Conjugal chondropathy of the adolescent
general considerations and treatment guidelines
Keywords:
growth disorders, affections, teenagersAbstract
The paper refers to condropathy of joints, its complications and sequella and coxa vara in adolescents. Physiopathological hypothesis of slipping points to
action of adductor and externa] rotating muscles, specially psoas. We base our treatment on above hypothesis;, adductors and psoas are abscissed and action of gravity
is avoide.d in cases of non complicated condropathies with chronic slipping; this is followed by adjlstment and immobilization in plaster cast in acute and subacute
cases. In the latter, when adjustment is not induced by manouvres, we perform myotomy followed by open field adjustment and immobilization in pelvipaedium
plaster cast. Finally, we have treatment of coxa vara sequella through intratrochanteric tendimentional osteotomies, correcting varus and epiphyses retroversion, or through
anterosuperior wedge cervical osteotomies following capsule graft on epiphyses to provide greater vascularization and prevent necrosis.
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