Arthrosis of the elbow joint - usually the result of excessive load and often repetitive hand movements. Arthrosis of the articulation of the shoulder, radiation and elbow bone can put the cross on the career of the violinist, tennis player, to make the builder's profession, and only timely treatment of elbow arthrosis will allow to keep the joint.
Content
Osteoarthrosis of the elbow joint — Pretty rare localization of the disease, which is more often detected in men older than 45-50 years. The elbow articular joint is characterized by a powerful ligament apparatus, the ideal pairing of articular surfaces and good blood supply, which means it is also injured less common than, for example, ankle or knee joint, and less often suffers from lack of nutrients and oxygen.
Causes of osteoarthrosis of the elbow joint
Arthrosis of the elbow articulation is characterized by degenerative dystrophic processes mainly in cartilage tissue covering brachial bone supermarket. The occurrence of the disease is associated with injuries, in most clinical options, doctors deal with post-traumatic osteoarthrosis of the elbow joint. It is also worth noting that in the case of articulation articulation of the shoulder, radiation and elbow bone, the decisive role plays not an acute injury, although it also matters, and a chronic excessive load on the joint with repeated movements. The destruction of cartilage can be the consequence of the inflammatory process, the result of the violation of metabolic processes in cartilage and bone tissue in hormonal restructuring, diseases of the endocrine system.
Clinical picture of the arthrosis of the elbow joint
The clinic of the elbow arthrosis is made up of the main symptoms of the disease inheress osteoarthrosis in general. The manifestations of the disease depend on the stage of the process and are expressed in pain, restriction of mobility, bone articulation deformation, muscle atrophy of the forearm and shoulder. Pathological changes find their confirmation during the X-ray of the joint.
The first stage Arthriza Jersa The shoulder, the elbow and radial bone is characterized by a violation of the nutrition of the cartilage tissue, the beginning of its degeneration, the appearance of small defects on its surface, which impede the gliding of the joint surfaces relative to each other. At this stage, there is an increased fatigue of the hand and the morning stiffness of the joint, pain appear only after exercise and pass after rest. On the radiograph, some narrowing of the articular gap is already noticeable. Further forecast depends entirely on the timeliness of the treatment of elbow arthrosis.
Arthrosis in general and elbow joint in particular in the second stage its development is manifested by constant pain in the joint associated with the development of the inflammatory process. If there is no competent treatment, the progression of elbow arthrome inevitably leads to the appearance of a crunch in the joint and restriction of its mobility. Osteophytes are formed primarily in the region of the shoulder bone, but they do not have large sizes, in contrast to growths in the urban bone area, implanting in the joint. Bone Plips in the area of the Vernial Process, prevent the bending of the arm in the elbow.
On the radiograph of the elbow joint with arthrosis of 2 degrees, a significant narrowing of the articular gap, the appearance of bone expansions around the articular surfaces of cartilage.
In the third stage Osteoarthrosis is often manifested by the blockades of the elbow joint. From the thinned, dystrophic, cracked articular cartilage chips whole fragments that form «Articular mice», which are fluent in the joint cavity, wedged between the joint surfaces and block the movements for a while. The pain in the joint is constant, accompanied by a sharp limitation or lack of mobility of the joint. Muscles and bundles leading the joint in motion are atrophy, which can be seen by reducing the circumference of the forearm and shoulder.
It is worth noting that the contracture of the elbow joint, as a rule, is formed in the position of bending at the right angle, which is most beneficial for the patient in terms of preserving the limb function.
On the radiograph, the third stage of arthrosis is manifested by the almost complete absence of the articular slit, the presence of osteophytes, the sealing of the sneakers of the bones, forming the articulation, and the appearance of cystic formations in them. Features of the treatment of elbow arthrosis at this stage take into account the initial signs of the development of aseptic bone necrosis.
