Coksarthrosis- This is an arthropist of the branch of the OBBA.
Gradually develops, it has been a prone to progress for several years and can be doubled and doubled.Accompanied by restriction of pain and actions in the combination.In the next stages, the hip muscle atrophy and limbs are observed.The diagnosis is based on clinical symptoms and radiographic results.Conservative treatment in the early stages of COXARTROP.The joint, especially in patients with young and middle age, is shown by the destruction of the operation (endoprostetics).
General information
Cokoxarthrosis (Osteoarthrosis or Hip combination deformation artrosis) is a degenerative-dystrophic disease.Typically develops at the age of 40 years and older.There may be a result of various injuries and joint diseases.Occur sometimes for no reason.Coksartrosis is gradually characterized by a progressive course.In the early stages, conservative treatment methods are used.In the next stages, the joint function can only be restored.
In Orthopedics and Traumatology, Coxarthroz is one of the most common arthrosis.High frequency of development is due to the widespread dissemination of a significant load and congenital pathology in the hip combination - a joint dysplasia.Women suffer from a little more cusarthrosis than men.
Causes of Coksartrosis
The artery of the hip joint of the hip joint (developed for unknown reasons) and secondary (other diseases) differs.
Secondary cusarthrosis can be the result of the following diseases:
- Hip joint dysplasia.
- Inborn dislocation of the thigh.
- Pertes diseases.
- The thigh head aseptic necrosis.
- Infectious lesions and inflammatory processes (eg the arthritis of the hip combination).
- Injuries (traumatic dislocations, fractures of the hip neck, pelvic fractures).
Coksartrosis can either create single or double.Another other (osteocondrosis) and knee joint (osteocondrosis) with primitive coksarthrosis (osteocondrosis) are often observed.
Risk factors
Among the factors that increase the likelihood of developing Coxarthroos:
- Constantly growing load on the playful.In people with most body weight, athletes are often observed.
- Blood circulation violations, hormonal changes, metabolic disorders.
- Pathology of spine (kyphosis, scoliosis) or stop (straight legs).
- Is old and old.
- A seated lifestyle.
Cooksarthrosis is not inherited.However, certain features (metabolic disorders, skeletal structures and cartilage weakness) can inherit parents from parents.Therefore, with the participation of blood relatives suffering from coksartrosis, the likelihood of the disease has increased.
Catalogy
Hip joint arises by two bones: ileum and femur.The head of the Bud was expressed by the acetabulum of the announcement of the Iliac bone.The acetabulum stays inactive during the actions and moves in different directions of the femur head, provides flexion, extension, abduction, abduction, roasting and rotating hips.
The articular surfaces of the bones during movements cover each other compared to each other, variable, elastic and sustainable hyaline cavity of the thigh.In addition, the hyalin cartilage implements a shock-in-love function and is engaged in redistribution of cargo during movement and walking.
There is a small amount of joint fluid in a joint venture, playing the role of lubrication and ensures the nutrition of hyalin cartilage.The joint is surrounded by a tight and strong capsule.It is a large femoral and gluzeal muscles above the capsule, which is shock absorbers in combinations and the culps of the hyalin, and the combination of the combination with unsuccessful actions.
With Coxarthroz, the joint liquid becomes thicker and more visual.Hial's cartilage dries the surface, losing smoothness and covered with cracks.Due to the rudeness, the cartilage was constantly injured during the actions, which leads to their oppressors and aggravates the pathological changes in the joint.As coksarthrosis progresses, the bones begin to deform the growing pressure "adaptation".The metabolism of the metabolism in combination is deteriorating.In the later stages of the coxarthrosis, the muscles of the pain are observed to severely atrophy.
Symptoms of Coxartrosis
The main symptoms of the disease are included in the pain, the pain, thigh and knee joint pain in the inguinal region.In addition, coconutrosis, the stiffness of the actions, gait disorders, darkness, darkness, the side of the extremity of the lesion is observed.A characteristic feature of coxartrosis is to restrict the abduction (for example, the patient is difficult to sit in a chair).The presence of certain signs and their violence depends on the phase of the coxarthrosis.The first and most permanent symptom is pain.
HorseCooksarthrosis of the 1st degreePatients complain about periodical pain that occurs after physical activity.Frequent joint, less frequent localized in pain, Buddha or Knee.Usually disappears after rest.There is no gait for coksartrosis 1, the actions are completely protected, there is no muscle atrophy.
Mild changes in the patient suffering from COXARTROZ 1, the gentleman is a moderate narrow narrow, as well as bone growth around the foreign or inner edge of the form of the femur.
HorseCoksartrosis 2 degreesThe pain is closer, often in the rest, radiates in the thigh and groin.After a significant physical activity, the patient with coxarthrosis begins to crush.The volume of joint actions decreases: the abduction of the thigh and the interior rotation is limited.
The 2nd rate in X -Ray photos is determined by a joint cavity (more than half).The femoral head changes slightly upwards, deformed and increases in size and its contours are uneven.In this extent, the bone growths appear only on the outside of the acetabulum and appear outside the cartilage.
