Synovitis of the hip joint: treatment

Hip synovitis: symptoms and treatment

In the hip joint, there are often extensive inflammatory processes - coxites, affecting the tissues of ligaments, tendons, bags and synovial membranes.

Such inflammation is usually characteristic of arthritis of the hip joint.

A type of coxite - synovitis of the hip joint in adults is a phenomenon more rare than the synovitis of the knee joint.

Causes and types of hip synovitis

The causes of synovitis of the hip are mostly traumatic or infectious:

• Fractures, dislocations, bruises TBS.
• Bacterial and viral infections (streptococcal, staphylococcal, measles, chickenpox, influenza, parovirus, etc.).
• Specific infections (tuberculosis, gonorrhea, syphilis, brucellosis).
• Some intestinal and urogenital infections (salmonellosis, chlamydia, mycoplasmosis, helminthic invasions).

Aseptic synovitis of TBS

However, aseptic forms are also known when synovitis develops because of such systemic joint diseases as rheumatoid arthritis and Bekhterev's disease.

Lead to aseptic synovitis TBS can also:

• allergic arthritis;
• endocrine pathologies of the thyroid, pancreas;
• autoimmune diseases and metabolic disorders;
• peripheral nerve damage;
• congenital anomalies of joints (eg, congenital dislocation of TBS);
• toxic and chemical effects.

Primary and secondary synovitis

The synovitis of the hip joint can be primary and secondary (osteo-primary):

• primary is associated with rheumatoid or infectious arthritis;
• secondary - with processes occurring in the bones (tuberculosis, osteomyelitis, purulent-necrotic post-traumatic processes).

Symptoms of hip synovitis

Synovitis TBS can manifest itself late enough, except for infectious-allergenic arthritis in children:

• In this case, the disease develops violently, with a high temperature.
• The patient's joint quickly swells, the movements become limited and cause pain to the child, as well as palpation of the TBS region.

In adults, usually pain symptoms and discomfort during movement increase gradually.

• Skin over the area of ​​pathology can blush, and the joint from the affected side looks great because of the swelling.
• If the synovial bag is damaged, puffiness builds up very quickly.
• Sharp painful lumbago can be replaced by a throbbing pain.
• Muscles in the TBS region are strained and spasmodic.
• With a chronic synovitis, characteristic symptoms appear:
  • permanent hydroarthrosis (dropsy) of the joint;
  • muscular atrophy;
  • the limb on the sore side looks less developed.

Synovitis of the transitional hip joint in children

The reason why children in the age from one and a half to 15 years (most often sick children in the range of three to seven years), is still unknown:

• about a third of the sick children had had an acute respiratory viral infection or influenza;
• in others, the synovitis has developed after a trauma or a load, for example, a long walk;
• in a small number of children, the causes of the pathology remained unclear.

Symptoms of transient synovitis of TBS in children

• The disease begins with acute pain symptoms, with a morning maximum.
• Body temperature and ESR are usually within normal limits.
• Flexion, extension, rotation of TBS occur with limited amplitude and are very painful.
• Appears lameness.
• In rest, the forced position of the leg (the child takes the half-bent limb to the side) is noticeable.
• The lesion of TBS is usually one-sided.

However, the same signs can also occur in autoimmune pathologies. Also to doubt the infectious nature is caused by the sterile composition of the synovial fluid, taken with exacerbation of synovitis in children.

Studying children's arthritis and its transient synovial manifestations, it is necessary to differentiate them from rheumatoid or infectious arthritis. Suspicion that this is another disease, can cause the following symptoms:

• febrile (above 3, ͦС) temperature;
• ESR ≥ 20 mm / h;
• increased rheumatoid factor.

If neither transitory synovitis, nor rheumatic, or infectious arthritis is confirmed, it is necessary to look more attentively to the aseptic types of arthritis listed above. This form of arthritis, like allergic, in children is quite common.

The same diseases that can be attributed to autoimmune, metabolic or allergenic (for example, psoriasis or gout) practically do not have early joint manifestations.

Complex diagnostics of synovitis of TBS

• After external examination of the joint, a primary instrumental diagnosis is performed, usually with the help of an X-ray. The accumulation of exudate will look like a blackout in the image.
• For further details, an additional examination may be required:
  • Ultrasound, arthroscopy, arthropneumography, MT or CT.
• A puncture of the synovial fluid is performed:
  • with an aseptic synovitis it is sterile;
  • with septic synovitis, the fluid contains blood clots, pus, protein, pathogenic microbes - in this case the cavity should be freed from the synovial fluid by carrying out its evacuation, after which it should be rinsed with the TBS cavity antibiotic.
• The cytology of exudate allows to reveal its biocompatibility, the source of infection and to select the appropriate drug therapy.

