How is the child's hip ring?

Snap of hip joint is a common clinical disease, also known as snap of hip joint, which means that when doing some actions, the hip joint makes an audible or perceptible "click" sound, which is more common in young adults. C the disease can be divided into intra-articular snapping and extra-articular snapping. Intra-articular snapping is more common in children, but less common, and generally more common outside joints. There is no obvious pain at ordinary times, but I feel uneasy because of the noise. As time goes on, my condition is getting worse and worse. The following external treatments can be used for this disease:

Fixed therapy for children with hip joint snap, hip joint immobilization method was used, and the hip joint was restrained with bandages to prevent the hip joint from buckling for 3 ~ 6 months. Adults should avoid excessive hip movement when breaking their hips.

Massage therapy adopts meridian massage. For those who bounce out of the joint, first move back and forth on the back and outside of the buttocks and thighs by rubbing, stir the funicular nodules of the buttocks and rub the buttocks and thighs; Then the doctor holds the femoral trochanter with one hand and the ankle with the other, flexes the hip, adducts, pronates and bends extremely, and then pulls it down quickly to straighten the affected limb. Finally, massage the femoral trochanter and adjust the tendon by kneading.

Blocking therapy is pain point blocking. Take prednisolone acetate 0.5 ~ 1ml and 0.5% ~ 2% procaine hydrochloride 2 ~ 10mg every Tuesday to block the pain area.

Times, generally closed 4 ~ 5 times. The pain point sealing effect is good, especially for patients with pain.

For fumigation and washing therapy, 20 grams of Ramulus Mori, Ramulus Cinnamomi, Herba Lycopodii, Caulis et Folium Gaultheriae Yunnanensis, Fructus Chaenomelis, Radix Cyathulae, Olibanum, Myrrha, Notopterygii Rhizoma and Radix Angelicae Pubescentis are selected, decocted, poured into a basin, smoked first and then washed, and finally soaked in a basin, once a day 1 5-20 minutes each time, 65430 minutes.

Wet-hot compress method selects 65438±02g of Cortex Erythrinae, Caulis et Folium Gaultheriae Yunnanensis, Olibanum, Myrrha, Radix Clematidis, Radix Saposhnikoviae, Radix Gentianae Macrophyllae, Rhizoma Zingiberis, Fructus Zanthoxyli and Radix Angelicae Dahuricae, and decocts them in water. After boiling, gently wring them out with a towel dipped in liquid medicine. At the same time, hot compress the affected part, and be careful not to burn the local skin. 1 ~ twice a day. Each time is 10 ~ 15 minutes. 10 is 1 course of treatment.

Small needle knife therapy: firstly, use 5 ml of 2% procaine for pain point block anesthesia, and then perform knife operation. The blade is parallel to the iliotibial tract and enters the needle knife vertically. After the needle knife reaches the iliotibial tract, make L ~ 2 stitches vertically along both sides of the iliotibial tract, slightly retract the needle knife, and rotate the blade by 90. It is advisable to shovel 2 ~ 3 knives at the most tense part of the iliotibial tract, and separate the iliotibial tract in parallel, so that the hand feels loose.

Surgical treatment is feasible for patients with severe symptoms, obvious thickening of local umbilical cord or excessive anxiety, which is ineffective after non-surgical treatment. If the protrusion of the greater trochanter of femur is too large, it can also be partially removed. If there is a loose body in the joint, it will be removed. Functional exercise should be carried out early after operation.