Coxitis in children causes inflammation of the acetabulum, neck and femoral head. Treatment depends on the type of disease and is carried out only in a hospital setting. If indicated, a surgical operation can be performed.
Coxitis is an inflammation of the hip joint. Children are susceptible to two forms of coxitis - acute and tuberculous. The main difficulties in treating the hip joint in children are associated with the acute course of the disease, the presence of severe pain and other symptoms characteristic of adult patients, but manifested in an intensified form.
Symptoms and treatment of tuberculous coxitis
This disease is the most common form of specific coxitis. The main focus of the lesion is localized in the kidneys, lungs and other organs. As a result, mycobacterium tuberculosis is carried throughout the body along with the blood and affects the acetabulum, neck and head of the femur. The destruction of the synovial membrane and the articular ends of the bones occurs. As a result, dislocation with displacement may occur, and the joint cavity will begin to fill with pus, which will further lead to the formation of fistulas and drip abscesses.
At the initial stage of the disease, the baby complains of pain in the leg: he begins to walk with a limp. The body temperature rises. In the future, physical activity is further limited, and the pain increases. The muscles atrophy, and the subcutaneous tissue of the thigh begins to thicken. In the absence of timely treatment of coxitis in children, pain disappears, and destructive manifestations persist. As a result, there is a dislocation of the hip of a pathological type.
Treatment of the disease is carried out in a hospital setting with the use of specific anti-tuberculosis chemotherapy and orthopedic measures. General strengthening therapy, a well-followed regimen with the use of a bandage for a long time (2-3 months), contribute to a speedy recovery.
Symptoms and treatment of acute coxitis
Acute purulent coxitis is characterized by an acute onset and rapid course. The main symptom of this form of the disease is osteoporosis. In the future, the joint space narrows, destruction of the articular surfaces of the femoral head and other bones that form the acetabulum occurs. Such nonspecific coxitis can develop in a few days. Less often, the process takes from several weeks to several months. The child's body reacts to intoxication with an increase in body temperature and a change in the blood formula.
Treatment is carried out exclusively in a hospital. The priority task in this case is to take antibacterial agents and sulfa drugs. If necessary, the doctor may decide to have the hip joint resected. Immobilization is indicated after surgery. Great importance is attached to the establishment of a functionally advantageous position of the limb.