How to treat synovitis of the hip joint

Treatment of synovitis of the hip joint goes in two main directions:

• Removal of painful inflammatory symptoms.
• Elimination of the direct source of synovitis, if known:
  • consequences of trauma;
  • bacterial infection;
  • disturbed metabolism;
  • chronic diseases;
  • allergies, etc.

In an acute period of synovitis, TBS should be immobilized, limiting the load on it.

What medications are used for synovitis of TBS

• Treatment of pain with synovitis of TBS is performed by non-steroidal anti-inflammatory drugs (NSAIDs):
  • ibuprofen, diclofenac, nimesulide.
• Acute reactive synovitis is well served by treatment with dexamethozone, hydrocortisone and other corticosteroids.
• At an early stage, if synovitis is accompanied by hemarthrosis, along with puncture into the joint cavity Inhibitors of proteolytic enzymes inhibiting fibrinolysis (dissolution of blood clots and thrombi):
• In chronic purulent synovitis, TBS, on the contrary, requires enzymes that have antibacterial and cleavage properties:
• To improve circulation, restore cell membranes in joint tissues use:
  • nicotinic acid, heparin, and others. facilities.

Surgical treatment of synovitis

It is mainly used in the aggressive form of synovitis, when conservative therapy does not help, as well as with traumatic synovitis.

With this intervention, the surgeon produces such actions:

• Opens the joint bag;
• removes from the cavity pus, blood, foreign bodies;
• excising the most affected area of ​​the synovium.

After the operation, the TBS is fixed with the tire.

Restoration of the hip joint is performed:

• complex physical therapy;
• physiotherapy (UHF, electrophoresis, mud therapy, paraffin treatment, etc.)
• vitamin-mineral complexes;
• therapeutic diet;
• means of traditional medicine.

Prevention of synovitis of TBS

Prevention of synovitis is all measures associated with the prevention of injuries and pathologies in the joints:

• It is necessary to diagnose and treat trauma of TBS in time.
• Do not allow chronic inflammation in the joints.
• Immediately treat all infectious diseases that can lead to arthritis.
• When practicing sports and physical activities, try to distribute the load evenly, without injuring the musculoskeletal apparatus.

Traditional treatment of synovitis of the hip joint

Folk remedies in the treatment of synovitis TBS are used as ancillary, mainly aimed at alleviating pain or restoring mobility. They must be combined with traditional complex treatment. It is especially effective to apply them together with massage and exercise therapy.

Several folk recipes for the treatment of synovitis of TBS

• Oil from bay leaves:
  • A few crushed laurel sheets pour 200 g of vegetable oil and insist two weeks in a dark pantry or closet.
  • Oil rub in circular movements in the area of ​​TBS.
• Broth from the color of elderberry (one part), willow bark (4 parts) and birch leaves (5 parts):
  • Collect the pour, l boiling water, insist one hour.
  • Drink 3 - 4 times a day for half a glass for 30 minutes. before meals.
• Compresses from propolis:
  • 10 g pour 100 g of good vodka and insist a week in the refrigerator.
  • A piece of linen or cotton cloth moistened in solution and attach to the diseased area, top covered with cellophane and woolen shawl.
  • The compress can be done for the whole night, or applied in the afternoon for several hours.
• Comfrey roots (tincture):
  • Pour one part of the ground roots with four parts of vodka.
  • Insist in a dark place for two weeks.
  • Apply 30 drops three times a day.

Prognosis of treatment

Most synovitis species, if the disease is not started, are well treated.

If the cause of the disease is eliminated - infection, the consequences of trauma, dysplasia of TBS, then the synovitis passes.

It is more difficult to treat chronic synovitis with rheumatoid, allergic arthritis, Bekhterev's disease, and also with idiomatic (hereditary or autoimmune) arthritis.

A source: https://ZaSpiny.ru/tkani/sinovit-tazobedrennogo-sustava.html

Hip synovitis: symptoms and treatment

Category: Joints, bones, muscles 14719

Synovitis of the hip joint is a disease, as a result of which inflammation develops in the synovial membrane of the joint. As a consequence of this process, exudate accumulates in its cavity and there is edema.

