Synovitis of the hip: causes, symptoms and treatment
Hip joint synovitis is an inflammatory process in the joint cavity, accompanied by accumulation of fluid in the synovial membrane. Most often the disease occurs in boys at the age of 10 years. As a rule, synovitis occurs suddenly and develops quickly enough, affecting one or several joints.
Symptoms and types of diseases
Experts klassificeret synovitis for reasons of origin. There are the following types of diseases:
- traumatic synovitis — is the result of mechanical damage of the joint, in which there is excessive formation of synovial fluid and its accumulation in the joint shell;
- reactive synovitis develops due to any pathological processes occurring in the body (toxins, diseases of the internal organs);
- infectious synovitis is caused by penetration of harmful microorganisms in the synovium of the hip joint;
- transient synovitis — presumably appears due to a viral illness or elevated stress on the joint.
Often the disease develops because of traumatic injuries of joints during sports. Indirect causes of synovitis are degenerative and dystrophic lesions of joints, arthritis, neurological disorders, some blood diseases and endocrine pathology.
Depending on the characteristics of the course there are acute and chronic synovitis. The acute form of the disease lasts an average of 14 days. Chronic synovitis occurs in medical practice is quite rare and usually results from untimely or incorrect treatment of acute type disease.
Synovitis of the hip in children the vast majority of cases is transient in form. The causes of the disease in babies is not fully understood, but it is assumed that the development of the disease may be a specific reaction of the immune system of a child organism to viral infection.
In some cases, the disease occurs in a child against the flu, tonsillitis and pharyngitis. Transient synovitis of the hip joint (TRTA) is often accompanied by lameness.
The symptoms of acute synovitis are typical and occur in the following instances:
- aching pain in the affected joint, aggravated by movement, in the morning and palpation;
- disorder of mobility of the affected leg;
- increased body temperature;
- change the shape of the joint;
- the weakening of the ligamentous apparatus.
- pronounced swelling in the affected area;
- General weakness.
In chronic synovitis any apparent signs of the disease are usually absent. The patient may occasionally experience a mild pain in the joint, which is easily tolerated and passing on their own. Often to treat the disease begin too late because of the lack of intense pain. However, this form of the disease is quite rare.
Diagnosis and treatment of disease
For the diagnosis of synovitis used the results of visual inspection, ultrasound, x-rays and puncture. On examination, the patient podiatrist reveals signs of damage to the hip joint — swelling, presence of tumor and impaired mobility. Using ultrasound and radiography detects changes such as thickening of the joint capsule and increase the distance between the articular capsule and the neck of the femur.
Puncture is the most accurate method of diagnosing synovitis. In the course of this procedure of the joint cavity with a needle gets liquid. It is treated with antibiotics and sent to the laboratory for testing. The results of the analysis sets the type of the disease, allowing the doctor to prescribe an appropriate treatment.
Treatment of synovitis of the hip usually includes the following steps:
- held puncture, which from the cavity of the joint is removed from the excess liquid;
- the joint is fixed for a period of 5 to 7 days by splint and pressure bandage;
- patient is prescribed nonsteroidal anti-inflammatory drugs.
When expressed pain syndrome is a symptomatic treatment with painkillers. If necessary, the patient is administered antipyretic drugs and vitamin complexes to support immune defenses. For a quick recovery for the whole period of treatment the patient needed rest. The duration of treatment depends on the origin of synovitis, the severity of the symptoms and characteristics of the disease. It should be noted that the wear time fixing the bandage must not exceed 7 days, because a longer immobilization can lead to violation of joint mobility.
In chronic synovitis there are special drugs that reduce the formation of synovial fluid. In addition, the treatment of the disease can be carried out using various physiotherapeutic procedures: Phono — electrophoresis, Shockwave therapy, therapeutic massage. In some cases, the doctor prescribes a special complex of gymnastic exercises.
With the ineffectiveness of conservative methods of treatment, the patient can be assigned a synovectomy is a surgical procedure in which fully or partially removes the damaged area of the synovial membrane. This procedure is an extreme measure and only applies in cases where all other therapies have not given absolutely no result.