Patellofemoral arthrosis

Patellofemoral arthrosis of the knee

Patellofemoral arthrosis of the knee joint

Patellofemoral arthrosis of the knee

This concept, like patellofemoral arthrosis of the knee joint or any other joint, is absent in the international classification of medical diseases. There is a completely identical disease, with exactly the same characteristics and symptoms, which is absolutely amenable to the same methods of treatment and medicines, only otherwise called "patellofemoral knee joint syndrome".

The concept of "patellofemoral arthrosis" is quite often, but only in specific medical literature of both domestic and foreign authors.

Patellofemoral arthrosis of the knee joint

Pain in the knee joint occurs most often as a result of abnormalities in functioning, as well as in various morphological changes.

Patellofemoral syndrome( as mentioned above, in the literature - arthrosis) occurs as a result of wear of the patellofemoral joint formed by the joint surface and the femur. Inflammation occurs in the groove under the patella( the patella is called the patella).

The structure of the knee joint and the focus of pain under the patella

The structure of the knee joint and the focus of pain under the patella

This pain syndrome is characterized by the development of the initial stage of chondromalation of the patella, and the morphological changes remain unproven.

Chondromalacia is a patellar disease caused by the destruction of the cartilage of the joint. Destruction in this case can be from minor softening and ending with serious defects that destroy cartilage, reaching the bone itself.

From here, chondromalacia develops in the knee joint due to increased friction during movement about the knee joint of the femur.

Patellofemoral knee joint syndrome also requires a certain course of treatment, as well as examination and observation of the doctor, so as not to miss the development of a more serious disease - arthrosis of the joint.

The appearance of patellormoral knee joint syndrome is usually due to excessive stress on some part of the body, and may also be the result of repeated damage to a site caused by intensive training for athletes.

Common symptoms of the patellormoral syndrome

Patellormoral syndrome characterized by the following symptoms:

  • with movements in the knee joint there is a certain discomfort, some limited movement with internal pain;
  • pains are significantly strengthened at certain positions of the leg, especially when sitting, when the leg is bent in the knee at different angles, the pain under the cup is manifested in varying degrees;
  • pains in the patella( kneecap) are amplified when additional stress occurs( jumping, squatting, climbing up stairs, etc.).

Treatment of patellofemoral knee joint syndrome

Patellofemoral arthrosis of the knee joint is diagnosed quite simply, and neither laboratory tests nor hardware diagnostics are needed. It is enough to examine the patient and the place, causing pain, carefully touch and on the behavior of the joint to make a diagnosis.

The patient lies on his back and completely relaxes the knee joints, and the doctor performs palpation: the patella is shifted alternately one way and the other, and the palpation under the edge of the cup from the outer and inner sides is performed, determining painful points.

In the patellofemoral syndrome, pain also occurs with contraction of the hip muscles, if the patella is kept from moving upwards.

Diagnostic inspection

Diagnostic inspection

Therapy and prevention in the occurrence of patellofemoral knee joint syndrome

This type of disease does not require special and multi-stage treatments, and expensive and rare medications are also not needed. But certain measures of therapy for the patellofemoral knee joint syndrome are still prescribed, it is:

  • appointment to the patient rest;
  • changing the regime of physical activities and training;
  • recommendations for ways to relieve pain, including drugs and procedures;
  • selection of the necessary means of limiting movement of the knee joint.

So, to begin treatment, after examination by a specialist, a patient with a patellofemoral knee joint syndrome is uniquely assigned a break in sports, as well as a general rest, in which any possible physical exertion( with which he encounters in everyday life and at work) should be minimized,.

Further special means are prescribed that limit or soften any movements associated with the affected knee joint. It can be a special soft bandage that is worn on the knee joint.

Bandage for the knee joint

Knee joint bandage

To ease and relieve pain in patellofemoral arthrosis of the knee joint, non-steroidal anti-inflammatory drugs may be prescribed anesthetic drugs( such as aspirin, diclofenac sodium, and others).

Non-steroidal anti-inflammatory drugs are produced in the form of tablets( aspirin, in addition to the usual form of the tablet, happens in effervescent form), ointments, gels, rubs, injections.

Like any kind of medication, non-steroidal anti-inflammatory drugs can cause side effects( headache, nausea, abdominal pain, dizziness, rash), and it depends solely on the individual tolerance of the drug to the body.

It happens that it is enough to apply compresses, for example, ice to alleviate the pain.

