Deformation of gonarthrosis (knee osteoarthritis) – a disease in the mirror smooth knee joint cartilage due to inflammatory, degenerative-dystrophic process. This disease involves the tibia to the centre of the knee, or the thigh bone.
Arthrosis of the knee joint develops slowly. The primary symptoms of the disease, the pain, stiffness. This kind of arthritis than osteoarthritis, the most common, compared to other types (arthrosis of phalanges, hip joint arthrosis, elbow, shoulder arthrosis).
This disease manifests itself most often in middle-aged (40-45 years), mainly women. The cause of osteoarthritis young people can serve any serious injury or large load (e.g. athletes).
The causes of knee osteoarthritis
The reason for deforming arthrosis of the joints can not be, and generally the entirety of the circumstances, and the many catalytic factors, which eventually develop the disease. In medicine, the causes of osteoarthritis are divided into:
- primary;
- secondary.
Primary arthritis develops in older people due to natural aging (erase) the cartilage tissues of the body the together with the accompanying complications. Among the complications include problems such as:
- hereditary pathology;
- the increased stress on the joints, the entire life;
- obesity (the 10%).
Deformavit secondary arthrosis of 30% of all cases of disease of the knee iuncturam. This form of osteoarthritis develops as a result of various injuries:
- damage to the meniscus;
- fracture of the tibia;
- the torn ligaments;
- little pain in the kneecap.
The symptoms of secondary osteoarthritis seems very late – after 3-4 years, however, severe injuries symptoms of the disease appear after 3-4 months.
The risk for the development of gonarthrosis includes the people who after 40 years are getting to sport or other physical activity. Running, squats, or push-UP gives you extra work worn joints with age. Such studies may lead to rapid development of degenerative and dystrophic processes in the joints.
There are cases of development of osteoarthritis on the basis of the existing patient comorbidities:
- Bechterew's disease;
- rheumatoid, arthritis or reactive arthritis;
- gout;
- varicose veins;
- overweight (obesity).
The reasons for the development of deforming arthrosis directly into the knee joint are the following:
- regular heavy physical exertion;
- weight lifting;
- common to climb the stairs;
- pro sports;
The risk may be diagnosed as gonarthrosis, increases, if the patient is found injuries, spine division, the bones, the different nervous system diseases, metabolic diseases, 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 due to muscle spasm anterior surface of the thigh. Such spasm is not clear, until the occurrence of a sore knee. Discomfort is mild pain in the lower back, heavy legs, fatigue.
If the hip-lumbar straight and your thigh muscle or in the unaltered state, the spasm, the age of the patient will develop "contraction" of the knee, which significantly limits the motor function.
The latest discovery scientists
Belgian orthopedic surgeons in the city of Leuven have recently found a previously unknown, and not at all studied a lot, which is localized in the human knee. This package is named "first page" or "anterolaterala".
The study, which lasted 4 years, confirmed in the rare cases when the patient's successful surgery, torn ligaments or knee injury, pain during exercise is not missing, and the observed instability of the knee joint.
The research carried out by experts from 40 patients, which made it possible to detect the team, which the doctors had no data at all. As it turns out, the main function of the ligaments anterolaterala rotation movement of the tibia bone.
When injury knee doctors don't know how necessary the correction during surgery.
Classification of deforming arthrosis of the knee joint
Often, the disease develops only on one knee. Since the intensity of the development of the pathological process, medical doctors allocated to 3 degrees of osteoarthritis:
- The first degrees of knee osteoarthritis does not entail deformavit changes, however, is characterized by recurrent pain after load on the joint. Sometimes show mild swelling of the joint, disappearing on their own.
- When the knee, in the second stage, the symptoms of the disease increases significantly. Pain syndrome seen after a little exercise. Walking, weight lifting, because of the prolonged, intense pain, the patient's typical knee crunch. Probably the appearance of easy deformation of the joint mild limitation of motion.
- The third stage, the deformed arthrosis of the knee joint have maximum publicity, the symptoms of the disease. The sick, disturbed gait, expressed as a deformity of the joint, and significant functional limitation of motion. The pain worse, depending on weather conditions, a limited joint reaches the maximum point. The pain is so strong that the patient cannot find a position in which he fell, disturbed sleep.
What disturbs osteoarthritis of the knee articulation?
More diseases with similar symptoms of knee osteoarthritis:
Blockade of the knee joint and the blockade of the meniscus. This disease develops rapidly. A sharp movement there is a crunch in the knee accompanied by a sharp pain that goes through 10 to 15 minutes. A day later a swelling formed on the patella.
Different types of arthritis (rheumatoid arthritis, reactive), articular rheumatism, ankylosing spondylitis, gout. To distinguish these diseases osteoarthritis using the blood.
The tendons inflammation of the knee. This disease affects mostly women after the age of 40. Pain occur when you lift or down the stairs. The pain extends to the inner surface of the knee, but the function of the joint is not limited.
Vascular pain in the knee joints. This is the symmetrical involvement of joints, in which both knees at the same time. This occurs mostly in the young generation, because of the accelerated bone growth. Pain syndrome says:
- the change in the weather conditions;
- colds;
- during exercise.
Defined as a nagging pain (twisting).
The symptoms of the deformed knee joint arthrosis stages
In the first stage, the affected knee joint to the appearance of different nothing healthy.
- Sometimes the area of injury may be mild swelling.
- In rare cases, iuncturam observed build-up of fluid, swells to a spherical shape.
- Synovitis develops.
- Forbidden the function of the joint.
- There is a sense of gravity.
What's the reason?
In the initial stages of the development of arthrosis of the common violations of the small intra-bone vessels, and the circulation in general, which depends on the nutrition, the üvegporc.
The further development of the disease (second stage), the symptoms have intensified. The pain is determined by the anterior-internal side of the articulation worry, it's still a big load, they retire to rest, and then go back to the slightest movement.
When deforming arthrosis of the knee joint and the third degree of a significant deformation of the bones of the joints. They pressed each other, cartilage is nearly destroyed, the limited functionality enhanced. Syndrome pain goes away for a moment, regardless of the tension or relaxed state, in which the joint. Bending means, the limb is difficult.
The joint is severely deformed, his legs bent at the O or X-shaped, gait becomes uncertain. Often, the patient has to walk with crutches or a cane.