HorseCoksartrosis 3 degreesThe pain becomes permanent, not only during the day, but also worries patients at night, but also at night.It's hard to walk, when moving, a patient who is coksartrous is forced to use a cane.The volume of joint movements is severely limited, the muscles of the hip, hip and lower legs are atrophy.The weakness of the thigh muscles is the cause of the pelvis's deviation on the front plane and shortens the limbs on the wound.To compensate for shortening, a patient suffering from coksartrosis is treading the body of the body during a walk.Therefore, the center of the gravity, the painful joint burden increases sharply.
The 3rd degree was found in radiographs, thigh heads and more than one bone growth in radiographs for the sharp contraction of the 3rd degree, a joint venture.
Diagnosis
Coxarthroz diagnosis is based on clinical signs and data of the main work, the main radiography.In many cases, X -Rays allow you to identify the reason for the fact that it is not only a code of codromrosis, but at the same time.Thus, the brain shows the growth, acetabulum scenes and plainness of acethallum and changes in the form of the proximal part of the females, coksartrosis is a result of permetic disease or young epipholysis.COXARTRAZRAZRATIES Changes in infidel-radiographs can also be detected.
Other methods of the instrumental diagnosis of KoXarthrozi, CT and MRI can be used.Calculated tomography allows you to detail pathological changes in detail by bone structures and allow you to evaluate the magnetic resonance image, riots with soft tissues.
Differential diagnosis
First of all, Coxarthroz should be distinguished from Gonarthroz (knee joint osteoarthrosis) and waist osteocondrosis.The atrophy of the muscles that occurred in the cotton 2 and 3 stages of COXARTROP can often cause pain in the knee joint, which is brighter than pain in the area.Therefore, the patient's complaints related to knee pain, a clinical (determination of the volume of inspection) is the study of hip combination, and the patient is a doubtful suspect to direct the patient to radiograph.
Osteochondrosis and the pain of the radical syndrome for some other diseases of the spine can imitate the pain with the pain of COXARTRIZ.Unlike the rookartrosis, when squeezing the roots, pain, painful suddenly, after a sharp movement, a sharp rotation, weights, etc.The positive symptom of the road is found - the patient stretches on his back while trying to lift a corrected limb.At the same time, the patient freely leads his foot to his feet, and the abduction in the coksarthrosis patients.It should not be forgotten that osteocondrosis and cusarthrosis can be observed at the same time, so all cases are necessary to inspect the patient.
In addition, Kokesartrous differs from TroChanteritis (Opening Burzit) - Aseptic inflammation in the addition of gluteal muscles.Unlike Coxarthroz, the disease develops rapidly after 1-2 weeks, usually after an injury or significant physical activity.The intensity of the pain is higher than with coxarthrosis.Restrictions on movements and the limbs are not observed.
In some cases, symptoms similar to the athipic course or reactive arthritis, can be observed.Unlike Coxarthroos, the peak of pain with these diseases falls into the night.Pain syndrome is very tight, can reduce while walking.The morning stiffness occurs immediately after waking up and gradually disappears in a few hours.
Treatment of COXARTROP
The treatment of pathology is engaged in traumatologist orthopedists.The choice of treatment methods depends on the symptoms and phase of the disease.Conservative therapy is carried out in 1 and 2 stages of COXARTROP.COXARTRZS, injection blocks, non-meters anti -infinial drugs (pyrockies, indometacin, diclofenac, Ibuprofen, etc.).It should take into account that the group's medicines are not recommended for a long time, as it may have a negative impact on the internal organs and holds the ability to restore the hyalin cartilage.
Damaged cartilage, a group of chndroprotter (hondroitin sulfate, cartilage extract, etc.) is used to restore cartilage for coksarthrosis.To improve blood circulation and eliminate the spasm of small ships, vasoil are prescribed (zinnaris, nicotine acid, pentoxifillin, clockinol nikotine).According to the instructions, muscle streams are used (muscle comfortable drugs).
With stubborn pain syndrome, patients suffering from coksartrosis can be assigned non-terminal injections using hormonal medications (hydrocortison, triamcinolone, metrumor).Treatment with steroids should be careful.In addition, with Kotalemrosis, local products are used - warm-up ovens, which are not a therapeutic effect that are not a therapeutic effect, and reduces the muscle spasmity and reduce the pain due to "distraction" actions.Also, with Coxarthroz, physiotherapeic procedures (bright, ultrasonic therapy, laser treatment, UHF, indeductermomy, magnetotherapy), massage, hand therapy and therapeutic gymnastics.
For coksartrous, the diet does not have an independent therapeutic effect and is only used as a tool to reduce weight.Reducing body weight allows you to reduce the load in the jackets and easily facilitate the course of coksartrosis.To reduce the cargo, a doctor may recommend a doctor, a cane or small walk, depending on a kotlethroz.
In the next stages, the only effective method of treatment, the only effective treatment is to replace the destroyed combination with endoprostez.Depending on the nature of the lesion, either single -pole (just change the thigh head) or two -pole (change both thigh heads) can be used.
The endoprostetics operation for Coxarthroz is done after a general examination, after a full examination under the general anesthesia.Antibiotic therapy is being carried out in the postoperative period.Seams are deleted within 10-12 days, then the patient is set for outpatient treatment.After endoprothetics, rehabilitation measures are definitely held.
In 95% of surgical intervention to replace the merger with the catalog, it provides complete recovery of a combination with COXARTRIZ.Patients can work, actively move and even play sports.The average service period of the prosthetic subject to all recommendations is 15-20 years.After that, a second operation is required to replace the outdated endoprosts.