When very severe pain occurs, it is necessary to remove it with the help of special injections( most often it is a mixture: anesthetic and glucocorticosteroids).These injections are injected clearly into the sore point.

Injections to the knee joint

As a rule, the patellofemoral knee joint syndrome passes fairly quickly, without complications. But if the procedure of recovery is delayed, then go on to more serious methods of examination, because it may not just be an independent disease, but an accompanying manifestation of a more serious pathology, for example, valgus deformity of the knee joint, knee joint instability, arthrosis of the knee joint.

Patellofemoral syndrome as a manifestation of arthrosis of the knee joint

Arthrosis of the knee joint is a disease that is peculiar to the elderly and requires much more serious and prolonged treatment than the patellofemoral syndrome.

In the treatment of arthrosis, a complex of drugs that improve blood microcirculation, metabolism, restore blood flow, slow down the degeneration of cartilage is first prescribed.

The next step is the appointment of physiotherapy procedures. These include: electrophoresis, ultrasound radiation, radon baths and turpentine baths, as well as effective mud treatment.

Treatment for arthrosis of the knee joint is prescribed only by a doctor. Based on the results of the examination, X-ray examination and laboratory tests, the doctor will prescribe a set of medicines and procedures, and possibly a surgical intervention( for example, inserting plates or grafts, installing an artificial joint), all depends on the degree of development of the disease.

Implant of the knee joint - the result of late treatment of arthrosis

Knee joint implant - the result of late treatment of arthrosis

Prophylaxis and home methods of treatment of patellofemoral and arthrosis of knee joint

The best methods for preventing the development of arthrosis and for its treatment, as well as for treating at home conditions patellofemoral knee joint syndrome are:

  • baths:with sea salt, with dry mustard;
  • tinctures and spices: vodka infusion with chamomile, sweet clover, flax seeds( the infusion is simultaneously taken in and used as a grind);
  • broths of herbs( elder, chamomile, hawthorn, horse chestnut, celandine, horsetail, burdock, buckthorn, arnica, dill);
  • is a balanced diet that includes the following foods in the daily diet: vegetables( especially beetroot, pumpkin, zucchini), any greens, fruits( prunes are especially useful), bread( coarse varieties), dairy products, cereals.
The best prevention of any disease

The best prevention of any disease

When arthrosis is not recommended to tolerate excessive intake of salt and sugar.

And most importantly - with the slightest symptoms of the disease, the appearance of pain points under the patella, one should not neglect the approach to the doctor. Any disease, if it is timely and correctly diagnosed, is treatable.

Video - Patellofemoral arthrosis of the knee joint

med-shkola.ru

What is patellofemoral arthrosis of the knee joint?

patellofemoral arthrosis Orthopedists often diagnose patellofemoral arthrosis in the case when the patient is drawn due to pain in the knee joint.

Discomfort, soreness and other unpleasant sensations in the knee, which are irregular, are the main symptoms of the disease.

In the international classification of diseases, pathology is referred to as patellofemoral pain syndrome. Pain precedes normal arthrosis and is easily differentiated by physicians after establishing the causes of pain in the knee joint.

Causes of

Syndrome The most common cause of pain in the knee is the damage to the cartilaginous tissue in the patella.

Cartilages of the knee joint have the property of wear over time, resulting in a loss of natural cushioning. As a result, due to such a mechanical effect, true arthrosis develops.

In most cases, the pathological changes in the knee joint are initially manifested in the form of a patellofemoral syndrome.

Painful sensations occur in the anterior part of the joint. There is usually no inflammatory process at this stage.

Degrees of development of the disease

Three degrees of the disease are distinguished:

  1. At the first degree of , the disorder is an unformed disease. In this case, the cause of the syndrome is the usual overstrain or overstrain of the joint.
  2. If the pain does not disappear after a certain time, or if a trauma occurs, the doctors diagnose the patellofemoral arthrosis of the knee joint of the 2nd degree .This form of the disease is inherent discomfort in the patellofemoral arthrosis of the 2nd degree front of the knee joint. The patient may complain of acute or prolonged pain, giving up the degree of severity of the pain syndrome. Pain is a dependent phenomenon and appears after excessive stress on the joints during heavy training, after running, frequent descents and ascents on the stairs, after dragging heavy weights, etc. In a calm state, the pain senses disappear.
  3. The third degree of the disease is characterized by dystrophic changes in the cartilaginous tissue. On the X-ray, narrowing of the lumen between the bones of the joint is well observed. With the third degree of , the syndrome of the complex therapy, including the passage of various physiotherapy procedures.

