Goff’s illness or lipoate: all information about the disease
Goff’s illness: symptoms and treatment
Lipoate or Goff’s illness is degeneration of the fatty layer that surrounds the knee joint, characterized by restriction of the moving of joint function, and swelling, crunching, pain, lameness and discomfort in the knee region.
The illness develops Goff as a result of severe injuries or systematic damage, accompanied by hemorrhage into the cavity of the knee joint. Fat pad if it is damaged, slices of tissue zaselyalsya inflamed. The inflammatory process triggers pathological changes in the fat body grows fibrous tissue, scars are formed. The fatty tissue of the body loses its firmness and elasticity.
Slices of tissue zaselyalsya between the surfaces of the bones that comprise the knee joint. This leads to blocking and enhances inflammation.
In the absence of timely taken measures and treatment, the disease degenerates into a chronic stage, and the joints lose their irreplaceable function.
Lipoate can go also in osteoarthritis of the knee, contributing to the emergence of permanent joint pain.
Causes of the disease. Risk groups
The main reasons for the development of lipartito are: minor injuries of the knee joint, the pressure on the knee front, inflammation of the knee joint. The most common causes of the disease:
- Hormonal factors. Goff disease can occur in women 45-65 years before the onset of menopause or after it.
- Damage or injury of body fat. To cause disease of the lungs can persistent knee injury, for example, the fall or work on his knees. The disease is common among professional athletes 20-45 years , who are active in sports. A chronic course occurs in those people whose profession is connected with frequent flexion and extension of lower leg, squatting, and prolonged walking.
- On the background of osteoarthritis. In some cases, lipoate develops on the background of osteoarthritis of the knee. Arthritis — inflammation in the knee joint, the development of which contributes to lipartito.
Symptomatic signs of the disease
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The disease quite a long time and every period of the disease Goff has its own symptoms.
The acute phase
The acute phase is characterized by severe pain in the knee region. If time does not hold anti-inflammatory therapy, the acute phase becomes chronic.
The main symptoms of the acute period:
- severe pain in the knee;
- the discomfort in the knee that is worse when walking;
- limping while walking;
- a crunch in the knee in flexion and extension;
- swelling under the patella.
Symptoms after 1-3 months after the onset of the disease
It is not easy to determine the exact diagnosis for the chronic stage of the disease. Necessary additional diagnostic methods. X-rays of the knee may reveal signs of I-II stage of osteoarthritis.
Antreprenori will help to clearly indicate a characteristic of the disease changes: decrease in knee joint and rigidity of the upper inversion, the increase of inversion with the development of hernial protrusion, and the lower part of the patella occurs hypertrophy of adipose tissue with its passage between the femur and tibia bones. X-ray can reveal calculous bursitis.
Signs of chronic lipartito of the following:
- knee pain at night;
- on both sides of the patella palpable tumors (when pressing on them, issued crackling sounds);
- it is impossible to bear weight on leg;
- reduced function of the quadriceps;
- the instability of the functions of the knee joint.
Diagnosis of the disease
It is very difficult to diagnose the disease especially in the chronic stage. In complex cases, can perform an autopsy and inspection of the joint or arthroscopy.
Usually, the doctor in the diagnosis is based on patient complaints: pain and lameness. The doctor learns the patient about the time of first symptoms, about their connection with the injury of joint, examines the knee joint determines the degree of mobility, looking at the characteristic localization of the edema and General condition of the quadriceps.
The clinical picture
The diagnosis is complemented by clinical manifestations of the disease: weakness of the quadriceps, incomplete straightening of the limb at the knee, swelling around the patella.
Diagnosis of the disease is specified and additional methods of examination. Among them the most informative and magnetic resonance imaging (MRI).
Allows without invasive intervention to see body fat Goff.
Also used x-ray examination with the introduction into the joint of oxygen (anthropamorphic). Its essence lies in the fact that when the cavity is filled with air, decreases the volume of the joint and the top of the bag.
In the pictures the lateral projection of the joint is possible to determine the hernial protrusion in the leg below the knee.
In some cases, the accuracy of the diagnosis prescribe a computed tomography (CT).
Modern approaches to treatment of disease
The treatment of the disease Goff can be conservative and operative. Its main purpose is to restore the normal functioning of the knee joint. It can be achieved with the elimination of inflammation, elimination of increased fat tissue and restoring the strength of weakened muscles.
Muscle strengthening will lead to the normalization of the structure of the knee joint.
The treatment of lipartito complex,includes laser treatment, intra-articular oxygenation, injection of hormones that is injected into the joint cavity and periarticular tissue.
Outpatient treatment usually gives positive results and gives you the opportunity not to resort to surgery. Treatment without surgery includes:
- limitations in movement, the creation of peace unhealthy joint;
- the rejection of sports and heavy physical work;
- physical therapy and speleotherapy (use of lamps Solux, application mud, laser treatment, oxygen therapy);
- injection of corticosteroids into the joint cavity;
- physiotherapy and electrical stimulation to strengthen the muscles.
Surgery, as a radical method of dealing with the pathology of
Surgery involves an arthroscopic surgical removal of the disadvantaged sections of the bodies of Goff and the resulting connective-tissue nodes.
Operation allows, in the joint cavity, to establish the fact that the growth of adipose tissue and the ability to remove it. This is the most radical and effective method of treatment of lipartito.
In the case of disease recurrence, therapeutic course is repeated, additionally prescribe massage and electrical stimulation. Especially massage necessary in the case of atrophy of the quadriceps muscle. The main objective of massage is to relieve pain, prevent atrophy of the thigh muscles, improve blood and lymph flow.
The prognosis after surgical intervention in the treatment of disease Goff is favorable. Of the remaining lobules of fat for a few weeks the growth and development of body fat Goff with good cushioning ability. Also completely restored the functioning of the knee joint.
After the surgery during recovery period patients recommend radon, iodine-bromine and sulfide baths. And also recommended a visit to the resort with sulfide waters.