علاج التهاب العظم الغضروفي الحدثي للورك والحوض لدى الأطفال ذوي العمر الهيكلي أقل من 8 سنوات والحفاظ على احتواء مفصل الورك

References

• In the initial phase of LCPD, when hip mobility is preserved and radiographic imaging confirms joint congruence with the epiphysis centered within the acetabular cup, conservative therapy remains the first-line treatment approach.
• If the skeletal age is less than 8 years, solely FVO is possible due to the sufficient revalgization potential.
• Core components of conservative treatment include structured physiotherapy with gentle range-of-motion exercises, traction therapy where indicated, and activity modifications such as limiting high-impact activities.
• Analgesia may be administered as needed, and moderate unloading of the affected limb can be considered, though its efficacy remains controversial, particularly in active children.
• Recommendations strongly support the use of hydrotherapy, controlled cardiovascular exercise, and stretching programs to preserve joint function while minimizing joint stress.
• Additionally, adjunctive interventions such as targeted Botox injections for iliopsoas and adductor muscle release may aid in improving hip range of motion in select cases.