred structure and fragmentation of the pineal gland). Lagging of bone age is often noted.

    Epiphysis of the femoral head... The disease is more common in boys of transitional age, especially with obesity or adipose gigantism. In addition to the symptoms of Perthes disease, progressive shortening is characteristic lower limbs, high position large skewer, limitation of abduction and internal rotation, forced rotation of the hip outward during flexion in the hip joint.

    Diagnostics: even before the onset of pain syndrome, changes in the epiphyseal cartilage are radiologically revealed, then the flattening of the epiphysis nucleus, later - a clear smoothness of the pineal gland. As with Perthes disease, epiphysiolysis is characterized by the Trendelenburg symptom (lowering of the pelvis when leaning on the injured leg).

    Hidden fractures... The cause of pain in the hip joint during exercise is a violation of ossification (rickets, osteoporosis). On technically good radiographs, Loozer's rearrangement zones in the femoral neck, ilium, or pubic bone are detected already in the early stages of the disease.

    Osteochondrosis dissecans... At the end of the growth period, mainly in boys, the hip joint is affected. Clinically, in addition to pain, with certain movements, a crunch or painful blockage of the joint occurs.

    Diagnostics: radiographically through the bands of enlightenment in the area close to the cartilage, limited oval areas of local disturbance of blood flow are visible. The necrotic sequestrum is separated from the adjacent cartilage and enters the joint cavity, and the defect in the cartilage cover can subsequently close and even calcify.

    Sciatic-pubic van Neck synchondrosis... Pain in the hip joint and groin area that is aggravated by movement or palpation, characteristic of this disease in children 6-10 years old, is difficult to distinguish from osteomyelitis, especially since this area is often affected by mild bacterial osteitis.

    Diagnostics: normal performance blood, low ESR, palpation data and typical localization on the roentgenogram (a spherical protrusion with foci of enlightenment and compaction in the area of ​​synchondrosis is indistinguishable from ossification anomalies in healthy children).

    Women's magazine www .. Everbeck

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