Epiphysiolysis is the slippage of the head of the femur, located in the region of the pelvis, which can cause asymmetrical deformation or growth, as it is most common in children between 10 and 13 years old, in girls and between 10 and 15 years old. . years, for children.
Although this can occur without apparent cause, epiphysiolysis is more common in overweight or obese children, but it can also occur and in very tall, thin people, which can affect both legs.
- Because it can cause deformities.
- Epiphysiolysis is a medical emergency that should be treated as soon as possible by surgery.
- So whenever there is an indication of this condition.
- It is important to consult your pediatrician or pediatric orthopedist to confirm the diagnosis and begin treatment.
Symptoms of epiphysiolysis usually include pain in the hip area for more than 3 weeks, difficulty walking and turning the leg out. In addition, some children may also report pain in the knee area, which may delay diagnosis.
The specific cause that leads to the onset of epiphysiolysis is unknown, however, it appears to be related to on-site trauma or even hormonal factors, especially in children receiving growth hormone therapy.
Generally, a simple x-ray of the pelvis, comparing the two sides, is sufficient to diagnose epiphysiolysis, however, if in doubt, a CT or MRI may be necessary.
Epiphysiolysis is a medical emergency and should therefore be done as soon as possible with surgery, as slipping the head of the femur can cause serious damage, such as hip osteoarthritis or other deformities.
Surgery involves attaching the femur to the hip bone with screws and often this surgery can also be performed on the other leg, even if it is not affected, because in more than half of the cases both sides end up being affected during growth.
In addition, and to complete treatment, it is also important to perform physical therapy sessions and exercises in the water, for example, to recover lost movements, these sessions should only be performed after the orthopedist has indicated it.