Diseases of the hip joints. Hip Disease Symptoms

All human organs and systems should function well. Only in this case is it possible to conduct normal life. In this article, I want to consider the main symptoms, diseases of the hip joint.

signs of hip disease

What it is?

Initially, you need to determine the terminology. What is a hip joint? So, this is a bone that, with its head, is in contact with the femur. Its main functions:

  • the ability to perform bending-extension;
  • the ability to take your leg to the side;
  • pronation and supination, i.e., the ability to carry out rotational movements.

Main reasons

Be sure to figure out what causes can cause various diseases of the hip joint. So, doctors distinguish the following:

  1. Mechanical damage. This is a varying severity of injury, fractures.
  2. Infectious diseases. Often they provoke the occurrence of various problems with the hip joint.
  3. Microbial and viral infections, for example, flu and tonsillitis (mainly when it comes to Perthes disease).
  4. Another cause of hip joint disease is a genetic predisposition. In this case, the medical records of the closest relatives of the person are examined to identify matches.
  5. Various metabolic disorders, lack of vitamins, calcium. In this case, the body weakens, the bones become not strong enough. And this can lead to various problems that can occur in the hip joint.

The main symptoms

Initially, I would like to consider the most various symptoms of a disease of the hip joint. So, in most cases, when a lesion of this particular part of the human body is disturbed:

  1. Pain They can be of a different nature. The pain is acute and dull, strong and moderate. It all depends on the type of disease, as well as on the degree of its development. It often happens that the nature of the pain during the course of the disease changes. You can remove it with various painkillers. However, the cause of its occurrence still does not disappear from this.
  2. Considering the hip joint, the symptoms of the disease that can also occur, it is worth saying that these are various disorders of motor activity. This problem appears with all diseases of the hip joint. In some cases, such violations are not too noticeable, that is, the patient’s gait is practically unchanged. In other situations, it may be too difficult (inability to walk without support). If the disease is in a neglected state, the patient's motor activity will be completely impossible.
  3. What are the other signs of hip disease? So, various external changes may indicate this. Most often in this case we are talking about lameness, falling on the leg. Sometimes the affected limb may even be shortened, which forces a person to either walk on the toes, or to twist the body in one direction.
  4. Other indicators: if there is inflammation, the temperature may increase (most often to subfebrile marks), there may also be redness on the skin.

cause of hip disease

Arthrosis

Initially, you need to talk about such a problem as the disease "coxarthrosis of the hip joint." Speaking in ordinary language, in everyday life this disease is called simply arthrosis. It is important to note here that this disease is the first among various problems of the musculoskeletal system of a person.

This disease begins from damage to the articular cartilage. It is gradually fragmented, depleted, which results in the loss of its depreciation properties. In this case, the bone of the joint is also affected, bone growths may appear. Other problems that may also occur due to coxarthrosis:

  • the formation of cysts in the head of the femur bone;
  • cysts can also form in the tissues of the acetabulum, where the head of the bone is located;
  • often there is sclerosis of plates of the surfaces of the joint.

Very often, a disease such as dysplasia (of course, the hip joint) becomes the cause of the development of this disease. This is an underdevelopment of bone tissue, as well as a difference in the size of the acetabulum and head. In this case, insufficient blood supply occurs, which causes a problem such as arthrosis.

Among the causes of the development of the disease, doctors distinguish various injuries, bruises. If we are talking about microtraumas, then their regularity can also cause the development of this problem. Well, and, of course, it is especially important to treat various inflammatory processes on time. After all, they can also turn into arthrosis.

Symptoms and stages of coxarthrosis

What can the medical history tell? Coxarthrosis of the hip joint is most often manifested by the following symptoms:

  • pain or discomfort in the buttock and groin;
  • pain in the knee (in this case, most often we are talking about coxarthrosis in the acute stage);
  • the spine also responds to this problem.

