Children's hip discomfort from the uncommon etiology of van neck-odelberg illness

Dr. Satyasree Devineni, Dr. S Nagesh
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Abstract

Introduction: Pain in the pediatric pelvis is often misinterpreted as an unusual ossification pattern of the ischiopubic synchondrosis, also known as van neck-odelberg illness. The primary symptom is an odd hip discomfort in one (rarely both), which may come on suddenly or after overusing the leg. This pain may restrict mobility or cause limping. Describe the clinical and radiological features of this uncommon and sometimes misunderstood illness is the aim of our essay. Materials and Methods: These young patients are often over-studied with several unneeded instrumental examinations, such as hip ultrasounds, radiography, magnetic resonance or computer tomography scans, and other invasive procedures, due to the non-specificity of their complaints. The straightforward radiograph may detect this problem, however, particularly in males, those results are often negative due to the reproductive system's exterior protection. Non-steroidal anti-inflammatory drugs (NSAIDs) and rest from physical activity are the major treatments during the acute phase of this clinical illness, and the symptoms go away in around 1-2 weeks. In a few years, the radiological results will return to normal. Results and Conclusion: A youngster who presents to the emergency department complaining of severe hip pain is never an easy scenario. Understanding this incorrect diagnosis might help you avoid needless instrumental tests.
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儿童髋部不适的罕见病因van neck-odelberg病
儿童骨盆疼痛常被误解为坐骨耻骨软骨联合症的异常骨化模式,也被称为van neck-odelberg病。主要症状是一侧髋关节奇怪的不适(很少同时出现),这可能是突然出现的,也可能是过度使用腿部后出现的。这种疼痛可能会限制活动或导致跛行。描述临床和放射特征的这种不常见的,有时被误解的疾病是我们的文章的目的。材料和方法:由于这些年轻患者的主诉不具有特异性,他们经常被过度研究了一些不必要的仪器检查,如髋关节超声、x线摄影、磁共振或计算机断层扫描,以及其他侵入性手术。直接的x光片可以检测到这个问题,然而,特别是在男性中,由于生殖系统的外部保护,这些结果通常是阴性的。非甾体抗炎药(NSAIDs)和停止体育活动是该病急性期的主要治疗方法,症状约在1-2周内消失。几年后,放射结果将恢复正常。结果和结论:一个年轻人到急诊科抱怨严重的髋关节疼痛从来都不是一件容易的事情。了解这种不正确的诊断可能有助于您避免不必要的仪器检查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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