Symptoms, diagnosis, treatment of hip joint chondrosis

Chondrosis of the hip joint (TBS), or the hip is a progressive degenerative disease that primarily affects the cartilage, with subsequent development of osteophytes and deformation of the joint, until the disability.

The Primary cause of pathology is the mismatch between mechanical impact on the joint and its ability to resist this effect.

Classification

Distinguish between primary and secondary chondrosis. Primary (idiopathic, idiopathic) process develops without any reason and in most cases is genetically determined. A characteristic difference is that the degeneration of the tissue occurs in a completely intact cartilage. Can occur at any age.

Secondary chondrosis develops in older people older than 55-60 years of age, and occurs in women twice as often than men. The main risk factors for the development of secondary chondrosis are:

• trauma to the body (intra-articular fractures, hip fracture)
• arthritis of the hip joint infectious origin (tuberculous coxitis);
• systemic connective tissue diseases (rheumatoid arthritis)
• recurrent hemarthrosis in hemophilia;
• congenital dislocation or dysplasia of the hip
• aseptic necrosis of the femoral head (syndrome Legg-calve-Perthes);
• menopausal changes in women.

Clinical picture

In the initial stages of chondrosis goes unnoticed, the symptoms only appear at a very advanced stage.

The Main and most painful symptom of the disorder is pain. It is due both to mechanical friction of the articular surfaces, muscle-spastic component. At the initial stage of the disease the pain is mild, but the progression of the process worsens the condition. Over time, the pain occurs with every movement of the joint and stops only at rest.

With the expansion of clinical symptomatology develops muscle atrophy (gluteal, quadriceps).

The Patient begins to limp, the shortening of the lower limb (due to the subluxation of the hip and fracture of the femoral head), develop a forced position of the affected limb.

For this pathology is also characterized by symptoms such as lordosis and scoliosis of the lumbar spine (as a compensatory process due to the offset of the Central axis of the body).

At the final stage of the disease occurs ankylosis of the joint, i.e. Its complete immobilization. When this pain disappears.

Diagnosis and treatment

The Main method of diagnosis of the disease is hip radiography in multiple projections. Radiographs usually reveals narrowing of the joint cracks, seal the surface of the bone, local osteoporosis, the formation of osteophytes (bone spikes) on the medial and lateral surfaces of the hip joint.

Other methods of radiation diagnosis pathology include: computed tomography, magnetic resonance imaging and ultrasonography.

Treatment of disease divided into medical and surgical.

Surgical treatment is radical and represents a hip arthroplasty, i.e., replacement of the artificial joint counterpart.

Drug therapy is characterized by using:

1. synthetic proteoglycans (rumalon, mucaltinum);
2. biostimulators (aloe);
3. antiplatelet agents (pentoxifylline)
4. antispasmodics (Nospanum, papaverine).