The destruction of the hip joint: causes and treatment
The destruction of the joints is practically the leader in a group of diseases in the field of degenerative diseases of the musculoskeletal system. In most cases, wear of the joints is called osteoarthritis of the hip joints. Causes that destroy the joints is very diverse, because most of those who are faced with this disease — people who crossed the border age group of 40 years. Any pathology, and even such as osteoarthritis, can be cured without surgical intervention, but only if the diagnosis at the earliest stage. The problem with many people is the lack of desire to be healthy and time to visit the doctors for examination and treatment. That is why the disease progressed with each passing month more and degree become more serious.
There are two types of osteoarthritis:
In medical practice may meet destruction in one joint, and two at a time. It should be noted that the manifestation of bilateral destruction of the hip joint are often, and in the primary lesion of concern to the knees and vertebral discs. The destruction of the knee treatment should be immediate.
As it spreads osteoarthritis
In the primary stage of the disease we can note a number of abnormal pathologies in property, joint fluid, namely under certain conditions the composition becomes viscous and dense state.
As soon as the viscosity increases, respectively, begins to disappear in a natural process the appearance of lubrication of the articular cartilage, leading to dryness and roughness and appearance of cracks. In the course of development of this anomaly, the cartilage thins and weakens with daily stress on the joints, since the friction during the movement remains the same, but the performance of the body is much worse than in a healthy condition. Length distances among solenaya bones of the joints becomes much less. Is exposure of the bone under the cartilage, and the pressure on them begins to increase, which may lead to deformation. That is why the disease is osteoarthritis different is the terminology of deforming arthrosis of the hip joint.
There are a number of damage that affect the joints, in addition to the process changes of articular fluids. They are in the wrong blood circulation in the body, which can lead to slower metabolism in articular parts by reduced the circulation of blood fluid in his capillaries and blood vessels. Gradually, every muscle in the propagation of the disease begins to atrophy.
The passing of such a process is slow and very fast. Often doctors are faced with a chronic course of the disease, accompanied by a strong transient exacerbations of pain in joint parts. In another way, this period can be called «reactive».
In such displays it is desirable to apply to medical units, to solve the problem.
For what reasons may appear, the destruction of the hip joint
Reasons why you may receive a fracture of the hip, can be set. But there are those that can be found most often.
In the presence of irregularities in the movement of blood through the joints deteriorates its outflow and inflow. The effect of such anomalies may be insufficient penetration of nutrients into the bone tissue as well as accumulation of oxidized quantity of products released during the metabolism and activates enzymes that destroy the very cartilage.
What symptoms manifested disease
The process of destruction of the hip joint symptoms may have different, it is important to detect and get the help of experts. It is equally important to remember that the degree of disease development is changing the manifestation of symptoms. Identification of illness can be in the form:
- pain in the joints, hips, groin, knees (under load and at rest);
- stiffness and stiffness in the movements;
- the shortening of the patient’s legs;
- atrophy of the muscles of the thighs.
The main sign of the presence of osteoarthritis and complaints are often heard from patients is pain and discomfort. How it manifests pain, how long it lasts and in what duration and terrain may be present, depends on the degree of development of disease in the body. The initial stage is the time when the best way to cure the disease and get rid of the lesions that have begun to spread at the joints.
But due to the fact that the initial stage of development of the disease in most cases do not show any signs, people can not diagnose the presence of certain problems, and timely treatment to doctors occurs, which leads to disastrous consequences, in the form of destruction of bone tissue.
The presence of pain may gradually increase, the moving properties of the legs are limited, resulting in inconvenience in the first steps. Typically, at rest the pain subsides, but again, at the initial stage. On external signs it is possible to find those who suffer from the disease of osteoarthritis, as the walk begins to be limp, perevalivanie on the affected side, and the step is much slower. Through these acquired skills of movement, often in a short time people are faced with the atrophy of the muscles of the thighs and their drying.
