After a traumatic event, it is not unusual for children to present with fractures. Kids, on the other hand, can present with pathological fractures, which are fractures in irregular bones that usually occur during normal activity or after minor trauma. It’s important to be able to differentiate between acute and pathological fractures since prognosis and care differ significantly. Dr. RatnavRatan, an Orthopedic doctor in Gurgaon, believes that non-accidental injury should be considered in children who have multiple unexplained fractures.
A variety of conditions can cause bone disease in children, including:
1. Deficiency in vitamin D:
Vitamin D helps the body absorb calcium and phosphorus from food. Calcium and phosphorus are two minerals that function together to create strong bones. A serious vitamin D deficiency can cause frail, brittle, or misshapen bones.
Rickets is a disorder in which the bones become fragile and weak in infants. The majority of children get rickets as a result of a long-term, serious vitamin D deficiency. Bowed legs are a typical rickets symptom.
3. Thyroid gland dysfunction:
Kidney stones, joint aches, excessive urination, and osteoporosis are all symptoms of hyperparathyroidism. When the parathyroid glands produce insufficient parathyroid hormone, hypoparathyroidism develops. Damage to the parathyroid glands during surgery, an autoimmune disease in which the body refuses parathyroid tissue, missing or defective parathyroid glands, radiation therapy, or low magnesium levels may all lead to this. Muscle cramps and tingling fingers, toes, or lips are signs of hypoparathyroidism. Pseudohypoparathyroidism is a condition in which the body produces parathyroid hormone but does not respond to it, resulting in low blood calcium and high blood phosphate levels. It’s an unusual genetic disorder.
4. Calcium deficiency:
Hypocalcemia and hypercalcemia are two calcium deficiencies. If there isn’t enough calcium in the blood, it’s called hypocalcemia. Vitamin D deficiency, hypoparathyroidism, and chronic kidney disease may all cause hypocalcemia. Muscle spasms, numbness, tingling, and seizures are all common hypocalcemia symptoms. If there is too much calcium in the blood, it is called hypercalcemia. Hypercalcemia can be exacerbated by hyperparathyroidism, cancer (such as lung or blood cancer), vitamin D-raising conditions (such as tuberculosis or sarcoidosis), or an overabundance of vitamin D or calcium supplements. It’s likely that the disease will weaken bones and cause issues with heart and brain function.
5. Imperfect osteogenesis:
Osteogenesisimperfecta, also known as brittle bone disease, is a genetic condition that affects people from birth. Bones that break quickly are a sign of brittle bone disease.
6. Osteoporosis in children and adolescents:
Osteoporosis is a disease in which the bones become fragile, brittle, and easily broken. There is generally an underlying cause in infants, such as osteogenesisimperfecta, Type 1 or Type 2 diabetes, hyperthyroidism, or calcium and vitamin D deficiency. Joint pain, physical deformities such as curving of the spine, a sunken chest, or a limp are all symptoms of osteoporosis in children.
7. Osteopetrosis in children:
Infantile osteopetrosis is a rare genetic disorder that manifests itself at birth. The bones do not shape naturally in this state, resulting in them being too thick and thin and easy to crack. Small stature, hearing and vision loss, repeated fractures, and infections are all possible consequences of this disorder. Low blood calcium and parathyroid hormone levels are normal in children with this disorder.
The Department of PaediatricOrthopaedics specializes in treating a wide range of disorders, from simple fractures to complex hip and spine deformities in children. Paediatricorthopaedists have a ton of experience and specialize in diagnosing and treating bone, joint, and muscle (musculoskeletal) disorders in babies and children who are still developing. Gait defects, bone or joint infections, and tumors are among the disorders managed by the team. Scoliosis, Limb Repair & Deformity Correction, Hip conditions, Clubfeet, Spina Bifida, Brachial Plexus, and Cerebral Palsy are some of the issues that paediatricorthopaedics contend with. Our department strives to provide our patients with individualized treatment. Our staff has a lot of experience examining and handling children in a way that keeps them calm and comfortable. The Pediatric orthopedist in India also supports and is knowledgeable in providing Rehabilitation Facilities for both youth and teenagers, as well as those with intellectual and physical disabilities, in order to facilitate their recovery.