Usually the disease progresses only in one joint. Movements become chained and accompanied by painful sensations.

But pain is not the main sign of this ailment, and patients in rare cases turn to a medical institution at the early stages of disease progression.

In general, synovitis of the hip joint is a pathology that is quite rare in adults, more often in a child aged four to eight years. In children, synovitis can develop without an obvious cause. The most common transient synovitis of the hip joint.

Causes

This disease can be caused by all sorts of factors. The hip joint synovitis develops from obesity and after numerous sports injuries, as a result of damage to the joint cavity and joint tissues by infection. Another disease can occur due to allergies.

The most common causes of this disease:

• injuries;
• infection (streptococcus, staphylococcus, tuberculosis mycobacterium);
• other background diseases provoking the development of synovitis (bursitis, gonorrhea, syphilis, gout);
• instability of the joint;
• damage to the joint surface, etc.

Classification

The course of the disease can be acute or chronic. By the nature of inflammation distinguish between serous and purulent synovitis, serous-fibrinous and hemorrhagic. And depending on the cause of the development of the disease, synovitis is aseptic, infectious and allergic.

Symptomatology

First of all there are painful sensations in an adult or child. The joint significantly increases in size (edema).

There is weakness, a person becomes sluggish, body temperature rises slightly. Movement will be constrained, and there is a feeling of tightness.

At a palpation the joint is felt out weakly, and this process is accompanied by a dyscomfort. To confirm the diagnosis, the doctor must press on the joint from two opposite sides.

Purulent inflammation in acute form has more pronounced manifestations. The patient has a significant weakness, chills and sharply increases body temperature.

As the disease progresses, a delusional state appears. Pain increases in the affected part of the body, the area increases in volume.

This may be accompanied by a significant increase in lymph nodes that are localized near the patient's joint.

Synovitis of the hip joint

The chronic form is marked by very serious symptoms. Most often in this case, the synovitis is mixed.

Initially, there are practically no complaints, and only when the transition to a more complex stage, the first symptoms appear, such as: fatigue of the joint during work, acute pain, stiffness of movement.

With synovitis of the hip joint, problems arise during walking. The pain syndrome becomes pronounced. The joint is swollen and its shape changes.

The danger of this disease is that it arises unexpectedly and first the leg is hurt in the knee area. Over time, the painful focus moves to the hip area.

The synovitis of the hip joint in children leads to lameness, as the sick child tries not to peretruzhdat sick area. After 2-3 weeks of adequate treatment, pain, like the inflammatory process, passes. The joint begins to function normally.

Complications

If the disease is not treated, it will go more into a serious form. Acute or chronic synovitis can be complicated by infection, which will lead to the spread of the inflammatory process beyond the synovial membrane.

When the infection passes to the membrane membrane, this ailment provokes another terrible disease, such as purulent arthritis. Further damage can affect the soft tissues surrounding the diseased area.

This, in turn, will lead to the development of a severe form of periarthritis.

Another complication is panartrite. It occurs due to exacerbation of the infectious synovitis. In this disease, purulent processes affect the entire joint, namely cartilaginous tissue, bones and ligaments. Progression of this process can lead to the development of sepsis.

If the aseptic synovitis worsens, it can cause more serious diseases. In this case, the joint will increase significantly in size. The liquid will not have time to soak into the synovial membrane. This threatens the appearance of dropsy hydrarthrosis.

Diagnosis of the disease

To avoid the terrible consequences, you need to see a doctor, diagnose the disease and start treatment. A qualified specialist should conduct a survey, and then develop an individual treatment course.

The final diagnosis should be made only after clinical studies, diagnostic puncture and on the basis of specific signs. It is very important not only to confirm the diagnosis, but also to determine the cause that caused this ailment.

Often to diagnose a chronic or acute aseptic synovitis, perform arthropneumography and arthroscopy. Topical analyzes are a cytological examination and biopsy of the synovial membrane.

If the cause of the disease is allergic reactions, then it is necessary to make allergic tests.

One of the most important analyzes is the study of punctate - fluid taken from the cavity by the method of puncture. It is necessary to check the composition of the effusion, the amount of protein, hyaluronic acid, enzyme activity.

If there is a suspicion of purulent synovitis, it is necessary to examine pus by bacterioscopic and bacteriological methods.

