Deforming gonarthrosis (osteoarthritis of the knee) – a disease in the hyaline knee cartilage due to inflammatory degenerative-dystrophic process. This is a disease includes the tibial condyle and the femur.
Arthrosis in the knee is developing at a slow pace. The primary symptoms of this disease is pain and stiffness. This is the type of arthritis, such as osteoarthritis, is the most common when compared with other types (arthrosis of phalanges, hip arthrosis, knee, or shoulder arthrosis).
This disease is seen most often in middle-aged (40-45 years old), especially among women. The cause of osteoarthritis in young people, you can serve any kind of serious injury, or a heavy load (e.g. athletes).
The causes of osteoarthritis of the knee
The cause of deforming arthrosis of the joints is possible, but usually it's the totality of the circumstances, and the great cat of the factors that will eventually lead to the development of the disease. In medicine, the causes of osteoarthritis are divided into:
- the primary data;
- in the secondary.
Primary osteoarthritis develops in older people due to natural aging (deletion) of the cartilage tissue in the body, in conjunction with the accompanying complications. Among the complications, include problems, such as the following:
- the hereditary pathology;
- the enhanced stress on the joints throughout life;
- obesity (in 10% of cases).
Deformavit secondary arthrosis will be 30% of the total cases of the disease in the knee iuncturam. This form of osteoarthritis develops as a result of a variety of injuries:
- damage to the meniscus;
- a fracture of the tibia;
- the torn ligaments;
- bruising and pain in the kneecap.
The symptoms of secondary osteoarthritis seems to be a very late stage – after 3-4 years, however, serious damage to the symptoms of the disease, which can occur after 3-4 months.
At the risk of the development of gonarthrosis include the people who, after 40 years, they have begun to get involved in sports or other physical activities. Running, squats, or push-UPS to further the work of the worn joints with age. In this study, could lead to the rapid development of the degenerative and dystrophic processes in the joints.
There are also examples of the development of osteoarthritis on the basis of the existing patient comorbidities:
- Bechterew's disease;
- rheumatoid, psoriatic, or reactive arthritis;
- gout;
- varicose veins;
- excess weight (obesity).
The reasons for the development of a deforming arthrosis directly into the knee joint include the following:
- periodic heavy physical exertion;
- the raising of weights;
- frequent climbing up and down stairs;
- a semi-professional sport;
The risk is that it will be diagnosed as gonarthrosis is increased if the patient is found an injury to the spinal division of the bone, a variety of neurological diseases, metabolic disorders, diabetes mellitus (3-5%) genetic predisposition due to the weakness of the ligamentous apparatus.
Often (50-60%) the development of deforming arthrosis of the knee joint is due to muscle spasm anterior surface of the thigh. This spasm is not evident until the occurrence of the pain in my knees. Features include mild pain in the lower back, heavy legs, and fatigue.
When the iliac-lumbar straight and the thigh muscles are in a constant state of spasm, with age, the patient will develop a "contraction" of the knee, which will be considerably restricted motor function.
The latest discovery of the scientists
The orthopedic surgeons of the city of Leuven have recently found a previously unknown and totally unable to study a bunch of it ALL, which is localized in the human condition. This bundle has been referred to as the "front side" or "anterolaterala".
In the study, which lasted for 4 years, they have been confirmed in a few cases, when patients after successful surgery for the torn ligaments or trauma to the knee, and the pain during a workout does not go away, and observed for instability of the knee joint.
The survey was carried out by the specialists of the 40 patients, which led to the discovery of a bunch, which the doctors did not have the data. As it turns out, the main function of ligaments are to anterolaterala the rotational movement of the tibial bone.
When a knee injury the doctors were not at all aware of the necessity of its correction at the time of operation.
The classification of deforming arthrosis of the knee joint
Often, the disease occurs in just one knee. Depending on the intensity of the development of pathological processes, physicians will be assigned to the 3 degrees of osteoarthritis:
- In the first stage of osteoarthritis of the knee does not mean that the deformavit changes, however, are characterized by recurrent pain, according to the load on the joint. Sometimes, show the slight swelling of the joint, disappearing on their own.
- When the knee is in the second stage, the symptoms of the disease, is increasing significantly. The pain syndrome has been seen after a small workout. Walking and weight lifting cause a long-lasting and severe pain, the patient has the typical knee crunch. Probably, the appearance of easy deformation of the joint, and slight limitation of motion.
- In the third stage of deforming arthrosis of the knee joint is the largest disclosure of the symptoms of the disease. The patient has a disturbed gait, a marked deformity of the joint, and significant functional limitation of motion. The pain continued to get worse, depending on the weather conditions, a limited joint reaches its highest point. The pains are so severe that the patient is not able to find a position in which he fell, or sleep disorders.
What may be of confusion for osteoarthritis of the knee articulation?
There are a number of diseases with similar symptoms to osteoarthritis of the knee:
The lock-on condition, and the blockage of the meniscus. The disease develops rapidly. With a sharp movement of the crunch in the knee, which is accompanied by a sharp pain that goes through 10 to 15 minutes to complete. A day later, a swelling occurred in the patella.
A variety of types of arthritis (rheumatoid, psoriatic, reactive), articular rheumatism, ankylosing spondylitis, gout. To differentiate these diseases, from osteoarthritis by means of a blood test.
Inflammation of the tendons of the knee. This disease primarily affects women under the age of 40. The pain may occur after lifting or dropping down a flight of stairs. The pain, that covers the inner surface of the knee, however, the functionality of the joint is not limited.
The vessel of the pain in the knee joints. It is a symmetrical involvement of the joints, which cover both knees at the same time. It occurs mainly in the young generation, because of the acceleration of the growth of the bones. The pain syndrome of the right:
- with the change in weather conditions;
- colds;
- during a training session.
It is defined as a nagging pain (rotation).
The symptoms of a deforming knee arthrosis in the stages of the
In the first phase of the affected knee joint by the appearance of the different scratch of the sound.
- Sometimes, in the area of the injury, you may notice mild swelling.
- In a few cases, iuncturam observed a buildup of fluids, it swells, having a spherical shape.
- Synovitis develops.
- The limited functionality of the joint.
- There is a sense of weight.
What is the reason?
In the early stages of the development of arthrosis in a joint is a violation of the small, within bone, blood vessels and blood circulation in General, which is the subject of the nutrition of hyaline cartilage.
With the further development of the disease (second stage), symptoms are intensified. Pain has been defined in the anterior-internal side of the articulation, and the concern, even at high load conditions, giving way to a period of rest, and I'm going to go back at the slightest movement.
When deforming arthrosis of the knee joint of the third stage it is important to strain the bone joint. They are pressed to each other, cartilage is nearly destroyed, reduced functionality, has been improved. Syndrome, the pain of the lost, for the moment, no matter the tension or relaxed state, in which the joint. Flexion and extension of the limb is difficult.
The joint is greatly deformed, his legs are bent at the O - or X - shaped, the walking becomes unstable. Very often the patient had to walk with crutches or a stick.