Hip combination (deformation arthrosis, coksarthrosis, osteoarthrosis) is a progressive treaty disease slowly over time to destroy affected joint play, sustainable pain and restrictions.
The disease affects people over 40 years old, women are sick several times more than men.
In the general structure of arthrosis, the arthrosis of the hip combination belongs to the leading role.This is a widespread congenital pathology of hip compounds (dysplasia), as well as significant physical strength to be sensitive to these joints.
Risk factors and reasons for arthrosis of hip combination
The development of the development of the hypocrisy of the hip combination refers to a key role, synovial (articular) liquid, closer and visually, the main role is the change of physicsocative properties of the main role.It worsenses lubricants.When moving, joint cartilage surfaces begin to rub the surfaces against each other, they are rough, covered with cracks.The small particles of the Hyal's cartilage are abandoned, and this falls into an articular space that causes Aseptic (insufficient) inflammation.As the disease progresses within the inflammation process, the bone tissue, the head of the Femur and acetabulum (bone growths), the structure of the astheousetites, which causes severe pain in this inflammation and movement, this inflammation and movement.
At the end of the hip joint's artrosis, inflammation, as well as the combination of tissue (blood vessels, nerves, ligaments, ligaments, the muscles), causes the appearance of the signs of the periarchhy.As a result, the hip joint is completely destroyed, its functions are lost, the movement inside is stopped.This situation is called ankylosis.
Reasons for arthrosis of hip combination:
- the congenital lip of thighs;
- Hip dysplasia;
- Aseptic Necrosis of the Femur's head;
- Peters disease;
- Injuries of the hip combination;
- Infectious arthritis of the hip combination;
- Gonarthroz (deformation of knee joint);
- osteocondrosis;
- Weight excess weight;
- Professional sports;
- Straight legs;
- curvature of the spine;
- A seated lifestyle.
There is no pathological inheritance, but the child has the properties of the musaloseletal system from the parents of the hip combination of hip combination in these conditions.This explains the fact that families are higher than the total population.
The forms of the disease
Depending on the etiology, the arthropist of the hip joint is divided into primary and secondary.Secondary Artrosis develops in the background of other diseases of the hip joint or its injuries.Not related to the previous pathology, the cause of its development is often impossible, in this case, they talk about idiopathic arthrosis.
Coksartrosis one or bilateral.
Stage
Three stages (degrees) differ during arthrosis of hip combination:
- Preliminary - Pathological changes are somewhat expressed in time and adequate treatment.
- Progressive Coxarthroz is characterized by the gradual increase in symptoms (joint and pain in its mobility), changes in joint tissues, but therapy slows degenerative processes.
- Final - The movement in the combination is lost, ankylosis occurs.Treatment is only surgically possible (replace the combination with artificial).
Endoprothetics operations in 95% operations, ensure complete restoration of limbs of limbs, restore the patient's activity.
Symptoms of the arthrosis of hip combination
The main signs of the hip combination of arthrosis:
- Pain in groin, hips and knees;
- the feeling of stiffness in the affected association and restricting its mobility;
- chaotic;
- Restriction of abduction;
- Atrophic changes in the thigh muscles.
The presence of certain symptoms of the arthropist of the hip joint, as well as their violence depends on the degree of disease.
In the 1st degree of architectural arthrosis, patients complain about pain complaining of pain in the effect of physical activity (stretching, running).In some cases, pain is localized in the field of knees or thighs.After a short rest, the pain goes on its own.The volume of reverse movements is completely preserved, gait is not broken.The following changes are recorded in the radiology:
- Light uneven reduction in the lumen of the joint cavity;
- Osteophyphiths located on the inside edge of the broom.
No changes in the head of the neck and the femur are not detected.
The night of the night rate of the hip combination also at night, including the night, the pain also appears in pain.After physical activity, the patient begins to memorize, a characteristic "duck" gait is formed.Thus, the starting pain appears - after a long inactivity, then the first few steps after the passing, then leads to pain and anxiety returning after a long load.The volume of actions (abducting, internal rotation) in the affected combination is limited.RadioGraft shows that joint space shrinks unevenly and is 50% of its luminous norm.Osteoophytees are also located outside the borders of the cartilage and are located along the internal and outer edge of the joint cavity.The contours of the femoral head are uneven due to deformation.
With arthrosis of arthrosis without stopping the pain, tight and permanent, night stop.The walk is significantly difficult, the patient is forced to trust the cane.The volume of actions in the affected combination is severely limited, then completely stands.Due to the atrophy of hip muscles, the pelvis deviates on the front plane and shortened their limbs.While trying to compensate, this increases the burden in the wound when the patient was forced to reject the body towards the lesion.In radiographies, more than one bone growth, a significant contraction of the joint cavity and the growth announced at the beginning of the femur.