Desiccation and, consequently, reduction of muscle mass, begin to disturb the patient discomfort in the knee joints and exactly where the tendons are attached. Have knee pain the period of development and the presence of the much brighter and in greater volume than in pahovom and thigh Department. So often you can deal with incorrect diagnosis, which has the same name as osteoarthritis of the knee. The consequences of wrong diagnosis is very serious because through treatment of the knee is prevention, and the thigh part remains in a pristine condition with progressive disease.
It is important to know that pain in the hip and groin parts do not always indicate the presence of osteoarthritis, as there may be echoes of the inflammation of the tendons or corrupt departments in the spine. The confusion is due to the fact that patients make complaints and present a very similar picture of symptoms.
The solution may be the only choice qualified professionals who are at the highest level can undertake a study on the diagnosis of the hip joint. Treatment plays a very important role in health, so should not be neglected.
The stage of development of the disease
The destruction of the hip joint of the first stage is manifested by periodic pain that occur during exercise. The main part has a concentration of pain in the hip joint and the thigh and knee parts. Mainly at rest, pain disappears. The amplitude of movement no borders, and no disturbances in gait, muscle strength remain unchanged. If the first stage is carried out x-ray examination, you note a prominent minor form bone that does not extend beyond the articular lips. All growth of bone tissue located on the inner and outer edges of the articular surfaces of such a Department as the swivel cavity. Remain unchanged cervical and femoral heads, and the view of the joint space may be unevenly constricted.
In the second stage, the increase in pain, they become more intense. Despite such deterioration, discomfort begins to manifest itself not in the groin area, and thighs in relaxed and active state have an unpleasant feeling. With a long stay on his feet appears limp and collapsing on the affected side. The normal function of the joints gradually begin to wither away. The process of internal rotation and abduction of the hips become more limited. Muscles responsible for abduction and extension, begin to weaken. X-ray examination can be diagnosed with significant bone overgrowth on inner and outer edges of such a Department as the swivel trough, and now they are starting to go over the edge of the cartilage of the lips. Femoral heads are beginning to undergo deformation, increase their volume and have irregular contours. For those parts that are most congested, often find testovye education.
View of the neck of the femur can expand and thicken. Slit hip joints are narrowed. Shifting the head hip bone upwards.
In the third stage there is a regular characteristic pain presence discomfort, and at complete rest and sleep. In the movement people are trying to use canes, as the process of movement is very restricted, the muscles of the thighs, legs, buttocks atrophy. By the weak state of the abductor muscles of the thigh may occur as the inclination of the hip. Thus, it may be the shortening of limbs with abnormalities. In order that the patient could reach to the floor surface, there is a need for perevarivaya on the other side which is the patient. This is the compensation, shortening of the trunk and the inclination of the hip. The consequences of such perevarivaniu manifested in the shift of the center of gravity and the extra loads on the joints.
X-ray examination may show a wide area where there are growths relative to the femur.
Diagnostics of destruction
Diagnosis is done through x-ray studies that can help identify the degree of development of the disease and its etiology. For example, dysplastic destruction is seen due to the thick and skusenosti the acetabulum and increase cervico-diaphyseal angle.
When the identification of the destruction of the hip treatment may be different. If the disease was a consequence of the presence of Perthes disease, it may be noticeable abnormal form this part of the femur, as the proximal end. The deformation of the heads and the decrease in shechen-diaphyseal angles of the formation of coxa vara.
Feature of x-ray pictures of post-traumatic osteoarthritis depends on the injuries that were received earlier, and from the articular surface at the place where the fused bones of the hip joint.
In any treatment of bones or the entire body, it is desirable to pay maximum attention to those centres in which the evaluation will occur. Since the consequences of incorrect diagnosis can be severe and affect the person’s life expectancy. Therefore, many began to prefer the clinics that spetsializiruyutsya on the study of osteoarthritis.