In medical practice, there are three main stages of this disease:

  1. First one. Here the pain appears episodically mainly after active physical activity. It is localized most often in the area of ​​the knee joint or thigh. After the rest, the discomfort disappears. Gait and motor activity at this stage are still unchanged.
  2. The second one. In this case, the pain will be stronger. It is localized mainly in the groin or thigh. It is important to note that at this stage, discomfort occurs even during rest. The functionality of the joint is impaired, its motor activity is also deteriorating. There is a limitation in the joint of passive movements (in medicine - contracture). The femoral head is also deformed, the muscles lose their strength.
  3. Third stage. In this case, pain accompanies a person always, at rest, and even at night. It is impossible to walk without support. Joint movements are sharply limited, they are very difficult. Gradually, the diseased limb is shortened, the person’s gait changes. You have to lean sideways and stand on your toes in order to balance the movement.

If the problem develops further, this leads to the fact that movements in the joint are completely absent.

history of coxarthrosis of the hip joint

Diagnosis and treatment of coxarthrosis

Having examined the above symptoms of a disease of the hip joint, it is worth saying that it is possible to diagnose this problem with the help of radiography. If the pain is moderate, even an ultrasound scan or an MRI scan can help (these studies will make it possible to determine if there is inflammation).

If we talk about the first two stages of the disease, the treatment here will be conservative. The main goal of the doctor is to ensure normal mobility of the joint. The third stage requires a different treatment: the introduction of drugs that will relieve inflammation, various fluid substitutes in the joints can also be used. In special cases, endoprosthetics may be indicated.

Perthes disease

Must also consider Perthes disease of the hip joint. It is worth noting that this disease most often affects children aged 3 to 12 years. At the same time, boys suffer from it more often. However, in girls, the course of the disease is more serious.

What is Perthes Hip Disease? So, this is a special pathological process when normal blood circulation in the femoral head is disturbed, which causes a problem such as necrosis. It is important to note that there is both unilateral and bilateral damage.

Today, doctors have not yet come to a single conclusion about what is the main reason for the appearance of this disease. The stages of Perthes disease are as follows:

  1. After the start of the cessation of normal blood supply to the femoral head, tissue necrosis develops.
  2. Secondary fracture of the bone head in the area of ​​destruction.
  3. Necrotic tissue gradually dissolves. This leads to the fact that there is a shortening of the femoral neck.
  4. In the place of necrosis, connective tissue grows.
  5. Connective tissue is gradually replaced by bone.

The recovery process in this case depends on the stage of neglect of the disease. If treatment is started on time, a full recovery is possible. Otherwise, the head may fall into several parts, which often leads to its incorrect, deformed splicing.

hip joint disease in children

They will tell you about what the disease of Perthes hip joint looks like, photo. It is enough to look at the pictures of sick children to understand that this disease also causes changes in appearance (that is, there may be lameness and shortening of the limb itself). This disease is also accompanied by pain. At first she will be dumb, she will begin to appear while walking. Mild limping or falling on a sore leg may occur. No other clinical symptoms are observed. This is the whole danger, because people rarely turn to an orthopedist with such complaints. If a compression fracture has appeared, the pain intensifies significantly, lameness is already manifested sharply, it is clearly visible to others. There is limited movement, walking is difficult. Body temperature may rise to subfebrile indicators.

The disease is diagnosed using radiography. Treatment takes place in the orthopedics department, then - outpatient. Duration of conservative therapy: approximately 12-14 months. Surgical intervention can only be indicated in the most severe cases.

In the end, it is worth noting that if various diseases of the hip joints in children are considered, we are most often talking about this disease.

coxarthrosis of the hip

Femoral acetabulum syndrome

It is worth noting that this is one of the abnormalities that may affect the hip joint. In this case, a collision or collision of bone structures occurs during the movement of a person (hence the name - impingement, i.e., improper collision). The exact causes that may cause this condition are still unknown to modern medicine. Symptoms of a disease of the hip joint in this case are as follows:

  • pain that occurs when a person is in a certain position, often during flexion;
  • the limitation of certain movements.

Diagnosed with x-ray. However, since this disease is very similar to other diseases, doctors often make mistakes and make the wrong diagnosis. Conservative treatment for this problem is completely useless. Surgical intervention required. Only in this case can you cope with the disease.

Bursitis

Another disease that also needs to be considered is bursitis of the hip joint. In this case, we are talking about the inflammatory process in the synovial bag, the main task of which is to prevent friction.