Diagnosis
Diagnosis of Hip combination, the results of the clinical landscape of the disease, contrary to visualization methods - the results of instrumental studies related to radiography, calculated or magnetic resonance images.Only allow to determine the existence of arthropods of the hip joint and determine the possible cause of the disease (trauma, youthful epiphyis, peters).
Differential diagnosis of the arching of hip joint with other diseases of the muskuloskeletal system is very complicated.The II and III arthropist of the hip combination develops the muscle atrophy, which is developing muscle atrophy that can cause intense pain in the knee's joint nature of the driver or gonarthrosis.The volume of knees and hip compounds for the differential diagnosis of these states, the volume of movement in them is determined and they are also radically examined.
In spinal diseases, in some cases, nerve roots of the spinal cord are squeezed with the development of pain syndrome.Pain can illuminate the territory of the hip joint and imitate the clinical form of defeat.However, the nature of the pain of radicular syndrome is slightly different from the artery of the hip combination:
- It occurs as a result of pain, weight lifting or acute awkward movement and is not under the influence of physical effects;
- Pain is not in the inguinal region, not in glustrated.
With radical syndrome, the patient can go to the side of quietly, the abduction of hip combination is limited to the abduction.A characteristic sign of radical syndrome is a positive sign of tension - a sharp pain in the patient trying to lift a flat foot on the back.
The arthrosis of the hip combination affects people over 40 years older, women are more sick than men.
Arthropons of the hip joint should also be differentiated by a loyal burzite (trochanterit).Vable Bursit is developing faster within a few weeks.Usually it is before significant physical strength or injury.This disease is more pronounced than pain, hip joint arthrosis.At the same time, it is not detected to limit the shortening and mobility of the limb.
The clinical picture of athypical jet arthritis and ankylosing spondylitis can be similar to clinical manifestations of the hip joint arthropony.However, pains in patients mainly in patients in patients at night or at night, the pain does not intensify, but weakens.In the morning, the patients celebrate the stern of the joints in a few hours.
Treatment of arthrosis of hip combination
Orthopenians are involved in the treatment of arthrosis of hip compounds.Conservative therapy is displayed with the I and II degree of the disease.Patients with the pain syndrome presented are determined by non-anti-course medications in a short course.For a long time, it should not be taken, as they are not only negatively affected by the gastrointestinal tract, as well as the restorative abilities of Hyaline's cartilage.
In the treatment mode of the hip combination, the treatment mode includes chondroprotors and vasodilators that create optimal opportunities for damaged cartilage tissues.With the perfect muscle spasm, it may require the designation of central muscle.
In these cases, if it is not possible to stop pain syndrome with non-anti-inflammatory drugs, contact the intraustrical injections of corticosteroids.
Local treatment of the hip combination of hip combination using hot ointments allows reducing pain, reducing the muscle spasm and slightly weakening pain.
Physiotherapy methods are also used in the comprehensive therapy of the arthropist of the hip combination:
- magnetotherapy;
- inductotherymery;
- Uhf;
- Laser therapy;
- ultrasonic treatment;
- massage;
- Medical gymnastics;
- Hand therapy.
Dietary food for hip joint arthrosis is aimed at normalizing body weight and metabolic processes.Reducing body weight reduces the burden in hip combinations, and thus slow down the progression of the disease.
The doctor may recommend that patients go to chicks or canes to loosen the affected combination.
Conservative treatment with the III rate of the hip combination is ineffective.In this case, it is possible to improve the patient's condition, it is possible to return the normal mobility only as a result of surgical intervention - the destroyed combination is possible with artificial (joint endoprostetics).
Possible results and complications
The most serious aggravation of progressive arts of the hip joint is disability due to the loss of joint movement.The patient with bilateral cokesarthrosis loses the ability to act independently and need to need permanently beyond.In one situation, it creates conditions for stagnant (hyposticatic) pneumonia, which can stay in bed longer in bed, tolerate and cause death.
There is no pathological inheritance, but the child has the characteristics of the musalosheletal system from his parents from the hip combination of hip combination.
Predict
Artroos of hip compounds are a progressive chronic disease that can be completely treated in early stages, which is exposed to the cause of the disease.In other cases, the therapy allows you to slow down, but over time, the hip endoprotheses need implantation.In 45%, such transactions provide complete recovery of the mobility of the limbs, restore the patient's activities.The service period of modern prostheses is 15-20 years, and then they must be replaced.
Prevention
Prevention of hip combination is aimed at eliminating the causes that can lead to the development of this disease and the following include:
- timely detection and treatment of the injuries of diseases and hip combination;
- a sedentary lifestyle, refusal to regularly but excessive physical activity;
- body weight control;
- rational nutrition;
- The refusal of bad habits.