These are important tests, with the help of which it is possible to determine what infectious microorganisms caused the disease.

Treatment

If the inflammation of the hip is insignificant, then outpatient treatment will be required. A patient with a synovitis, which developed after an injury, must be taken to the emergency room.

If the patient has a secondary type of synovitis or transient, the disease should be treated by a narrow-profile doctor (endocrinologists, rheumatologists, etc.).

With severe symptoms, urgent hospitalization is required.

With an aseptic synovitis with a small amount of fluid in the joint, it is necessary to tightly fix the affected area with a bandage, to ensure immobilization. It is recommended to undergo procedures of electrophoresis, UHF or UV irradiation.

Treatment of synovitis of the hip joint in a chronic form is carried out only in a hospital setting. Anti-inflammatory drugs are injected into the joint cavity.

After three to four days of treatment, the following procedures are prescribed: phonophoresis and paraffin, UHF, magnetotherapy and ozocerite. In case of complications, it is necessary to inject trasilol or countercrack into the joint cavity.

In the most difficult and dangerous situations, a surgical operation is necessary. During it, the excision of the synovial membrane is performed, complete or partial.

After this, intensive rehabilitation with immobilization, the use of antibiotics and other medications and subsequent physiotherapy is necessary.

A source: http://SimptoMer.ru/bolezni/sustavy-kosti/992-sinovit-tazobedrennogo-sustava-simptomy

Synovitis of the hip joint

Synovitis of the hip joint- inflammation of the synovial membrane, accompanied by the accumulation of fluid in the joint cavity.

The cause of development is usually an infection or traumatic lesion. Children may have synovitis caused by viral diseases (eg, influenza) or prolonged walking.

Synovitis is manifested by pain, swelling, obstruction, and restriction of movement. With infectious synovitis, there is an increase in temperature and symptoms of general intoxication.

To clarify the diagnosis, use radiography, ultrasound and joint puncture. Treatment is usually conservative.

The synovitis of the hip joint is an infectious or aseptic process in the synovial membrane of the joint. It is accompanied by the accumulation of fluid in the joint cavity.

It is a polyetiological disease (can occur for various reasons), is more often detected in children and adolescents.

The prognosis is favorable, in the overwhelming majority of cases it ends with a complete recovery. Rarely passes into a chronic form.

The cause of development is usually joint trauma (including sports). Among other reasons - allergic reactions, endocrine pathology, neurological disorders, arthritis, hemophilia, degenerative-dystrophic lesion (arthrosis of the hip joint).

Sometimes synovitis is observed in sciatica (inflammation of the sciatic nerve).

As causative agents of infectious synovitis, pneumococci, staphylococci or streptococci, less often the inflammatory process develops against the background of a specific infection (syphilis or tuberculosis).

Given the etiology in orthopedics and traumatology distinguish the following types of synovitis:

• Traumatic - the most common, occurs as a result of mechanical damage (bruises, sprains).
• Infectious - develops when pathogenic microorganisms penetrate the synovial membrane. Perhaps both contact, and lymphogenous or hematogenous spread of infection.
• Reactive - is the response of the body to any pathological process (intoxication, somatic disease). It is considered as a kind of allergic reaction.
• Transient - usually occurs in children and adolescents under 15 years of age, most often affected by boys. The cause is presumably a viral infection (eg, influenza) or an overload of the joint with prolonged walking.

In the absence of treatment or inadequate treatment, acute synovitis can be transformed into a chronic form, however, this happens infrequently. According to the nature of the effusion, acute aseptic (noninfectious) synovitis is usually serous, acute infectious - purulent.

In chronic synovitis, mixed forms of exudate predominate: serous-hemorrhagic, serous-fibrinous, etc. The most unfavorable are fibrinous (adhesive forms), accompanied by gradual sclerosis of the synovial membrane.

The patient is concerned about pain in the hip joint. With aseptic synovitis, the pain syndrome is mild or moderate. The area of ​​the lesion is edematic, a change in the shape of the joint may be revealed (more noticeably when the joints are examined comparatively).

When checking the "frog test" (trying to bend the bent legs to the sides, lying on the back), a limitation of the lead is detected.

When infectious synovitis, all symptoms are more pronounced. The pain is intense, the swelling of the joint is clearly visible, local hyperemia and hyperthermia are revealed.

There is a pronounced restriction of movements, the patient spares his foot, walking is difficult.

