Dysplastic coxarthrosis is a degenerative-dystrophic disease in which the hip joint is affected, which provokes the destruction of the articular surfaces of the acetabulum, as well as the femoral head.
Medical statistics show that this pathological process is selective and affects mainly women. About 80% of all cases are female patients.
Dysplastic coxarthrosis of the hip joint is insidious: at the initial stage, it does not show any symptoms. But in order to prevent the development of the disease, it is at this time that therapy should be started.
Why does the disease develop?
The main reason is the underdevelopment of some parts of the hip joint, which is congenital in nature. A person for a long time may not even be aware of this problem, because the signs of the disease are hidden in the initial stage, and the compensatory mechanism of the joints is fully capable of withstanding daily stresses.
However, the disease is insidious, because with the development of favorable conditions, the disease develops rapidly. Consider the factors that can activate it:
- Pregnancy and lactation;
- Violations associated with a change in the hormonal background;
- Excessive physical activity on the joint area;
- Hip joint microtraumas;
- Low motor activity.
These reasons contribute to the fact that there is a breakdown of compensation and destruction of the joint. Basically, pathology makes itself felt at the age of 30 to 50 years.
Types, stages, symptoms of articular lesions
Specialists identify groups of dysplastic coxarthrosis, which depend on where the focus of the inflammatory process is located.
- The upper part of the hip joint. It is in this section of the skeleton that overloads occur, which with a high degree of probability can provoke additional injury. That is why sharp pain immediately appears in this area;
- The lower part of the joint. Pain is mostly minor. The disease develops rather slowly, and is diagnosed mainly at the very last moment. Drug therapy during this period is no longer effective;
- The central part of the hip joint. And this species develops very quickly and has pronounced symptoms, so the diagnosis is made quickly and accurately.
There are three stages of the development of coxarthrosis, which differ in symptoms and radiological manifestations.
- I degree is characterized by a slight narrowing of the joint space, the presence of marginal bone growths, in which there are foci of destruction. During this period, pain manifestations develop in the thigh area, which are noted even after slight physical exertion. However, after rest, they disappear. No external manifestations (changes in muscle strength, gait) are observed;
- Stage II – osteophytes of the joint on the femoral head and acetabulum grow rap >
We will get acquainted with the reasons that can provoke the development of dysplastic coxarthrosis.
- A person stops playing sports, and his physical activity decreases;
- Birth of a child;
- Injuries or frequently recurring microtraumas resulting in cartilage cracking;
- Factors, as a result of which cartilage tissue is damaged, which can provoke the destruction of bones and tissues located next to them;
- Congenital hip dislocation or hip dysplasia;
- Large physical exertion, which is why professional athletes are at risk;
- Genetic predisposition;
- Incorrect therapy of arthritis of the hip joint, because with this disease the properties of cartilage tissue change, blood circulation is disturbed;
- Overweight, which causes a large load on the joints;
- The prevailing number of scientists believe that the disease can provoke a deterioration in venous outflow and a violation of arterial flow in the joint.
The diagnosis of dysplastic coxarthrosis is established based on the results of a full examination of the body and x-rays of the affected leg. Ultrasound and x-ray examination makes it possible to determine the stage of the disease and choose the right treatment (surgical or conservative).
In severe cases, in order to determine the patient’s condition with maximum accuracy, CT (computed tomography), MRI (magnetic resonance imaging) is prescribed.
What happens during the development of the disease?
Strong articular cartilage covers the bones of the hip joint. What role does cartilage play? It helps to evenly distribute the load while walking, and allows the bones to glide gently relative to each other. Protects and nourishes the cartilage of the joint fluid with which it is coated.
A disease of the hip joint changes the properties of the joint fluid, as a result of which it acquires viscosity, density and ceases to effectively fulfill the function of cartilage lubrication. And this leads to the fact that the cartilage begins to dry out, becomes thinner and becomes covered with cracks.
Due to these negative changes, the bones of the joint suffer: they are exposed, the pressure on them increases, which leads to bone deformation.
What is the danger of coxarthrosis?
The disease is constantly developing, and the patient’s condition worsens. If the patient does not receive treatment on time, then the ailment causes such complications:
- Impervious pain in the leg area that does not go away even at rest;
- Posture worsens, osteochondrosis of the spinal column develops;
- The affected leg is shortened;
- If the disease is started, then the person moves with difficulty.
It should be noted immediately that the treatment of dysplastic coxarthrosis is long and carried out comprehensively. At the first and second stages of the disease, conservative treatment is prescribed. Dysplastic coxarthrosis of the hip joint of the III degree is eliminated exclusively by surgery.
Therapy of the first and second stages is as follows:
- The use of chondroprotective drugs;
- The use of non-steroidal anti-inflammatory drugs;
- Taking medications that relieve cramps;
- In severe cases of the disease, intraarticular injections of hormonal drugs are prescribed;
- Exercise therapy (physiotherapy exercises);
- Special diet.
It must be remembered: therapy should continue without fail even after the onset of relief. If you carefully follow all the doctor’s appointments, you can stop the progression of the disease and significantly improve the quality of life.
If conservative treatment does not give the desired results, and the patient is tormented by intense pain, then surgical treatment is used, which can be carried out using such operations:
- Suspension of joints according to Foss;
- Hip arthroplasty.
Basically, with advanced disease, hip replacement is recommended. During the operation, the destroyed parts of the pelvis are removed and replaced with prostheses made of medical metal, plastic, and ceramics. Dentures function from 15 to 20 years, after which they are replaced during the second operation.
Of great importance in the presence of such a pathology as dysplastic coxarthrosis is prevention and the methods used to achieve stable remission. These include:
- Physiotherapeutic procedures;
- The use of medical leeches;
- Physiotherapy exercises and gymnastics;
- Doing dancing, sports, walking;
- A special diet, in which it is recommended to eat more fish dishes, dairy products, low-fat meats, buckwheat porr >
What can not be done:
- Excessively overload the joints and ligaments;
- To supercool joints;
- Overwork and gain weight.
Prognosis of the disease
In the absence of adequate treatment, the disease quickly leads to disability, which is expressed in the restriction of movements and constant pain.
Dysplastic coxarthrosis is treatable; there is no risk to the patient’s life.
With surgical treatment and prosthetics, leg function is fully restored. Patients may even play sports.
The sooner the treatment of the disease is started, the faster the return to the usual rhythm of life. Human health is in his hands!
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