Clinical picture of

Patellofemoral syndrome is often a precursor of arthrosis of the knee joint.

The pathological process develops against the background of excessive loads on the joints or is the result of injuries, which often occurs in athletes( runners, skiers, etc.) and elderly people against the background of aging. After the trauma the structure of the joint undergoes changes, because of what the pathology develops.

The main clinical sign is drawing pains that increase with prolonged walking, climbing the stairs, in a position where the person keeps his knees bent for a long time.

Sometimes during movement, the pain syndrome is accompanied by a crunch or a crash.

Diagnostic approach

The diagnosis is straightforward. A qualified physician conducts a diagnosis based on the history of the patient, patient complaints and examination of the limbs. The specialist probes the site, which disturbs the patient, as a result of which it is possible to accurately determine the localization of pain.

If the doctor assumes the presence of other, more dangerous pathological processes with similar symptoms, additional instrumental studies are prescribed:

  • magnetic resonance imaging of the knee;
  • computed tomography;
  • radiograph.

Treatment methods

A special technique for the treatment of patellofemoral arthrosis has not yet been developed. In some cases, it is enough to temporarily stop training and ease the load on the joints.

If the pain in the knee joint becomes permanent, the doctors resort to the following measures:

  • fix the patella with the help of a restorative orthesis or tutor;
  • recommend limiting the load on the knee joint;
  • is prescribed analgesic and anti-inflammatory drugs.

If the patellofemoral syndrome is a symptom of true arthrosis of the knee, the patient is prescribed

knee brace-supporting therapy with the joint use of non-steroidal anti-inflammatory drugs and glucocorticosteroids for direct administration to the affected area.

In some cases, the disorder begins to progress, resulting in severe pathologies in the form of all kinds of deformities( eg, severe arthrosis).

In such a situation, therapeutic treatment of degenerative-dystrophic processes is carried out.

Patellofemoral syndrome, not burdened by other destructive lesions of the musculoskeletal system and not accompanied by clinical manifestations of arthrosis, usually disappears by itself.

In the presence of permanent painful sensations, the orthopedist can make a scheme of treatment using chondroprotectors for intraarticular administration.

If treatment does not give proper results for some time, the therapy used to treat arthrosis of the knee joint is indicated:

  • receiving analgesic nonsteroidal anti-inflammatory drugs;
  • use of special orthopedic devices that minimize the load on the knee joint;
  • knitting of fixing bandages;
  • exercises therapeutic gymnastics to strengthen the muscles of the joint.

In severe and neglected forms, surgical treatment is performed. Elimination of damaged cartilage with an arthroscope is called arthroscopy.

Surgical procedure is as follows: a small incision is made in the affected area, through which an arthroscope is inserted, after which the surgeon removes pathologically altered material.

Possible complications of

Syndrome causes difficulties in the performance of daily physical activity( for example, climbing the stairs), reduces the quality of life of the patient.

You can prevent disease!

Preventive measures aimed at preventing the development of the patellofemoral syndrome are as follows:

  1. Training of the leg muscles .Advanced musculature increases the stability of the knee joint.
  2. Body weight control .Excess weight is an additional burden on the lower limbs.
  3. Workout of knee joints before physical exertion.
  4. Purchase of quality and comfortable shoes , which will provide good cushioning and will cause discomfort when worn. With flat feet, it is better to buy orthopedic shoes, or use special orthopedic insoles.

Violation is not life threatening, but can significantly reduce its quality. At the first negative signs it is necessary to address to the doctor to exclude more serious diagnosis.

osteocure.ru

Patellofemoral arthrosis of the knee joint - treatment of

Patellofemoral arthrosis of the knee joint is not uncommon in the general structure of the degenerative-degenerative pathology of the musculoskeletal system. Quite often you can hear such a diagnosis from an orthopedic doctor, and also meet a similar name in the medical literature.

What is it?

Among the generally accepted classifications of diseases, there is only the term patellofemoral syndrome, which is considered not as a separate nosology, but as a component of osteoarthrosis of the knee. In this case, the destruction of the cartilaginous tissue of the patella develops, in which not only the dystrophic, but also the inflammatory processes are involved.

These changes may precede the characteristic lesion of articular knee surfaces, and also be their integral part.

