Polyosteoarthrosis the presented process, which causes degenerative transformation etraordinary damaging a certain number of articular joints. Pathology has a gradual onset, beginning in causing the development of primary degenerative phenomena in chondrules fabric atrocinerea
Then formed bony outgrowths (osteophytes), and in the final stages against the background of missing or inadequate treatment, deformation of the articular joints (deforming polyosteoarthrosis).
According to ICD-10 pathology is a group of pathologies of the musculoskeletal system and connective tissue.
The main reason for the formation of the disease – increased mechanobiology to articulate the joint. Initially, this situation provokes the development of degenerative damage chondrules tissue, and further, due to the increased load triggered destructive processes.
To high loads also joins the uneven redistribution in the plane of the cartilage can be formed, deforming polyosteoarthrosis. On a specific part of the cartilage occurs the maximum convergence of the articular surfaces. At this point and run postprocess.
In certain embodiments, the pathology is caused by transformations of the physico-chemical characteristics chondrules fabric ultraedition. This as a result of concussions, injuries, disorders gameovermenu in the vascular network that feeds oxygen controlnow fabric. Due to the mechanical effects of even slight fiznagruzki is able to provoke damage.
Precipitating factors that may cause the transformation of the physico-chemical characteristics of cartilage are:
Hereditary tendency to osteoarthrosis and polyosteoarthrosis provocative is a significant fact in its formation.
The disease is classified primarily by location. Sometimes affects the articular joints of the hands, feet, spine.
Form bone spurs happen:
- Deforming nodular. Damaged small ultraedition limbs arise visualized deformation due to the development of nodules Bouchard and Heberden.
Intensity symptomatic of the painting there are forms:
The first option provides for the development of pain that occurs rarely and which is short in nature, or even without pain. In ultraedition you can auscultate some crunch. On the phalanges of the upper and lower extremities are sometimes visualized nodules. Patients can experience a twitching of the muscle groups in the calf region. Often, this form is observed in young adults, mainly among them there is a loss of articular joints of the hands.
Overt form is slow-flowing and rapidly. During the first five years or more in a patient with the first option, there is no visualized manifestations of the disease. After a certain period of manifesting some signs.
With rapidly varieties, the patient complains of bright the beginning and development of postprocess for four years. Pain syndrome develops rapidly after performing motor acts, art rologichesky movement is rather limited, there is a formation of musculature atrophy.
Diagnosis and symptomatic manifestation
At the initial stage of formation of the pathology practically does not manifest itself. The initial visible signal of partprocess is the crunch in the articular joints, which appears at the time of the execution of different motor acts.
After increased physical activity lead to pain in ultraedition, however, at the initial stage they are not intense and pass more quickly. Gradually arthralgia intensifitsiruetsa, the duration of their increases. And their appearance is possible even after a minor physical activity. So over the pain syndrome is different from inflammatory Algi that are characteristic of arthritis.
At the last stage they even alone can occur, especially in evening and night period.
The polyosteoarthrosis can be primary or secondary. Here varies the nature of pain and the pathogenic mechanism. Primary (genuinny) species develop due to increased physical activity, affecting previously healthy arthrotomy.
The secondary option is formed on the background of andproblem: endocrine, veselnyh disorders or as a result of injuries.
Diagnosis possible at an early stage on the basis of x-ray data. In the picture is visualized indistinctly narrowing of artsel. Plane joints have a sharp border, which indicates the beginning of the formation of osteophytes.
To the basic clinical signs of osteoarthritis include:
- arthralgia in a standing position and while walking, intensifying at the end of the working day;
- pain in the beginning of the walk is more pronounced, gradually the patient begins to “reshayutsya”;
- mobility astroelite partially restricted a feeling of “locked joint”.
It often happens that the clinical symptoms and the details of the radiographs differ – pain may be present in the absence of transformations on renthenznimky.
In some embodiments, the process chondrules transformation can be visualized at contrast rentgenissledovany. The most accurate method of determining metabolic disorders in the cartilage scintigraphy of articular surfaces.