Local signs of synovitis are supplemented by symptoms of general intoxication: an increase in temperature to 38-3, degrees, general weakness, lethargy, shattering, chills, loss of appetite, headache, nausea, or vomiting.

Diagnosis of synovitis of the hip joint

Diagnosis is made on the basis of the results of the examination and additional studies. To exclude skeletal pathology and identify a possible cause of synovitis, x-ray of the hip is prescribed.

For detailed study of intra-articular structures, joint ultrasound is used.

The most informative study that allows you to determine the nature, and in some cases - the cause development of synovitis, is a hip puncture with subsequent investigation of synovial liquid.

In a number of cases, synovitis has to be differentiated from the abdominal cavity, pathological manifestations of the genital organs and diseases of the lower spine.

Usually for the elimination of extraarticular pathology, a thorough examination is sufficient. In difficult cases, appoint consultations of other specialists: neurologist, therapist, gastroenterologist, surgeon, urologist, etc.

Sometimes a roentgenography of the spine is performed in the lower parts.

Treatment of synovitis of the hip joint

Treatment of synovitis is complex, when designing a therapy plan, an individual approach is used, taking into account the form and stage of the disease, as well as the severity of the clinical symptomatology.

Patients are recommended rest, prescribe analgesics, vitamin complexes, immunostimulants and physiotherapy procedures. In infectious synovitis, antipyretic agents are used.

In acute aseptic synovitis, non-steroidal anti-inflammatory drugs are used: diclofenac, ibuprofen, meloxicam, indomethacin, etc.

Patients are referred for phonophoresis, electrophoresis, shock wave therapy, massage and exercise therapy.

Indications for surgical treatment are irreversible changes in the internal membrane of the joint (sclerotic degeneration, the formation of hypertrophic villi and petrificata).

Depending on the prevalence of pathological changes, a partial synovectomy is performed, removing only the affected areas, or completely excising the synovial membrane.

A source: http://www.krasotaimedicina.ru/diseases/traumatology/hip-synovitis

Hip synovitis: causes, symptoms, treatment

Problems with joints can occur regardless of the person's age. Often skeletal diseases develop even in children.

At the same time, visible reasons can sometimes be difficult to establish.

For example, synovitis of the hip joint is a complex inflammatory pathology that can cause serious consequences.

What is the disease?

This disease is characterized by the appearance of inflammation in the synovial membrane of the hip joint. In most cases, pathology requires thorough treatment, as it is fraught with complications that can immobilize a person and even lead to blood poisoning.

The synovitis of the hip joint can be provoked by completely different factors. From the explanation of the causes of inflammation often depends on the type of therapy that will be appointed by the doctor.

Causes of the disease

Provoke the synovitis of the hip joint can such factors:

1. Serious injury due to a fall or stroke.
2. Neurological or hormonal disorders.
3. Strong allergic reaction.
4. Dystrophic or degenerative joint damage.
5. Instability of articulation.
6. Infection.
7. Inflammation of nerves.

Varieties of pathology

The synovitis of the hip joint can be classified as follows:

• Reactive. It arises as a consequence of a response to a certain stimulus or pathological process occurring in the body. Most often it is the result of a severe allergy.
• Transit. Most often it develops in children under 15 years old. The cause of the appearance of this pathology is usually considered an infectious or viral disease. Another factor can be too much physical stress on the joint.
• Traumatic synovitis. Based on the name, we can say that this type of disease develops due to traumatic or mechanical damage to the joint.
• Infectious. Appears due to the impact of pathological microorganisms on synovial membranes. In this case, the effect can be made through lymph, blood or directly.

Also, the synovitis can be acute or chronic. They differ in the intensity and completeness of the manifestation of symptoms.

By the peculiarities of the course, it is also possible to isolate serous, purulent, hemorrhagic and mixed synovitis.

Correct diagnosis of pathology will make it possible to prescribe adequate treatment.

Symptoms of acute form of pathology

It all depends on the form and nature of the disease. Echographic signs are considered the most informative.

They provide enough information for diagnosis and treatment. You can determine the echographic signs using ultrasound.

For example, this study will help to identify the change in the shape of the joint (its increase).

The patient himself observes such symptoms of the disease:

1. Moderate pain, which can become stronger during a change in body position or palpation.
2. Swelling of the joint.
3. A slight change in the form of the joint.
4. Impossibility of laying the leg aside and some restriction in movement.
5. Accumulation of fluid in the joint.