The knee joint is in its structure a complex joint formed by three bones: except for the femur and tibia, the patella( patella), which covers the joint in front, also participates in its formation.

This structure allows you to protect the knee from possible damage, and when they occur, the first is the patellofemoral connection.

Symptoms of

The appearance of patellofemoral arthrosis or syndrome is most often associated with increased stress on the knee area, trauma and age-related changes in the cartilaginous tissue. This condition occurs, as a rule, in the elderly and athletes( jumpers, football players, skiers).The development of arthrosis changes is accompanied by the following symptoms:

  • Aching joint pain, which is aggravated by walking on the stairs, squatting, jumping, running, and also with prolonged flexion of the limb.
  • A crunch and a feeling of friction in the knee.
  • Stiffness in the joint, which passes after the movements.
  • Restriction of movements in the knee.

When examining, as a rule, special changes can not be identified, only sometimes you can notice some swelling. Characteristic data can provide palpation - there will be a pain on the sides of the patella, determined by its displacement.

In addition, unpleasant sensations can be provoked by a contraction of the quadriceps muscle of the thigh with a fixed knee cap. During the study of active and passive movements, difficulties in bending the limb are observed first.

Depending on the prevalence of the disease, it is possible to single out such clinical stages of its development:

  1. 1 degree is characterized by periodic sensations of fatigue in the knee, rare pains that are provoked by excessive stress on the knee.
  2. 2 degree is established with a longer character of the pain syndrome, when movement disorders begin to appear. There is stiffness in the joint, the symptoms disappear at rest.
  3. 3 degree is diagnosed in the case of severe and persistent pain in the knee, the inability to perform certain types of movements.

If there is a suspicion of patellofemoral arthrosis, it is necessary to consult a doctor, as further pathological changes will only progress, covering the entire knee joint.

Instrumental diagnostics

In terms of additional examination, the methods of instrumental diagnosis of arthrosis changes in the knee are used to help the clinician. Therefore, to confirm the diagnosis of patellofemoral syndrome currently used:

  • Radiography is the most accessible and widespread.
  • Computer tomography - if there is any doubt after the previous procedure.
  • Magnetic resonance imaging - to study the affected soft tissue of the knee.

Based on the results of the examination, one can say about the presence of characteristic signs of arthrosis:

  1. Narrowing of the joint gap between the patella and the femur.
  2. Formation of bone growths - osteophytes.
  3. Development of periarticular osteoporosis.
  4. Reduces the thickness of cartilaginous tissue.

Local radiologic manifestations will help confirm patellofemoral arthrosis and establish the stage of its development. You need to know this in order to subsequently form the necessary program for the treatment of the disease.

Treatment of

The appearance of the patellofemoral syndrome may be the first signal that more attention should be paid to the knee joint. If you do not visit a doctor in a timely manner, the symptomatology will only increase, which in the future will not allow the patient to do the usual things. Therapy of the disease should be comprehensive, involve multidirectional methods of therapeutic effect.

General recommendations of

Before starting therapy, it is first of all necessary to take seriously the general recommendations for osteoarthritis of the knee. They are aimed at eliminating the adverse factors that provoked the appearance of the disease. Therefore, patients with patellofemoral syndrome should observe the following rules:

  • Avoid increased stress and injury.
  • Fight excess weight.
  • Wear special orthopedic pads and bandages on the knee.
  • Adhere to a therapeutic diet.

Without their implementation, it will be extremely difficult to achieve maximum effectiveness from therapy.

Medication Therapy

The complex of treatment necessarily includes medicines. They are called to stop the exacerbation of the disease, eliminate its symptoms and normalize the disturbed relationships in the biochemical processes of bone and cartilaginous tissue. Apply such drugs:

  1. Painkillers and anti-inflammatory( Diclofenac, Nimesil, Celecoxib).
  2. Chondroprotectors( chondroitin and glucosamine sulfate).
  3. Hormones and local anesthetics administered intra-articularly.
  4. Preparations of calcium and vitamin D( Calcemin).
  5. Means that improve microcirculation( Pentoxifylline).

Only a doctor can recommend these or other medications - their unauthorized use is unacceptable!

Physiotherapy

Means of physical impact can help in the elimination of exacerbation of pathology. They have anti-inflammatory, analgesic effect, relieve muscle spasms, improve blood circulation. The use of such procedures will be justified:

MedOtvet.com

Patellofemoral arthrosis: diagnostics and therapeutic procedures

There is no such diagnosis as patellofemoral arthrosis in the international classification of diseases. There is a patellofemoral syndrome. However, the term is often used in domestic and foreign specialist literature. That is, patellofemoral arthrosis is the same as patellofemoral syndrome.

