In simple words: This condition affects the bone growth areas in the hips and pelvis of children and teens.It causes the bone tissue to die in these areas, but it usually grows back healthy. This may cause a dull ache, especially when pressure is applied. Doctors diagnose this using a physical exam, the patient's history, and x-rays. Treatment usually involves rest and sometimes a cast; rarely, surgery may be needed.

Juvenile osteochondrosis of the hip and pelvis is a condition affecting the ossification centers in children and adolescents.It involves necrosis (tissue death) of bone tissue in these areas, followed byregrowth, often resulting in deformity and pain. The condition may cause dull, nonspecific aching, particularly with pressure on the affected joints. Diagnosis involves reviewing patient history, physical examination, and confirmation with X-rays. Treatment is typically conservative, encompassing rest and possibly casting to restrict joint movement. In rare instances, surgical intervention to remove abnormal bone fragments may be necessary.

Example 1: A 7-year-old boy presents with hip pain and a limp. Physical examination reveals limited range of motion in the hip joint. X-rays confirm the diagnosis of Legg-Calve-Perthes disease (juvenile osteochondrosis of the head of the femur), a form of M91., A 10-year-old girl complains of persistent groin pain, particularly after physical activity.Imaging studies show osteochondrosis of the acetabulum (the hip socket).The physician manages the condition conservatively with rest and physical therapy., A 14-year-old presents with severe hip pain and limited mobility due to osteochondrosis of the hip. After conservative measures fail, the patient undergoes surgical intervention to remove necrotic bone fragments, confirming a severe case of M91.

Detailed patient history including onset, duration, and character of pain; physical examination findings documenting range of motion, gait, and tenderness; radiographic imaging (X-rays) showing the extent of osteochondrosis; treatment plan including conservative measures or surgical intervention, with appropriate progress notes.

** Legg-Calve-Perthes disease is a specific type of juvenile osteochondrosis that affects the head of the femur.Other forms of juvenile osteochondrosis can affect various other bones in the hip and pelvis.