Osteocondrosi: frequenti cause di dolore nelle ossa in - Fondazione ...
Osteocondrosi: frequenti cause di dolore nelle ossa in - Fondazione ...
Osteocondrosi: frequenti cause di dolore nelle ossa in - Fondazione ...
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Johansson e malattia <strong>di</strong> Sever con s<strong>in</strong>tomi <strong>in</strong>validanti e<br />
scheletro ormai giunto a completa maturazione. Nei pazienti<br />
con malattia <strong>di</strong> Freiberg e frammenti articolari<br />
“liberi” occorre valutare l’opportunità <strong>di</strong> <strong>in</strong>terventi <strong>di</strong><br />
pulizia articolare. Nei pazienti <strong>in</strong> cui si sospetta una malattia<br />
<strong>di</strong> Köhler e che hanno recentemente presentato<br />
malattie, traumi, oppure un aumento dei markers dell’<strong>in</strong>fiammazione<br />
lo specialista deve valutare la presenza<br />
<strong>di</strong> <strong>in</strong>fezioni o <strong>di</strong> fratture occulte. Lo specialista deve<br />
<strong>in</strong>tervenire anche nei pazienti con apofisite dell’epicon<strong>di</strong>lo<br />
me<strong>di</strong>ale o con malattia <strong>di</strong> Panner, con una storia<br />
<strong>di</strong> traumi acuti, <strong>dolore</strong> malgrado <strong>di</strong>verse settimane <strong>di</strong><br />
riposo, frammenti articolari “liberi”. Vanno sottoposti<br />
ad una valutazione specialistica anche tutti i pazienti <strong>in</strong><br />
cui si sospetta una malattia <strong>di</strong> Legg-Calvé-Perthes o una<br />
malattia <strong>di</strong> Scheuermann.<br />
Un riassunto delle <strong>in</strong><strong>di</strong>cazioni per la <strong>di</strong>agnosi, il trattamento<br />
e l’<strong>in</strong>vio ad uno specialista dei pazienti affetti<br />
dalle <strong>di</strong>verse malattie osteocondrosiche viene presentato<br />
<strong>in</strong> Tabella 1.<br />
Gli Autori<br />
Il Dr. Alfred Atanda, Suken A. Shah e Kathleen O’Brien<br />
sono, rispettivamente, chirurgo ortope<strong>di</strong>co, Assistant<br />
Professor <strong>di</strong> Chirurgia Ortope<strong>di</strong>ca Pe<strong>di</strong>atrica, e Direttore<br />
Me<strong>di</strong>co dello Sports Me<strong>di</strong>c<strong>in</strong>e Program presso lo Alfred<br />
I. Dupont Hospital for Children, <strong>di</strong> Wilm<strong>in</strong>gton, Delaware<br />
(Stati Uniti).<br />
Gli autori non riferiscono conflitti <strong>di</strong> <strong>in</strong>teresse con gli<br />
argomenti trattati nell’articolo.<br />
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31 - novembre 2010 - M<strong>in</strong>uti
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