Osteoarthritis or arthrosis of the knee takessecond place after koksartroza frequency detection in patients with degenerative-dystrophic diseases of the joints. Half of the patients seeking medical help for pain in the knee, found this pathology.
A distinctive feature is its gonartrozaa relatively mild course. Osteoarthritis of the knee joint Grade 3 is only found in 15-17% of cases, more than half of patients with gonarthrosis "delay" in the first stage of its development. Even in the extreme severity of their illness does not lead to a complete loss of ability to work.
The disease develops slowly. Initially, the patient notices a rapid emergence of limb fatigue during the day, the appearance of discomfort aching, burning, "contraction" under the knee.
Morning stiffness of the joint and "starting pain '
They arise already at 1 degree of osteoarthritis of the kneejoint and due to the uneven distribution of the load on the articular surface, in particular, its initial fall onto the diseased part of the cartilage. As traffic load is redistributed to the entire articular cartilage, the pain disappears after an average of 30 minutes.
When deforming arthrosis of the knee joint 1extent, it is not of a permanent nature, there is in the morning or after a long seat, while climbing the stairs, walking long distances, carrying heavy weights, but it always goes. Only when accession synovitis pain becomes constant, but more often it happens at 2 degrees of knee joint osteoarthritis.
Inflammation of the synovial membrane of the joint withdeforming arthrosis of the knee joint - a symptom of a chronic, relapsing nature of which is accompanied by effusion in the joint cavity, swelling and pain. joint Contours are smoothed, the patella protrudes, with pressure on it felt springiness characteristic, known as floating. Subjectively it synovitis felt sick as the severity, thickening knee, prevent its bending.
This symptom occurs because of an overgrowth of bonetissue in the bone epiphysis, the appearance of osteophytes, joint locking, shortening of ligaments and progressive muscle atrophy, resulting in joint movement. Violation of joint mobility in osteoarthritis of the knee testifies to the 2nd degree of its development. Progression of the disease leads to complete loss of the ability to move the joint, it ankylosis contracture and limb.
He appears with osteoarthritis of the knee 2degree. Its origin is due to both the decrease in the amount and change the physical properties of the synovial fluid, and with the formation of osteophytes, with a penchant for breaking off and "wandering" in the joint cavity.
It implies a sharp pain and the inability toto make even the slightest movement in the knee. When osteoarthritis in the destruction of cartilage and formation of bony growths in the joint cavity accumulate fairly large, mobile fragments of cartilage and osteophytes, called articular mice. Wedging between the joint surfaces, they block the joint. Full muscle relaxation, promotes slip joint with the articular surface of the mouse returns the ability to move.
This is a fairly recent symptoms of osteoarthritis of the kneejoint, typical for gonarthrosis 3 degrees. Changing the shape of the joint is associated with symptoms of recurrent synovitis, with the formation of osteophytes, with shortening of the ligaments and muscle contracture, joint restraint. When gonarthrosis observed "On-shaped" or "X-shaped" curvature of the limb. Changing the shape and function of the joint infringement lead to lameness, need to be used to move the cane or crutches.
X-rays - the basis of the diagnosis of gonarthrosis. It allows you to confirm, clarify the diagnosis, establish the degree of changes in the joint, to rule out other diseases knees.
Osteoarthritis of the knee joint 1 is shown some degree of narrowing of the joint space and the first appearance of osteophytes.
Osteoarthritis of the knee joint of 2 degrees: marked joint space narrowing, osteophytes, subchondral sclerosis.
A sign of osteoarthritis of the knee 3 degreesis a sharp narrowing of the joint space, or lack of, deformation of joint surfaces, the presence of large osteophytes, sclerosis of the subchondral bone area. Typical for arthrosis cysts in bone epiphysis taped not always.