Deforming gonarthrosis (arthrosis of the knee joint) – this disease in the hyaline knee cartilage caused by inflammatory, degenerative-degenerative process. This disease refers to the condyle tibial and femoral bones.
Osteoarthritis of the knee completing the joints develops slowly. The primary symptoms of this disease – pain and stiffness of movements. This version of arthrosis, as gonarthrosis, is the most common in comparison with other species (arthrosis of phalanges of the fingers, osteoarthritis in the hip, ulnar or shoulder osteoarthritis).
Manifested this disease most often in people of middle age (40-45 years), predominantly in women. The cause of osteoarthritis in young people, can be of any serious injuries or severe burden (e.g. in athletes).
The causes of arthrosis of the knee joint
The reason for the occurrence of deformation of the flow of arthrosis of the joints can not be one, usually it's the totality of the circumstances and of many catalytic factors, which eventually lead to the development of the disease. In medicine, the causes of arthrosis divided into:
- primary;
- secondary.
Primary osteoarthritis develops in older people due to natural aging (deleting) cartilage tissue of the organism, together with the related complications. In a number of complications include such problems as:
- hereditary pathology;
- reinforced load on the joints are in the course of life;
- obesity (10% of cases).
The secondary deformavit osteoarthritis include 30% of all cases of the disease in the knee iuncturam. This form of arthritis develops as a result of various delegated injuries:
- damage to the meniscus;
- fracture of the tibia;
- rupture of ligaments;
- with significant bruising and pain of the knee Cup.
The symptoms of secondary osteoarthritis is manifested with a delay – after 3-4 years, however, when serious injuries symptoms of the disease are detected by 3-4 months.
At the risk of gonartrózaa are the people who after 40 years are beginning to actively engage in sports or other physical activities. Running, squats or push-ups give you more work-worn-out the age of the joints. Such pursuits can lead to the rapid development of degenerative and degenerative processes in the joints.
There are many cases of development of arthrosis in the soil, they are available in a patient, associated diseases:
- disease ankylosing Spondylitis;
- rheumatoid, psoriatic, or reactive arthritis;
- dna;
- varicose veins;
- overweight (obesity).
The reasons for the development of the deformation of the flow of arthrosis directly in the knee joint include:
- regular heavy physical activity;
- lifting weights;
- frequent climb stairs;
- professional sports;
The risk of such a diagnosis as gonarthrosis, increases, if they are in a patient identified injury to the vertebrae separation of the bones, various neurological disorders, metabolic disorders, diabetes and (3-5%) of the cases, a genetic predisposition, conditioned weakness of the ligamentous apparatus.
Often (50-60%), the development of the deformation of the flow of arthrosis of the knee joint occurs as a result of muscle spasms, on the front side of the thigh. Such a spasm is manifested up to the moment of painful sensations in the knees. Inconvenience is a weak pain in the lower back, heaviness in the legs and fatigue.
If the iliac-lumbar and a direct muscle of the thigh are still in a state of spasm, with age, the patient develops a "contraction" of the knee, which greatly limit the musculoskeletal system function.
The latest discovery of scientists
The belgian orthopedic surgeons of the city of Louvain (leuven) has recently discovered a previously unknown and completely studied the a bunch of ALL, which localized in the human knee. This volume was awarded the title "front-side" or "anterolaterala".
The research, which lasted for a period of 4 years, were confirmed by the rare cases, when patients after successful surgery due to a tear of the ligaments or injury to the knee, feelings of pain during physical exertion are not lost, and was the observed instability of the knee completing the joints.
In research were involved in about 40 of patients, which allowed to detect this the best of the bunch, about which the medical not data at all. As it turned out, the main function of anterolaterala ligaments are rotational movements of the tibial bone.
When a knee injury dr. they didn't even know about the necessity of its correction in the course of surgical operations.
Classification of deformation of the flow of arthrosis of the knee joint
Often the disease develops only in one knee joint. Whereas, the intensity of development of pathological processes, issued by doctors 3 degrees gonartrózaa:
- The first stage of arthrosis of the knee does not mean deformavit changes, but are characterized by recurring feelings of pain after exertion on an articulated arm. Sometimes it is noticeable slight swelling of the joint, disappearing themselves.
- When osteoarthritis of the knee joint in the second degree the symptoms of the disease significantly worse. Pain syndrome is manifested already after a small physical burden. Walking, lifting weights cause prolonged and intense feelings of pain, patients appear characteristic knee crunching. Probably the occurrence of a slight deformation of the joint and mild limitation in motion.
- In the third degree of deformation of the flow of arthrosis of the knee completing the joints occurred, the maximum disclosure of the symptomatology of the disease. The patient is disturbed, the walking, the significant deformation of the joint and severe functional limitation of movements. Feelings of pain are getting worse depending on the weather conditions, a limited joint reaches up to the maximum points. The pain is so severe that the patient cannot find a situation in which it would be reduced, sleep is disturbed.
What can confuse osteoarthritis of the knee finishing the joints?
There are several diseases similar in their eyelashes with knee joint arthrosis suffer from:
Blockade of the knee joint and the blockade of the meniscus. This disease develops very quickly. In a sharp movement arises crunching in the knee, accompanied by a seizure acute pain, which passes 10-15 minutes. A day later form the swelling of the patella.
Different types of arthritis (rheumatoid, psoriatic, reactive), articular rheumatism, disease Bechterew's, dna. To distinguish these diseases from arthritis is possible using a blood test.
Inflammation of the tendons of the knee. Such disease affects mostly women after 40 years. Feelings of pain arise when lifting weights or descending stairs. The pain covers the inner surface of the knees, but the functionality of the joint is not limited.
Vascular pain in the knee joints. Is it symmetric defeat of joints, which includes both knees at the same time. It occurs mainly in the young generation due to the accelerated growth of bones. Painful celebrated:
- in changing weather conditions;
- for colds diseases;
- during the physical exertion.
It is defined as a headache ("twist).
Symptoms of deformation of the flow of the knee arthrosis in the phase
In the first phase of the affected knee joint on the external characters do not differ from the healthy.
- Sometimes in the vicinity of the lesion is possible to observe a slight swelling.
- In the rare cases in iuncturam there was accumulation of fluid, and it strongly swells, taking the spherical form.
- Develops synovitis.
- Is limited functionality of the joint.
- Is present a feeling of heaviness.
What is it caused?
In the initial stage of development of arthrosis in the joint leads to violation of the small and the inside of the bone blood vessels and blood circulation in general, on which depends the nutrition of the hyaline cartilage.
In a further development of the disease (second stage) the symptoms intensify. Pain is defined in the front-inner side of the completion of the joints and troubled, though not a large load, retreating in calm and come back at the slightest movement.
When deforming arthrosis of the knee completing the joints of the third degree observed significant deformation of the articular bone. They are pushing into each other, the cartilage of the fabric is almost destroyed, functional limitations is escalating. Painful is not on the wane, even for a minute, regardless of the voltage or state of peace, in which is situated the hang of it. Flexion and extension of the limbs difficult.
Joint strongly deformed, legs bent at the O - or X - shaped, the gait becomes unstable. Quite often, the patient has to move with the aid of crutches or sticks.