Further we consider such a part of the human body as the hip joint. Symptoms of the disease with bursitis are as follows:

  1. Pain. It is sharp, intense, burning. Localization: most often it is the outer part of the thigh.
  2. As the problem develops, the pain may become dull. However, its distribution area is increasing.
  3. Pain increases during hip flexion-extension. It can also be painful for a person to lie on his side from the side of the lesion.
  4. With purulent bursitis, the pain is so strong that it does not even make it possible to move normally.

The main diagnostic methods: examination of the patient, palpation, listening to complaints. To clarify the diagnosis of the patient, they are sent for x-ray or MRI. Basically, the treatment is conservative. In rare cases, when the disease is neglected, surgical intervention may be required.

hip fracture disease photo

Tendinitis

Further we consider various problems that affect the hip joint, symptoms of the disease, treatment. Be sure to tell also about what is tendonitis. So, this is an inflammation of the tendons at the site of its bonding with the bone. The main symptoms in this case:

  1. As with all inflammatory processes, redness appears on the skin.
  2. There will certainly be pain. It is localized in the affected ligament.
  3. Well, and, of course, the patient's motor activity will decrease.

This problem is diagnosed by inspection. To clarify the diagnosis, an ultrasound examination can be prescribed. The treatment is mostly conservative. However, in rare cases, there are indications for surgical intervention.

Gender

Often patients are interested in the question of what are the most common diseases of the hip joints in women? Initially, it is worth noting that such a strict distinction does not exist. Any disease described above affects people of both sexes almost equally. However, statistics indicate that the main diseases of the hip joints in women are arthritis and arthrosis. In addition, these diseases occur in older people.

The main diseases of the hip joint in men are bursitis and tendonitis. And all because mainly guys are engaged in hard work, and they have more serious burdens on the body. And all this often leads to the occurrence of such problems with the hip joint.

Diagnostics

Initially, it should be noted that if you experience various pain in the hip joint, you should immediately consult a doctor for advice. Indeed, in this case, you can diagnose the disease at an early stage. And this facilitates and significantly shortens the patient’s recovery process. Otherwise, there is a risk of complete immobilization of the affected limb.

In what ways today can you diagnose various problems that relate specifically to the hip joint?

  1. Examination of the patient. Symptoms alone can “tell” great information, that is, those problems that the patient complains about. After listening to them, often the doctor makes preliminary conclusions about what kind of disease is present in the patient.
  2. Palpation. In some cases, feeling the lesion of the patient can also give answers to certain questions.
  3. The most commonly used diagnostic method for various diseases of the hip joint is radiography.
  4. Also, patients may be prescribed ultrasound (for certain diseases) or MRI (magnetic resonance imaging) if the patient has a focus of inflammation.

hip disease treatment

Treatment

What can cause hip joint disease? Treatment is what is very important in this case. After all, if you start it on time, you can cope with the disease without special problems and efforts. What can doctors prescribe?

Conservative treatment.

  1. Physiotherapy exercises, physiotherapeutic procedures, massages. This is all necessary for any degree of disease. However, if the disease first appeared, it is often possible to cope with it only with these methods.
  2. Painkillers So, often non-steroidal anti-inflammatory drugs are used to get rid of pain. However, it is important to clarify that they do not fight the disease, but only relieve unpleasant symptoms. It can be such medications as Texamen, Celebrex, Nimulide, Nalgezin, Diklak, etc. But when using these medicines, you need to remember that they have a fairly large list of various contraindications .
  3. Chondroprotectors. These are drugs that improve the condition of cartilage. They are based on glucosamine, as well as chondroitin sulfate. Ampoules: preparations "Mukosat", "Chondrolon". Tablets: preparations "Chondroxide", "Structum". Ointments: "Elastenga", "Chondroxide."
  4. Means for improving blood circulation in the head of the knee joint. These are drugs such as Stugeron, Pentoxifylline.
  5. Various intraarticular injections, synovial fluid substitutes may also be prescribed.

Surgery is another way to get rid of the problem. It is prescribed in an extreme case, when it is impossible to cope with the problem with conservative methods. In this case, endoprosthetics often occurs. That is, the diseased joint is removed, and a special prosthesis is installed in its place, which does not interfere with normal functioning.


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