Trochanteric hip: causes, symptoms and treatment

Трохантерит тазобедренного сустава: причины, симптомы и лечениеTrochanteric the hip joint is a rare inflammatory disease that affects the tendons in the area of the greater trochanter of the femur (trochanter – joint between the femur and tendons from the femur).

With the development of the disease the inflammatory process affected the surrounding soft tissues, tendons and ligaments. As a rule, this diagnosis is made by exclusion, after considering the symptoms, many doctors at first wrongly attributed the pain to the hip, and only after a series of tests to reveal the presence of trochanterica.

Most at risk are women older than 35 years. Age and gender are the main markers that allow to suspect the hip, but a detailed study of the diseased area with the use of modern visualization tools can be identified trochanteric.

Despite the fact that the main cause of the disease is age-related changes that are observed in older women, trochanteric may have both septic and aseptic nature. As a rule, trochanteric septic nature developing as a result of:

  • lesions of the hip by Mycobacterium tuberculosis;
  • penetration into tissues of the hip region of other pathogenic bacteria and viruses;
  • tissue penetration of the hip region of conditionally pathogenic microorganisms.

Trochanteric tuberculosis is the most common form of this disease. In this case, the disease develops very slowly, but with the defeat of other organs and the occurrence of system problems in the functioning of the whole body begin to manifest the main symptoms of tuberculosis region of great trochanter of the femur.

The aseptic form is as common as septic. There are a number of factors that are predisposing to the development of aseptic trochanterica:Трохантерит тазобедренного сустава: причины, симптомы и лечение

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  • A sedentary lifestyle.
  • Hypothermia.
  • Age-related changes.
  • Presence in the anamnesis of rheumatic diseases.
  • Obesity.
  • Standing or sedentary work.
  • Structural changes in the spine due to the development of degenerative diseases.
  • Excessive exercise, accompanied by minor injuries.

  • Symptoms of trochanteric

    This disease has few specific symptoms which would allow to assign treatment on the basis of history. As a rule, trochanteric manifested in the same way as the hip, namely:

    • pain in the hip during motion;
    • discomfort during the absence of movement;
    • the increase in body temperature;
    • fever.

    Symptoms in septic and aseptic form can vary greatly. For example, in the form of septic patients, as a rule, very acute symptoms, and not only local (in the thigh), but overall, as has all the signs of an inflammatory process occurring with the rapid response. This patient’s condition is often difficult to diagnosis and treatment.

    Трохантерит тазобедренного сустава: причины, симптомы и лечение

    To diagnose the disease the patient most commonly prescribed x-ray

    In some cases, trochanteric may be accompanied by vascular disorders, swelling in the hip area, and in the tuberculous form the examination can be detected fistulas and ulcers in the soft tissues.


    Diagnosis and treatment of the disease

    In order to effectively treat trochanteric, you must first confirm the diagnosis. After inspection and palpation of the affected area, as well as your medical history, your doctor may order the following studies are needed to determine the most appropriate treatment:

  • Ultrasound.
  • General clinical analysis of blood.
  • Rheumatology test.
  • The x-rays.
  • Treatment of trochanteric depends largely on the nature of the disease. If you were diagnosed with septic trochanteric, primarily antibiotic treatment to eliminate lesions throughout the body.

    In severe cases, can be assigned to injection in the affected joint. Furthermore, if there are purulent foci within soft tissues, usually performed the operation of their drainage. After surgery necessarily a plaster for a period up to 40 days to immobilize the limb.

    Treatment of aseptic trochanterica of nature and the restoration of tissue when trochanterica septic nature can be carried out anti-inflammatory drugs, vitamin complexes, cartilage protectors, and furthermore, drugs, which the treatment of common symptoms.