In: Nursing
osteogenisis imperfecta
Definition:
Osteogenesis imperfect is also known as brittle bone disease. It is a group of genetic disorders which mainly affects bones.
Causes:
Mainly due to defect in the gene that produces protein collagen.
Signs and symptoms:
· Easily breakable bones even for minor injury.
· Bone pain
· Scoliosis, Bowlegs
· Short stature
· Teeth brittleness{ Dentinogenesis imperfect}
· Whites of the eyes
· Triangular face shape
· Loose joints
Types:
· Type I osteogenesis imperfect
They have less collagen and no deformities. Usually bones start breaking when a child start to walk.
· Type II osteogenesis imperfect
Babies with this type usually will not survive due to breathing problems. They are born with many fractures.
· Type III osteogenesis imperfect
This type of people will be mostly short stature, brittle and will have severe deformities.
· Type IV osteogenesis imperfecta
People with this type have moderate to severe bone deformities, curved spine, frequent fractures which may lessen after puberty.
Diagnostic studies:
· X ray
· DNA tests
· Biochemical testing- for skin sampling
· Blood and urine tests
Treatment:
There is no cure for this disease.
Symptom based treatments are provided which includes physical therapy, mobility aides, occupational therapy.
Prevention of bones from breakage:
The main aim is to prevent the people from breakage of their bones.
· Avoid activities which causes stress to bones
· Less impact exercises like swimming are encouraged to develop muscle strength.
Conclusion:
Pain is very common in children with OI. It is both acute and chronic in nature. Since the disease is not curable, preventive measures should be considered more important.