Gonartrosis in the frequency of occurrence is in the top three among all arthrosis. The clinical picture of the arrangement of the knee joint, its main symptoms, depending on the degree of pathological changes, the distinctive features of the arrangement of the knee joint 1 - 3 degrees - about this in the article.
Content
Gonartrosis or arthrosis of the knee joint ranks second after coxarrosis in the frequency of identification in persons with degenerative-dystrophic diseases of the joints. Half of patients addressed for medical care for pain in the knee, this pathology is found.
A distinctive feature of gonartrozes is its relatively easy course. Arthrosis of the knee joint of 3 degree is found only in 15-17% of cases, more than half of the patients of Gonarthrosis «Loading» In the first stage of its development. Even in extremely their severity, the disease does not lead to full disability.
Arthrosis of the knee joint: symptoms
The disease develops slowly. Initially, the patient notes the rapid appearance of fatigue limbs during the day, the appearance of unpleasant lips, burning sensations, «tightening» under the knee.
Morning stiffness of the joint and «Starting pain»
They arise already at 1 degree of arthrosis of the knee joint and are due to the uneven distribution of the load on the articular surface, in particular, its initial fall on the pathologically modified part of the cartilage. As you move the load redistributed to the entire articular cartilage, pain disappears on average after 30 minutes.
Pain
With the deforming arthrosis of the knee joint of 1 degree, it does not carry a permanent character, felt in the morning or after a long seating, while lifting the stairs, when walking on long distances, wearing weights, but it always passes. Only when the synovitis is connected, the pain becomes constant, but more often it happens at 2 degrees of the arrangement of the knee joint.
Sinovit
Inflammation of the synovial shell of the joint with the deforming arthrosis of the knee joint — The symptom is chronic, the recurrent character of which is accompanied by the appearance of the cost of the custody of the joint, edema and pain. The contours of the joint are smoothed, the patella is emphasized, when pressed, a characteristic springness is felt, known as fluctuation. Subjectively synovit is felt sick as heaviness, the thickening of the knee, interferes with his bending.
Restriction of mobility
This symptom occurs due to the growth of bone tissue in the field of bone epiphysis, the appearance of osteophytes, blocking the joint, shortening bundles and gradual muscle atrophy, leading the joint in motion. Violation of the mobility of the joint in the arthrosis of the knee joint indicates 2 degrees of its development. The progression of the disease leads to a complete loss of the ability to move in the joint, his ankylose and limb contracting.
Crunch in Susta
It appears in the arthrosis of the knee joint 2 degrees. The origin of it is associated both with a decrease in the amount and change in the physical properties of the synovial fluid and to form osteophytes that have a tendency to clouds and «wandering» in a cavity of Sustava.
Blocade Sustava
It implies a sharp pain and the inability to make even the slightest movement in the knee. With arthrosis in the process of destruction of cartilage and the formation of bone expansions in the hollow cavity accumulates rather large, moving fumps of cartilage tissue and osteophytes, called articular mice. Watching between the joint surfaces, they block the joint. Full muscle relaxation, contributing to the scaling of the articular mouse from the articular surface, returns the ability to move.
Deformation of the joint and change the axis of the lower limb
This is a pretty Late Symptoms of the Arrogus of the knee joint, characteristic of the Gonarthrosis 3 degrees. The change in the shape of the joint is associated with the phenomena of the recurrent synovit, with the formation of osteophytes, with shortening bundles and the contracture of the muscles holding the joint. When gonarthrosis is observed «O-shaped» or «X-Fashion» curvature of the limb. Changing the shape and violation of the function of the joint lead to a chromote, the need to use a cane or crosses to move.
X-ray symptoms Gonarthrosis
X-ray study — The basis of the diagnosis of gonarthrosis. It allows you to confirm, clarify the diagnosis, establish the degree of changes in the joint, eliminate other knee diseases.
Arthrosis of the knee joint 1 degree manifests itself by some narrowing of the articular gap and the advent of the first osteophytes.
Arthrosis of the knee joint 2 degrees: noticeable narrowing of the articular gap, osteophytes, subchondral sclerosis.
The sign of the arrangement of the knee joint 3 degree is a sharp narrowing or absence of the articular gap, the deformation of the joint surfaces, the presence of large osteophytes, sclerosis of the sneaking zone of the bone. The cysts characteristic of arthrosis in the epiphyses of the bones is far from always.
