Causes, diagnosis and treatment of osteoporosis local
Osteoporosis is a serious disease that can lead to disability of the person. The basis of pathology are metabolic changes in the bone tissue, due to many reasons – hormonal imbalance, trauma, autoimmune diseases, etc.
For a clearer understanding of pathology is divided into two main types – local and General. Consider a local form of osteoporosis.
What is the disease
This form of metabolic dysfunction is a localized in any anatomical region process. Pathology causes irreversible changes in the bone – death of proliferative cells (osteoblasts) and bone depletion. This bone (as part of the musculoskeletal system of the person) loses its physiological performance and becomes brittle.
Clinicians distinguish two main groups of local osteoporosis – spotty (focal) and uniform.
For the spotty osteoporosis is characterized by the formation of multiple zones of a lesion of bone. The process randomly touches almost all bone in the form of multiple zones of thinning bones. These areas on the radiograph are in the shape of circles or ovals of different shapes and sizes.
Uniform variant is a generalized pathological process for one individual bones. In this case, no individual points of liquefaction, and the entire bone falls within the scope of the pathological process. On radiographs this looks like total enlightenment of illustration of one particular bones.
causes of local osteoporosis are many, therefore, to determine the true cause of the disease is very difficult. It could be a fracture operation in the affected area, osektime one of the paired bones, poor medical procedures, toxins, high and low temperatures, thrombosis of various etiologies and pathogenic flora, alcoholism, drug addiction, etc.
Diagnosis and treatment
Diagnosis of local forms begins with history taking. The patient complains of pain in a particular place – in the humerus and the elbow joint or in the tibia. It is very important to ask the patient about any earlier injuries and other hazards that have affected this area.
After collecting history is palpatory examination of the region, which in the case of osteoporosis causing the patient pain.
The Most accurate method of diagnosis is radiography, which will help to visually monitor the size of the lesion and to know the form of the disease. Establish the diagnosis, it is necessary to conduct further studies, because at the time of diagnosis, we know that a person specific metabolic dysfunction, but do not know its causes.
Therapeutic decisions directly depend on the etiology. If osteoporosis has arisen on the background of autoimmune diseases, it is necessary to stop the primary process and designate the funds to the patient steroid – cortisol, prednisone, etc. In the case of ischemic disease it is necessary to resume adequate blood circulation in the affected area, leading to improve the patient's condition.
The Most dangerous endocrine pathology that requires careful examination and observation of the endocrinologist and hormone therapy.