Clinical picture of

Osteoarthritis of the knee joint often begins with a patellofemoral syndrome. The same syndrome is observed if a certain part of the body is subjected to excessive load or there are repeated injuries associated with the performance of physical exercises.

The main symptoms are as follows:

  • stiffness in the kneecap( on the inner or front side);
  • pain on the front side of the knee joint, increasing with additional load( climbing or descending the stairs, running, squats, jumps, etc.);
  • increased pain in sitting position with bent legs.

Patellofemoral arthrosis: diagnosis

Pain syndrome develops between the surfaces of the patella joint and the adjacent part of the thigh. At the same time, there are no inflammatory phenomena in this area.

Patellofemoral syndrome in initially healthy people is diagnosed clinically. Visual and laboratory studies, as a rule, are not required. The patient is offered to lie on his back and relax the knee joints. With one hand, the doctor moves the patella inward, and with the other hand, from the inside, palpates under the edge of the patella. Thus there are painful points. Then the procedure is repeated, shifting the patella outward and palpating under its outer edge.

Pain may also appear when the hamstrings contract with the retention of the patella from upward movement.

Therapeutic procedures for patellofemoral syndrome

This pathology does not require special treatment. Nevertheless, if the pain interferes with the movement, it must be fought with. In the therapy of patellofemoral syndrome, the following procedures take place:

1) Decreased physical exertion. The patient should choose a level of activity that does not provoke pain.2) When performing physical exercises, you can use a soft bandage on the knee joint area, which will fix the patella.3) The pain after a long load on the knee facilitates the ice.4) In acute pain( when the patellofemoral syndrome is a symptom of arthrosis of the knee joint), an accurate introduction of a mixture of anesthetic and glucocorticosteroids into painful points is practiced. This technique will help relieve pain in this area and avoid further use of anti-inflammatory drugs. The injection is made under pressure on the fibrous tissue. This helps to secure the capsule of the joint at the edge of the patella. When inserting the needle, you must not allow the entry into the joint cavity( such an injection would be useless).

As already mentioned, the patellofemoral syndrome can accompany more serious pathologies. Such as valgus or varus deformity of the knee joint, as well as instability of the patella. If there are degenerative-dystrophic changes in the knee joint, then methods of treating arthrosis of the knee joint are used.

If the patellofemoral syndrome is not a symptom of other diseases, it can pass on its own while following the basic procedures. If the pain does not last a long time, chondroprotectors are prescribed intra-articularly. Often this syndrome is "capricious": a person feels pain, then does not feel it. But to ignore the appearance of painful points near the patella is not worth it.

opozvonochnike.ru

Types of arthrosis of the knee joint - how to discern and what to do

Types of arthrosis of the knee joint

What are the types of arthrosis diseases.

Post-traumatic

Posttraumatic gonarthrosis can occur due to chronic trauma to the knee joint, as well as due to its acute mechanical damage. Osteoarthritis of the knee joint, as a rule, occurs after 5-6 years after injury, but changes in the joint may appear earlier - 2-3 months after injury. The trauma can be both a dislocation and fracture of the knee, and jamming, tearing and tearingmeniscus with wedging of the knee joint, as well as damage to the cartilage and ligament apparatus. Light and minor injuries rarely become a source of serious problems, but they can lead to the development of aseptic( avascular) necrosis of the condyle of the hip and tibia.

Subsequently, all this can lead to post-traumatic gonarthrosis with all its characteristic manifestations. Most often, the cause of gonarthrosis in patients of middle and young age is instability of the knee, caused, as a rule, by its significant damage. In addition, such frequently used measures for post-traumatic joint stabilization, as reconstruction of its ligamentous apparatus, do not contribute to preventing the development of deforming arthrosis, but, on the contrary, increase uncontrolled physical exertion and joint overload.

Source gryzha-lechenie.ru

Arthritis arthrosis of the knee

A - Osteoarthritis. Deformation of articular surfaces. B - Arthritis. The growth of the synovium and the accumulation of fluid. Most often the knees begin to hurt like without any apparent reason. However, with careful questioning, the patient notes that he either went too long, or suffered something heavy, or lately gained weight, or simply stumbled, etc. But, since the knee joint is a supporting one, any of the above causes lead to its overload and, as a consequence, to the disturbance of microcirculation in the soft tissues of the joint, which causes the development of stagnant phenomena, i.e.swelling that leads to pain. And this condition is the exact name - arthritis of the knee joint( from the Greek arthron - joint + -itis - inflammation).

