Inflammation of the hip in children

definition

Inflammation of the hip joint in children can have a variety of causes. Certain pathogens as well as autoimmunological processes, which typically cause inflammation without pathogen involvement, come into consideration. The so-called Coxitis fugax, often colloquially as Runny nose called disease, is a disease of children and young children. This is an inflammation of the hip joint. By a viral infection of the airways, there is secondary inflammation of the hip joint, which is caused by immune cells. Frequently are Boys between 3 and 10 years affected.

Other possible causes that can cause hip inflammation in children are bacterial inflammation of the joint, as well as inflammation caused by wear and tear. A rheumatic disease can also be the cause of the inflammation of the joint. Hip inflammations in children usually become noticeable through discomfort in the area and a noticeable limp. Depending on the underlying disease, different therapy options come into consideration, whereby rest and special exercises as well as medicinal and surgical therapies can be used.

Symptoms

The symptoms of a hip inflammation can vary depending on the disease and individual severity. Depending on the age of the affected child, a description of the symptoms is not possible and only clinical tests can be used to determine the severity of the symptoms. If the affected children can already walk, a hip infection often goes with one limp as well as one Relieving posture which, if they occur, can provide the suspected diagnosis. Since the joint is inflamed, it also usually shows signs of inflammation. The skin over the joint is reddened, overheated and painful. Also one swelling of the area is frequent. Signs of infection such as fever and Exhaustion occur. In many cases, pain also occurs with active and passive movement of the hip, which can sometimes radiate into other areas, especially the knee joint, by using a relieving posture.

Conducting clinical tests usually allows the attending physician to objectify the symptoms and make a statement about the underlying cause of the hip inflammation. With many diseases of the hip, there is a reduced mobility in the hip joint. The rotation of the leg inward and the extension of the leg are usually restricted. The symptoms can be identified with the help of movement tests.

During diseases that are not primarily caused by infectious pathogens, such as the so-called Runny nose (Coxitis fugax), rarely associated with the occurrence of fever and other signs of infection, these occur much more frequently with bacterial inflammation of the joint.

Effusions in the hip joint are also common in cases of hip inflammation. These can be easily recognized with the help of an ultrasound examination.

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The hip joint is one of the joints that are exposed to the greatest stress.
The treatment of the hip (e.g. hip arthrosis, hip impingement, etc.) therefore requires a lot of experience.
I treat all hip diseases with a focus on conservative methods.
The aim of any treatment is treatment without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

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treatment

The treatment of hip inflammation in children and young children is always based on the underlying one Underlying disease and the complaints described. Correct diagnosis of the cause, which is responsible for the symptoms and the hip inflammation, is necessary in order to be able to initiate therapy. For this reason, it is always advisable to visit a pediatrician if you notice problems with the hip in the child or toddler.

Inflammations of the hip joint that cannot be traced back to a bacterial or viral cause usually heal within a few days. The complaints if you have a runny nose (coxitis fugax), this should become clear after 6-10 days improve, even without therapy. Additionally can anti inflammatory drugs taken, which can also treat the inflammation well. In most cases, it makes sense to protect the hips so as not to strain the joint. However, this should usually take a few days do not exceed so as not to risk the occurrence of side effects of restricted movement. The pain that occurs as part of the disease can, if necessary, be alleviated with an adapted pain medication. If there is no improvement in the symptoms, further diagnostics should be carried out in order not to overlook other diseases that may be the cause of the symptoms.

Inflammation of the hip caused by bacterial pathogens is usually treated with antibiotics. Accompanying symptoms such as fever and Pain can also be approached with drug therapy. In some cases a surgical intervention take place to ensure a healing of the inflammation. Bacterial inflammation of the hip joint should be taken very seriously as complications can lead to a permanent damage of the structures involved in the joint.

Inflammation of the hip joint, which is a Wear and tear disease are rather rare in children. As part of a so-called Perthes disease However, children can also develop a clinical picture in which parts of the bone involved in the hip joint are damaged. Physiotherapy exercises and therapies as well as wearing special medical aids with the aim of healing the bone destruction are the basis of therapy for the disease. In the advanced course of the disease, surgical interventions can help to heal the disease.

causes

The causes of hip inflammation in children and young children are diverse. A distinction must first be made between causes that are primarily caused by pathogens such as bacteria or viruses and diseases in which no pathogens are typically found in the joint. If inflammation occurs in children or small children, no specific pathogen is usually detected in the joint.

An example of such a disease, which is not associated with pathogens in the joint, is the so-called Runny nose (Coxitis fugax) This results in a secondary inflammation of the joint after a previous viral infection of the upper respiratory tract (cold). Autoimmune cells are the cause of the inflammation of the joint, which usually improves after a few days. Also Rheumatic diseases represent possible causes of hip inflammation in children, which are caused by autoimmunological processes.

Of the Perthes disease represents a further cause for the occurrence of a hip inflammation, in which the femoral head partially perishes due to reasons that have not yet been clarified. Again, pathogens are not the cause of the disease and it is suspected that the insufficient blood supply of the femoral head is the cause of the disease.

Bacterial inflammation of the hips are rarely found in children. However, these diseases can also occur in children and young children. Bacteria come into the joint via the skin or blood, for example, and cause inflammation there.