- Osteoarthritis of the hip joint - Complete Disability
The causes of osteoarthritis of the hip
Osteoarthritis - a disease of the joints of the exchange nature in which the joint is slowly beginning to lose their function and develop in it changes. Arthritis often have the character of age, and almost never strongly disturb the work of the joint. The exception is arthritis of the hip joint, which often occurs at a young age, and almost always leads to disability.
Disturbances in the joint usually begin in violation of its blood supply. Primarily affects cartilage covering the bone joint. Under the influence resulting from a lack of oxygen and enzymes occur bundle cartilage thinning, and then - the division into individual pieces. And as the joint cartilage is the shock absorber begins injured and bone tissue, resulting in at the edges of the articular surfaces of the hip joint formed bony growths. In the area of joint and connective tissue grows.
Osteoarthritis of the hip joint can be primary and secondary. Causes of primary osteoarthritis unidentified. Secondary osteoarthritis most often occurs after trauma or inflammation of the joint, with dysplasia
Dysplasia - what is it?
(violation of) the hip joint, congenital hip dislocation
Hip dislocation - the result of indirect injury
, Aseptic necrosis of the femoral head (Perthes disease - a disease of unknown origin, at which the first complete destruction of the femoral head, and then restoring it).
The symptoms of osteoarthritis of the hip
Manifested osteoarthritis pain of the hip, which is directly proportional to the degree of severity of the changes in the joint. There are three stages of the disease.
In the first stage of osteoarthritis pain in the hip occur during exercise - heavy lifting, running and so on. Sometimes the pain is given in the thigh and knee. Pains are intermittent and after the holiday held on the joint function, they are not recognized. The examination of the patient can be seen that the amount of movement in the joint is not broken, the muscles in the joint atrophy (atrophy - drying, a change in volume), the gait is not changed.
The second stage of the disease is characterized by more intense pain, which may occur at rest. Pain is usually given in the groin, thigh and knee. In severe load the patient begins to limp. Disrupted joint: the foot hardly discharged to the outside and turned inwards. Since the reduced load on the muscles surrounding the joint, they begin to atrophy and shrink in volume.
In the third step, the pain becomes constant, aggravated by exertion, at rest and appear even at night. Pain when walking is so strong that the patient needed support. The joint is hardly bent and turned inward. Decrease in the volume of the thigh muscles, buttocks and lower legs, shortened limb - the patient is forced to bend over when walking in the affected side, or stand on tiptoe, which increases the load on the affected joint.
Diagnosis of osteoarthritis of the hip
The diagnosis made on the basis of characteristic features, these X-ray examination and research of joint function. The changes in the joint largely depend on the cause of the arthritis.
In the first stage of the disease on x-ray can be seen that the edges of the joint has a slight bony overgrowth and joint space (distance between the articular surfaces of the bones forming the joint) is somewhat narrowed. The second stage is characterized by bony growths, changes in the shape and the neck of the femoral head, the beginning of the displacement of the head up, further narrowing of the joint space. In the third step identifies significant bony growths on the edges of the articular surfaces, sharp breaking the mold neck and the femoral head, joint space narrowing.
There are also functional and other studies state the hip. Checks the status of the muscles (elektromorgafiya), blood vessels (rheovasography scanning - research vessels radioisotope method) and more.
Treatment of osteoarthritis of the hip
Treatment of osteoarthritis of the hip joint is carried out strictly individual and depends on its cause. Be sure to take into account the stage of the disease.
At the initial stages of the disease should be conservative therapy. Appointed painkillers, drugs, relieves swelling
Prevention and treatment of edema - it is important to understand the root cause
and inflammation of the soft tissues, improves metabolic processes in the tissues and blood supply. In some cases, appointed by the extension of the limbs. Outside exacerbation conduct courses of massage, physical therapy and physiotherapy. Patients are encouraged to spend less time on their feet, do not run, to eliminate the wearing of gravity.
Advanced stage treat both conservative and operative. In addition to conventional medical treatment is being administered intra-articular administration of drugs reduces inflammation and pain, as well as reducing the work of the joint. Assign discharge joint, physiotherapy, massage, individually tailored exercise of therapeutic exercises.
Surgical treatment - these are different types of operations, restoring joint function, up to transplant the artificial joint.
The best prevention of arthritis of the hip joints is the early detection of diseases that contribute to their formation.