Dull aching pain in the hipjoint familiar to virtually every elderly person. Typically, these include serious, associating discomfort with age and overwork. However, this sickness can be a manifestation of serious degenerative diseases - deforming arthrosis of the hip, or coxarthrosis (from the Latin "coke." - Hip and osteoarthritis).
Depending on the origin of the hipOsteoarthritis can be primary and secondary. Initial development of the pathological process associated with impaired cartilage nutrition, emerging on various, including unexplained reasons. It is believed that degeneration can result from impaired circulation in cardiovascular disease, smoking or alcohol abuse, resulting in rearrangements of endocrine, nervous disorders joint, immune shifts, frequent combination - deforming arthrosis and obesity. hip overload and metabolic disturbances quickly lead to the destruction of articular cartilage, as well as excessive loads at professional sports and frequent heavy lifting.
In elderly people suffering from osteoporosis, osteoarthritisthe hip joint can be supplemented hip fracture symptoms. By the disease naturally leads congenital degeneration of cartilage of the joint, congenital dislocation of the hip, Calve-Perthes disease, aseptic necrosis of the femoral head. In all these cases of coxarthrosis say, as a secondary disease process.
Immediately it should be noted that the primary arthrosis ininitial, 1 degree of pathological disorders often does not manifest itself clinically. Unpleasant sensations are limited to fatigue limbs, and even then not on the scale that would have forced the patient to go to the doctor. Secondary arthrosis of the hip joint, the symptoms of which are laminated on the causes of the disease, usually immediately followed by transient pain in the joint.
The main manifestations of hip osteoarthritis:
- morning stiffness and pain on motion;
- pain during high load on the joint or in peace, transient or permanent;
- Crunch in the joints that characterizes osteoarthritis grade 2;
- hip deformity;
- in the pathological process involving the knee joints, the change axis of the limb.
These clinical signs of ill hip characterize a particular process step.
There are three stages of development of hip osteoarthritis. Symptoms differ various stages of varying degrees of severity and gradually superimposed on each other.
Hip osteoarthritis 1 degree
It may be asymptomatic, but usually in theIt marked the beginning of the disease recurrent pain occurring after physical exertion and long distance, going alone. The pain is localized in the joint, but can be given in the thigh and knee. Radiological findings at this stage of development of osteoarthritis already showing some small bony growths, but they do not deform the joint. Articular slightly narrowed the gap, the bones are not changed.
Osteoarthritis of the hip joints of 2 degrees
Unlike osteoarthritis 1 degree signarthrosis of 2 degrees is intense pain radiating to the groin and thigh, leading to lameness when walking and remaining alone. At this stage of arthrosis joint mobility restriction observed mainly during abduction and external rotation of the hip. It begins to form resulting in flexion contracture. Thigh deflected inward curving limb axis, increasing the load on the knee joint and causing the appearance of pain in it. Mobility limitation in the joint causes atrophy of muscles and tendons, reflecting a decrease in thigh circumference.
Radiological joint arthrosis of 2 degreesdistinguished by the presence of large osteophytes, joint deformation, infringement of the configuration of the femoral head, the presence of cysts in it, the shortening of the femoral neck, joint space narrowing.
Osteoarthritis of the hip joints of 3 degrees
The pains are of a permanent nature of exhausting,forced to use a cane when walking, move less. joint mobility is severely restricted, thigh muscles, calves and buttocks atrophied. Flexion contracture of the hip is leading to curvature and shortening of the limbs, deviation of the axis of the pelvis, the curvature of the lumbar spine.
Radiographic signs of osteoarthritis 3 stages: extensive bony growths, the deformation of the femoral head, femoral neck shortening, the presence of multiple cysts in the pineal gland, a sharp narrowing of the joint space, or lack of.