Keller's disease is a disease of the bones of the foot with precisely unknown causes, which often appears in young children and adolescents.
Keller's disease - a rare disease of the bones of the foot, named after the name of the German radiologist Keller, first described his symptoms. Relates to illnesses, often encountered in childhood and adolescence. Characterized by the destruction and subsequent restoration of bone tissue.
Keller's Disease: What is it
Keller's disease refers to a variety of osteochondropathies that trigger degenerative processes in the bones, which results in the nutrition of bone tissue worsening and part of the bone die.
In the microbranch stage, the bone splits into several fragments. At the next stage, the affected bone is trying to recover its shape.
As a result of the process, the bone restores the primary structure, or it undergoes articular changes in the form of arthrosis.
Keller's disease has two varieties-type I and type II. The difference is in the place of the defeat of the bones of the foot.
- Keller type I causes a change in the boat bone located in the middle of the foot. She often suffers from boys 5-13 years old.
- Keller type II disease affects the heads of the pleural bones of the foot, representing the base of the fingers of the foot. She is more often ill girls adolescents.
Causes of Keller's disease
The causes of the disease are associated with deterioration of blood circulation and nutrition in the area of the foot. This may be facilitated by:
- Hormonal disorders;
- Passion for uncomfortable and tight shoes;
- Congenital or acquired deformities of the foot (flattening).
Symptoms of Keller's Illness
Keller's illness is a chronic disease with a long course. It all starts with a tumor at the site of the disease. The patient experiences minor pains in the foot, which increase when moving.
Pain symptoms may increase and then stop. This means that the disease has gone to the next stage. The child may begin to bother pain when walking and lameness, which disappear over time.
Sometimes Keller's disease can occur without patient complaints, and the diagnosis is determined by chance, based on the results of the study of X-rays. On the X-ray can clearly trace the stages of destruction and restoration of the bones of the foot.
If Keller's disease is left untreated, this can lead to the following negative consequences:
- Deformation of the bones of the foot;
- Flat feet;
- Joint disorders
Treatment for Keller's disease
For the treatment of Keller's disease, conservative, therapeutic and physiotherapeutic methods are used. Operative treatment is rarely required, as in children during the period of growth, the restorative capacity of the bone skeleton is very high. Complete treatment occurs in 2-3 years.
- Unloading the foot, creating conditions for immobilization (real estate). At the affected site is applied a plaster bandage or plaster boots for 4-6 weeks. After removing gypsum, the patient warns about the need to restrict movement, reduce physical activity.
- Orthopedic footwear or special insoles for unloading boat bone - for the entire period of the disease.
- Medicinal therapy - medicines for calcium and phosphorus, analgesics and anti-inflammatory drugs.
- Physiotherapy: electrophoresis, foot baths, thermal procedures.
- Therapeutic exercises, massage of the shin.
Prevention of Keller's disease in children
- The inadmissibility of serious physical activity for children under 7 years of age.
- The right choice of shoes.
- Timely treatment of injuries and any changes in the shape of the foot.