OSTEOCHONDROSES IN CHILDREN'S SPORTS PRACTICE - A RARE CASE OF VAN NECK-ODELBERG DISEASE
João P Fonseca1, Pedro Figueiredo1,2, João P Pinheiro1,2
1Department of Physical and Rehabilitation Medicine, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Background:
Osteochondroses are a set of conditions concerning the ossification of the developing bone. Higher intensity in sports activities can increase its occurrence in children. There is no consensus on its etiology, with multiple factors being involved. Van Neck-Odelberg disease is a rare osteochondrosis located in ischiopubic synchondrosis. Treatment is mainly conservative, with activity suspension. Addressing and correcting the predisposing factors is crucial to these injuries.
Case Report:
We present a case of a 6-year-old futsal player who experienced mechanical inguinal moderate pain during sports practice. After performing physical examination, laboratory tests, and radiographic evaluation, the patient was diagnosed with Van Neck-Odelberg disease. Sports activities were suspended while a conservative treatment was performed, with subsequent follow-up over 3.5 years. No symptom recurrence was reported.
Conclusion:
Increased intensity of sports activities is associated with overuse injuries in children, especially before completing the ossification process. Preventive measures must remain the primary concern in children's sports practice.
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