Bone pain in children

The pain in the bones can be caused by a variety of pathologies of bones, vessels, joints, muscles, nerves, sensorimotor disorders, irradiating pain in diseases of the heart, lungs, pleura, liver and spleen, digestive and genito-urinary tracts.

Only a small part of the pain, perceived by patients as bone pain, is really associated with the defeat of the support apparatus. More often - these are diseases of muscles, vessels, nerves, connective tissue. At the same time, many pathological processes in the bones for a long time proceed painlessly. Thus, the diagnosis of bone disease is often to be made on the basis of exclusion and necessarily using X-ray and isotopic methods of investigation.

Generalized metabolic bone disorders, as a rule, manifest primarily in the vertebrae, i.e. In bones, experiencing a constant load. The pain is stupid, often without precise localization. Osteoporosis does not appear clinically for a long time. It is found almost exclusively at the stage of compression fractures of the vertebrae or neck of the thigh with minimal, and often non-fixed injuries. Bone pains that occur with a static load (lumbar vertebrae, pelvic bones, legs) tend to increase and decrease or may completely disappear in a horizontal position.

Tumors of bones have a rather characteristic localization. Benign tumors are located mainly in the region of the knees (35%). Most benign tumors occur in childhood, but they are found in adults. At any age, chondrosarcoma is common, and osteosarcoma is usually found in children and adolescents. Critical in the diagnosis of bone tumors are X-ray methods of investigation.

Osteonecrosis aseptic (osteochondrosis, localized osteochondritis). Aseptic necrosis of bones, the diagnostic criteria of which are local soreness, especially under load, lasting for weeks. Radiographically reveal enlightenment. Then consolidation and recovery with preservation of a defect in a particular area of the bone.

[1], [2], [3]