On the roentgenogram, as a rule, bone changes are not detected or expressed minimally, joint gap, i.e.the distance between the articular surfaces of the bones is not changed. You can argue, they say, the load was not great. For information, the biggest burden for the joints of the lower limbs is the movement of the weight of one's own body in space without outside help. We need to prepare for any load, i.e.train your muscles. And how long have you been crouched for the last time, at least 300-400 times a day? In this case, the function of the knee joint, i.e.the volume of movements in the joint is limited due to soft tissue edema and acute pain. Unfortunately, very often doctors resort to pumping out fluid from the joint in order to reduce swelling, repeatedly penetrating with the help of a needle and a syringe in the cavity of periarticular bags and the cavity of the joint space.

In fact, there is a struggle with one of the symptoms of inflammation, and not with its cause - impaired microcirculation in muscles and ligaments. Then the question arises: how much fluid must be pumped out in order not to harm and what kind of liquid is it: inflammatory exudate, lymph or normal synovial fluid? And after such manipulations, antibiotics and hormones are injected into the joint cavity. But in the beginning we agreed with you that arthritis of the knee joint is not an infectious process! Then why antibiotics? !As a result of this "treatment", dystrophic processes develop in the knee joint, which lead to abnormal rearrangement of the bone-cartilage apparatus of the joint, degenerative changes in the joint ligaments of the joint, and all this is accompanied by constant aching, dull, walking-obstructing pains that limit mobility in the knee joint. And these changes are called gonarthrosis, or arthrosis of the knee joint.

Thus, arthritis and arthrosis are different stages of one disease - degenerative process - degenerative process, in which, due to a malnutrition of the joint at the stage of arthritis, the pathological restructuring of its structures develops with a decrease in the joint gap, osteophyte overgrowth, deformation of articular surfaces, thinningarticular cartilage at the stage of arthrosis, followed by complete closure of the joint gap - the development of ankylosis of the knee joint with complete absence of movement in the joint. On what does the nutrition of the knee joint depend? All nutrients needed by the joint are delivered by blood, which circulates through the vessels.

Vessels, in turn, are in the muscles and ligaments, which are the most important components of the joint. Muscles, in addition to the motor function, also fulfill the role of blood pumps. They pump a huge amount of blood, providing nutrition to the knee joint and uninterrupted metabolism. If the muscles-pumps provide adequate blood flow, good microcirculation - the knee joint is healthy. If the microcirculation is disrupted as a result of deterioration of the muscles due to their atrophy - the joint turns out to be on a starvation ration and its slow dying begins.

Source kriosauna-kazan.ru

About what causes of arthrosis of the knee joint is better to read carefully.

To find out what exercises are needed for treatment here everything is told in detail.

Follow the diet for the treatment of arthrosis, for more details see the link http: //sustavprof.ru/lk/ vidy-lecheniya-pri-artroze-kolennogo-sustava.html

Acute arthrosis

Osteoarthrosis of the knee joint( gonarthrosis) is a degenerative-dystrophic disease of the knee joints caused by inflammation of the articular cartilage. It is the most common in the group of joint diseases. According to the World Health Organization, gonarthrosis affects every fifth inhabitant of the planet. In 10% of cases, it leads to disability.

Reasons for

There are several causes of the disease. The main ones are: a knee injury and repeated microtrauma are the most common causes of gonarthrosis;inflammation of the joint;Dysplasia and genetically caused changes in the knee joint. The risk group includes: Older people. With age, the elasticity of the articular cartilage decreases, its ability to self-repair is lost. After 50 years, the risk of getting gonarthrosis increases dramatically. Women are susceptible to this disease more than men. Especially often it develops after the onset of menopause.

Professional athletes and people whose activities are associated with constant high physical stress. Football players, tennis players, hockey players are subjected to frequent increased physical exertion, which very often leads to the development of such a disease as deforming osteoarthritis of the knee joint. People with overweight. With obesity, the load on the knee joints increases, which is what leads to their premature "wear".People with "weak" heredity. Hereditary disorders of connective tissue, mutations also lead to the development of the disease.

