Osteoarthritis of the elbow - a rarelocalization of the disease, which is most often diagnosed in men over 45-50 years. The elbow joint is characterized by powerful articular ligaments, the perfect conjugation of the articular surfaces and a good blood supply, and thus injured less often than, for example, an ankle or a knee, and rarely suffers from a lack of nutrients and oxygen.
Osteoarthritis is characterized by the elbow jointdegenerative-dystrophic processes mainly in the cartilage covering epicondyles humerus. The occurrence of the disease is associated with injuries, most clinical variants doctors are dealing with post-traumatic osteoarthritis of the elbow joint. It should also be noted that in the case of osteoarthritis of the shoulder joint, the radius and ulna bones plays a decisive role not acute trauma, although it is also important, and chronic excessive load on the joint with repetitive movements. The destruction of the cartilage can be a consequence of inflammation, the result of violations of metabolic processes in the cartilage and bone during hormonal changes, diseases of the endocrine system.
The clinic consists of elbow osteoarthritismajor symptoms characteristic of osteoarthritis in general. Manifestations of the disease depend on the stage of the process and expressed in pain, limited mobility, the deformation of the bone joints, atrophy of the muscles of the forearm and shoulder. Pathological changes are confirmed with the joint radiography.
The first stage joint arthrosis Shoulder, elbow and radial bones characterizedmalnutrition cartilage, the beginning of its degeneration, the appearance on the surface of the small defects that impede the sliding of the articular surfaces against each other. At this stage there is increased fatigue hands and morning joint stiffness, aches appear only after physical activity and better with rest. On the X-ray has a noticeably narrowing of joint space. Further forecast depends entirely on the timely treatment of elbow osteoarthritis.
Osteoarthritis general and in particular an elbow joint in the second stage its development is manifested in constant painjoint associated with the development of the inflammatory process. If there is no competent treatment, the progression of osteoarthritis of the elbow will inevitably lead to the emergence of a crunch in the joint and limit its mobility. Osteophytes formed primarily in the humerus bone, but they are not large, unlike in the zone growths ulna impeding extension in the joint. Chippers bone in the coronal ridge area, prevent bending arms at the elbow.
On radiographs of the elbow joint arthrosis of 2 degrees seen a significant joint space narrowing, bone growths around the appearance of articular cartilage surfaces.
In the third step Osteoarthritis is often manifested blockades elbowjoint. From thinning dystrophic, cracked cartilage break off fragments of the whole, forming a "joint mouse", which roam freely in the joint cavity, wedged between the joint surfaces and the time to block movement. Joint pain is permanent, accompanied by a sharp restriction or lack of joint mobility. The muscles and ligaments, resulting in joint movement, atrophy, which can be seen by the reduction in the forearm and upper arm circumference.
It should be noted that the elbow joint contracture usually flexion formed at right angles, that the most advantageous for the patient in terms of keeping the limb function.
On radiographs of the third stage of osteoarthritisappears almost complete absence of joint space, the presence of osteophytes, subchondral bone surface seal forming a joint, and the appearance of cysts in them. Features of the treatment of osteoarthritis of the elbow at this stage allow for early signs of avascular necrosis of bone.