Osteoporosis of the hip refers to systemic diseases of metabolic disorders, which is characterized by a decrease in bone mass and a violation of its texture. This in turn leads to the fragility of the joint surfaces, as well as the tendency to fracture.
The disease takes the leading place among the pathologies of the musculoskeletal system. The most powerful joint in the human body is affected, bearing the main load.
Classification of the disease
There are primary and secondary osteoporosis. In its turn, the primary happens:
Secondary osteoporosis develops due to diseases of organs and systems. The reasons could be:
- Endocrine Rheumatism
- Digestive diseases
- Kidney Diseases
- Blood diseases
- Genetic predisposition
- Anorexia and malnutrition
- Medication( immunosuppressants, hormones, anticonvulsants, drugs containing aluminum)
- Dysplasiaof the hip joint.
The main symptom of osteoporosis of the hip joint is a decrease in bone density in all parts of the joint.
The clinical picture of the disease consists of the main groups of characteristic symptoms:
- Manifestations without pain syndrome associated with structural changes in bone tissue.
- Nonspecific pain syndrome of varying severity.
- Changes in the psycho-emotional sphere.
Patients may complain of fatigue, disability, irritability, depression. The peculiarity of the disease course is the absence for a long time of obvious clinical signs. A year before their appearance, weakness in the leg may appear.
Given that the hip joint is deep, doctors are oriented not only to local pain in the joint, but also to its irradiation. Sometimes pain in the knee is the first sign of the initial stage of the disease. Most typical for arthrosis is the irradiation into the groin area, the inner outer surface of the thigh.
Almost always there are muscular contractures, condensation of fascia. This leads to a violation of the venous outflow, which is associated with the arterial influx. This leads to ischemia of the hip joint. In the morning after rest the first movements in the hip joint are accompanied by pain. Already at the first stages of the development of osteoporosis inflammation of the synovial bag of the joint develops. MRI can detect this pathology.
Rehabilitation after hip arthroplasty
A uniform lesion of bone tissue is common - diffuse osteoporosis. This phenomenon is mainly age-related. A distinctive feature of it is the change in the structure of the entire skeleton, and not specifically a specific joint. The unofficial name for this pathology is glass osteoporosis.
In the early stages of the disease does not manifest itself, the bones gradually lose their density. Only in a neglected form on X-rays do bones look like translucent shadows. It is at this stage that the name justifies itself. Bones become brittle and can break from the slightest trauma.
Diagnosis and treatment
For an accurate diagnosis, the patients are examined, limb measurements, functional tests for the joint, x-ray examination of the joint, computerized tomography, MRI.
To carry out effective treatment, the pathogenesis of the disease development is taken into account. In the treatment of osteoporosis of the hip joint, three aspects are distinguished:
The first method is to treat a primary disease that caused osteoporosis. Symptomatic methods are mandatory in the treatment and prevention of primary and secondary osteoporosis. They include the maximum impact on risk factors, special exercises, the rejection of bad habits. Gymnastics should be based on the patient's condition.
If necessary, patients are offered to wear hip protectors at a high risk of fractures( reduced weight, hamster fractures in the history).Symptomatic treatment includes the use of analgesics, calcium preparations( especially during the formation of bone mass).
The tasks of pathogenetic therapy include the administration of drugs that restore the process of bone remodeling, which maintains the strength and integrity of the bone. The method involves the use of the following drugs:
- Slowing down bone tissue( bisphosphonates, calcitonin, estrogen preparations).
- Drugs that enhance bone formation( anabolic steroids, androgens, growth hormones).
- Exfoliating effect on bone tissue( vitamin D, osteogenone, calcium salts).
In addition to medicinal therapy, physiotherapy methods, acupuncture, and adequate nutrition are prescribed. It is necessary to treat osteoporosis complexly. Therapy is lengthy and may in some cases stretch for life.
In addition, we recommend reading the article about preparations for the treatment of osteoporosis.