Source zdorovye-sustavi.ru

Patellofemoral arthrosis

There is no such diagnosis as patellofemoral arthrosis in the international classification of diseases. There is a patellofemoral syndrome. However, the term is often used in domestic and foreign specialist literature. That is, patellofemoral arthrosis is the same as patellofemoral syndrome.

Clinical picture

Osteoarthritis of the knee joint often begins with a patellofemoral syndrome. The same syndrome is observed if a certain part of the body is subjected to excessive load or there are repeated injuries associated with the performance of physical exercises. The main symptoms are: stiffness in the patella( on the inner or front side);pain along the front side of the knee joint, increasing with additional load( climbing or descending stairs, running, squats, jumps, etc.);increased pain in sitting position with bent legs.

Diagnostics

Pain syndrome develops between the surfaces of the patella joint and the part of the thigh adjacent to it. At the same time, there are no inflammatory phenomena in this area. Patellofemoral syndrome in initially healthy people is diagnosed clinically. Visual and laboratory studies, as a rule, are not required. The patient is offered to lie on his back and relax the knee joints. With one hand, the doctor moves the patella inward, and with the other hand, from the inside, palpates under the edge of the patella. Thus there are painful points. Then the procedure is repeated, shifting the patella outward and palpating under its outer edge. Pain may also appear when the hamstrings contract with the retention of the patella from upward movement.

Source opozvonochnike.com

Two-way

There are other factors that adversely affect the health of knee joints: First, these are any damages resulting in posttraumatic arthrosis: ligament rupture, meniscus injury, hip fracture, etc.

Especially often such injuries happen to athletes. Secondly, the cause is a disease that causes destruction of cartilage, such as, for example, chondromatosis or arthritis. Thirdly, a person can be simply genetically predisposed to this disease.

Gonarthrosis is also common in people who are overweight, with varicose veins and in those who take drugs of a certain group for a long time. Two-sided gonarthrosis affects both knees at once.

This is what happens:

Blood circulation in small bone vessels disrupted,

This triggers a degenerative-degenerative process in the cartilage that begins at the molecular level,

Gradually the cartilages become less dense and elastic, while gradually becoming turbid, delaminating and cracking andcavities,

The result of this process is partial or complete disappearance of the cartilage and exposure of the bone lying beneath it.

Any motor activity thus causes difficulties, since it is associated with painful sensations.

Further development of the disease leads to tissue damage around the joint. The synovial membrane becomes inflamed, and the fluid it produces loses its functionality. Thickening of the joint capsule. Osteophytes appear on bare bony surfaces - bone spines, which cling to each other during movement, further complicating it. Moreover, with the development of the disease, the muscles around the joint also atrophy. There is a contracture - the inability to fully bend or unbend legs. This leads to almost complete immobility of the knee joint.

In complex cases, full fusion of bones may occur. How does the disease manifest at different stages? There are three stages of development of gonarthrosis: Disease of the 1st degree is characterized by slight discomfort and weak pain in the knee joints with long walking and physical exertion. Sometimes the area of ​​the joints can swell, recovering from rest.

Stages of development of

Two-sided gonarthrosis of the 2nd degree is associated with stronger and prolonged manifestations: "creaking", "crunching", "starting pain", which occurs with prolonged rest and passing over time;stiffness of movements and increase in the size of knee joints. When the disease of the third degree becomes pronounced contracture, joints are deformed, legs are bent and the gait is disturbed. Acute pain accompanies the patient both in motion and at rest, which often leads to sleep disturbances. In addition, sick joints react sharply to weather changes.

sustavprof.ru

Treatment of joints

Treatment of jointsOsteoarthritisOsteoarthritis

What is arthrosis of the jaw joint and how this ailment to treat Arthrosis is a fairly well-known disease that affects the cartilage tissue of various joints. The initial stage is characteriz...

Read More
Treatment of joints

Treatment of jointsOsteoarthritisOsteoarthritis

Unco-vertebral arthrosis of the cervical spine: symptoms and treatment Deforming or unco-vertebral arthrosis of the cervical spine is a lesion of the joints of the spine and intervertebral disc...

Read More
Treatment of joints

Treatment of jointsOsteoarthritisOsteoarthritis

Symptoms and treatment of arthrosis of the jaw joint Maxillofacial, or as it is defined by the reference books of the anatomy, the temporomandibular joint, is a "two-storeyed" joint, and is for...

Read More