Deforming gonarthrosis (arthrosis of the knee) is a condition in which the hialina knee cartilage due to inflammatory and degenerative diseases degenerative process. It is a disease that covers the condyle tibia, and upper legs.
Osteoarthritis of the knee-articulation, which develops very slowly. The primary symptoms of the disease, the pain and stiffness of movement. This is the type of arthrosis, such as gonarthrosis, that is the most prevalent compared to other types of the osteoarthritis of the thumb, fingers, osteoarthritis in hip, elbow or shoulder, arthritis).
This disease manifests itself more frequently in people of middle age (40-to 45-years-old), particularly in women. The cause of osteoarthritis in young people it can be a physical injury or a heavy load (eg, in athletes).
The causes of osteoarthritis of the knee
The reason is deformed from the arthritis of the joints, it may not be the one, it is usually a set of circumstances, and that of many catalytic factors that over time lead to the development of the disease. In medicine, the causes of osteoarthritis are divided into:
- the primary;
- the secondary section.
The primary osteoarthritis develops in older people due to the natural aging process (erase) the cartilage and tissues of the body, in conjunction with the monitoring of complications. The number of complications, including problems such as:
- there must be an inheritance for the disease;
- increased, the load on the joints during a lifetime;
- to be obese (10% of the cases).
The secondary deformavit arthritis relates to the 30 per cent of all cases of the disease in the knee iuncturam. This form of arthritis develops as a result of the many who migrated from the injuries:
- injury to the meniscus;
- the fracture of the tibia;
- the rupture of the ligaments;
- the strong and the hurt and the pain in the patella.
The symptoms of osteoarthritis in the secondary manifests itself much later, after 3-4 years, however, the injuries are serious signs of the disease were detected by 3-4 months.
In the at-risk group for the development of the gonarthrosisa includes all persons who, after the age of 40, you begin to engage in sports or other physical activities. Running, sit-ups or push-ups give you some extra work you spend from the age of your pet. These classes can lead to a rapid rise in degenerative diseases and the degenerative processes in the joints.
It is not uncommon for the development of osteoarthritis in the soil that is available for the patient with co-morbidities:
- with the disease of Spondylitis;
- rheumatoid arthritis, psoriatic arthritis, or reactive arthritis;
- gout;
- varicose veins;
- excess weight (obesity).
The reasons for this development is deformed from the arthritis, directly into the knee joint include the following:
- regular, heavy physical activity;
- the lifting of a weight;
- frequently lifts for stairs;
- in professional sports;
The risk of such a diagnosis, such as gonarthrosis, is increased if the patient is detected in the lesions of the vertebral column, of the department of bones of a variety of neurological disorders, metabolism disorders, diabetes mellitus, and (3-5%) of all cases of genetic predisposition, due to weakness of ligamentous apparatus.
Most of the time (50-60%) deform to the development of osteoarthritis of the knee-joint is due to a spasm of the muscle in the front of the thigh. This is from, did not manifest itself until the time of the occurrence of the pain in my knees. The problems are low back pain, a feeling of heaviness in the legs, and fatigue.
If the lower abdomen-low back and directly to the muscles of the thigh, they are constantly in a state of spasm, the age of the patient, which will develop the "tightness" of the knee, which limits the physical function.
A new discovery by scientists
The belgian orthopedic surgeons in the city of Leuven, recently, it has been discovered heretofore unknown, and not studied the port-ALL, which is located in the human knee joint. This has been referred to as "unit consumption" or "anterolaterala".
The survey, withdraw from the contracts over the course of 4 years, and have been committed to the rare cases, when patients after an extensive surgical operation due to a rupture of the ligaments or injury to the knee, and pain during exercise has not gone away, and it was found to be the instability of the knee joint.
The study involved about 40 patients, which allowed us to experience this to the same port on which the medicine has not been of the to data in general. As can be seen, the primary function of the anterolaterala the joints are rotational motion of the tibial bone.
When the injury to the tribe of the doctor has not yet come to realize the need for their correction, for the surgery.
Rating deformed from arthritis of the knee
Often, the disease develops in only one knee. Considering the intensity of the development of the pathological process, and all the doctors include a 3-level gonarthrosisa:
- The degree of osteoarthritis of the knee, it does not imply deformavit changes, however, are present in the characteristic flicker of pain, then the loads on the joint. At times, it manifests itself is easy, the swelling of the joint, passes it by yourself.
- When osteoarthritis of the knee-joint of the second degree, the symptoms of the disorder have significantly worsened. Point is, the syndrome manifests itself after a little physical exertion. Walking, weight lifting, lead to a long and intense feelings of pain, and the patient is given the characteristic of the knee in a crisis. It is likely that there will be an easy deformation of the joint, and with a minor restriction of movement.
- In the third-grade deformed from arthritis of the knee joint can occur for a maximum dissemination of the symptoms of the disease. The patient has a disturbed gait, pronounced deformation of the joint and severe functional limitation of motion. Sensations of pain are increased in accordance with the conditions and limitations of the joint comes up to the maximum number of points. The pain is so strong, that the patient may not find yourself in a situation in which she had fallen, disturbed sleep.
They are to be confused with the arthritis of the knee-joint?
There are a number of different diseases are similar in their symptoms, with the knee in osteoarthritis:
The locking of the knee-joint, and locking of the meniscus. This is the disease which develops rapidly. If a sharp move occurs, a crunch in his knee, accompanied by an attack of acute pain, which goes for about 10-15 minutes. Twenty-four hours after it is formed by the swelling of the stifle joint.
The various types of arthritis (rheumatoid arthritis, psoriatic arthritis, jet), rheumatism, joint disease, Spondylitis, gout. To distinguish this disease from osteoarthritis can be done by a blood test.
The inflammation of the tendons of the knee joint. This disease mostly affects women after the age of 40 years. The feeling of the pain will occur at the lifting or descending of the stairs. The pain covers the inner surface of the knee joint, but the functionality of the joint is limited.
Blood vessel pain in the knee joints. This is the symmetric defeat of joints, covering them both in the knees and at the same time. It occurs, but especially among the younger generation due to the rapid growth of the bone. Pain caused says:
- when there is a change in the weather;
- when you put;
- during the fiscal year.
It is defined as pain, aching (just hoping).
Semiology deformed from arthritis of the knee stage
In the first phase, allowing the knee joint of the external resource is not different from that of a healthy one.
- At times, in the wake of defeat, it is possible to notice a slight bulge.
- In rare cases, the iuncturam can occur as accumulation of fluid, and is highly inflated, for taking the globular form.
- Develop synovitis.
- It is limited to the functionality of the joint.
- The feeling of gravity.
That is due to you?
During the initial phase of the development of arthritis in a joint that occurs of the violation of the small intra-bone vessels and circulation in general, which is the power to hyaline cartilage.
The future course of the disease (second stage), the symptoms can be intensified. Pain is defined in the front side of the joint, and that bothers you, even when you are not a heavy burden, going back into a state of rest, and then back at the slightest movement.
When the deformation in the case of osteoarthritis of the knee-joint of the third degree, and there is a significant deformation of the joints of the bones. They pressed into each other, cartilagemWai screen is badly damaged, the functional limitation is further enhanced. The pain brought on is not to retreat, not even for a minute that, whether they are stressed or in a state of dormancy, in which it is located to the hinge. Flexion and extension of the limbs difficult.
The joint is strongly distorted, legs are bent - Over or X - shaped, the gait becomes unstable. Many times the patient has to be moved with the aid of crutches or a cane.