These signs are inherent in the non-infectious form of the disease. If the pathological process is of an infectious nature, then it can manifest as follows:

• More pronounced feeling of pain.
• Puffiness.
• Redness of the skin.
• Local or general temperature increase.
• Excessive lameness.
• Limited movement.
• Common weakness.
• Symptoms of general intoxication of the body.

Symptoms of a chronic form of pathology

If the synovitis has already passed into a chronic form, then the patient has such symptoms:

1. Aching pain of low intensity, which is almost constant.
2. Puffiness, which grows very slowly.
3. Possible dislocation of the joint due to its instability.
4. Isolation of exudate (in some of the most difficult cases).

Features of the diagnosis and possible complications

To make the correct diagnosis, the patient should consult an orthopedic specialist. It may also be necessary to consult a surgeon and traumatologist. The doctor should conduct such studies:

• Visual inspection. Palpation will make it possible to determine the most painful area, the degree of enlargement of the joint.
• Ultrasound. This procedure will help to examine the joint from the inside. That is, the study makes it possible to determine the echographic features.
• Radiography. It is not always used, because it is less informative than the previous method. Most often, x-rays are prescribed in case of trauma to detect abnormalities in the structure of the articulation.

It should be noted that synovitis, the symptoms of which we have already considered, can give serious complications. For example, with inadequate treatment, it turns into a chronic form and periodically makes itself felt. Also presented pathology provokes the development of purulent arthritis.

Features of traditional and non-traditional treatment

If you have synovitis of the joint, treatment must be complex. It involves the elimination of symptoms and the inflammatory process itself.

In addition, the patient should take multivitamins to strengthen immunity.

If the patient has a fever, he can take an antipyretic.

In general, the treatment scheme includes the following:

• Immobilization of the joint with a tire and a pressure bandage. It is imposed for a week.
• The puncture of the joint, in which the effusion is removed from its cavity. Then he goes to histological and other examinations.
• Therapy with medicinal preparations: Voltarenom, Ibuprofen, Movalis.
• If there was a relapse, then you can use the following means: "Brufen "Indomethacin glucocorticosteroids.
• The chronic form of pathology requires the use of enzyme inhibitors, which are injected.
• Physiotherapy. To eliminate symptoms and effectively combat inflammation, phonophoresis, manual therapy, and therapeutic gymnastics are used.

You can also take advantage of folk medicine:

1. Take a glass of rye grains and pour them 2 liters of water. Put the mixture on a fire and boil for half an hour. The fire must be slow. Next, cool the resulting broth and strain it. After that, add to it half a liter of vodka, 1 kg of honey, and 5 large spoons of chopped barberry root. The product should be infused for at least 14 days. After that you can take it 2-3 spoons before meals.
2. Very useful is laurel oil. To make it, you need a few crushed laurel leaves that need to be poured with linseed or olive oil. Next, you need to insist the remedy in a dark place for about 2 weeks. Subsequently, the substance is used for rubbing into the affected joint.

Operative treatment of the disease

If conservative therapy does not help, surgery may be required.

The hip joint has a very high load, so a person can not lead a normal life if it does not function as expected.

Naturally, the surgical way is extreme. In the most difficult situations, an endoprosthesis of the hip joint is established.

This operation is very complicated and requires the presence of high-tech equipment. Before its carrying out the patient's medical history is carefully studied, it is examined. What kind of endoprosthesis of the hip joint will be installed, the attending orthopedic physician decides.

Intervention lasts 2-3 hours. First, the surgeon must make his way to the damaged joint, with the muscles and tissues receiving minimal injury (if using modern equipment). Damaged bones and cartilage are removed. The joint is prepared to install the prosthesis.

Next, in fact, the installation is made, which can be ceramic, plastic, metal or combined.

After installing the prosthesis it is regulated.

Operation (on the hip joint a fixing tire is applied) helps to fully restore the functionality of the joint after the rehabilitation course.

Prevention of pathology

So that the problem does not overtake you, observe such preventive measures:

1. Try to eat in a balanced way and take complex multivitamins.
2. Do not allow injuries to the hip joint.
3. At the first signs of the problem, try to contact the doctor right away.

That's all the features of the disease.

A source: http://.ru/article/245980/sinovit-tazobedrennogo-sustava-prichinyi-simptomyi-lechenie

Synovitis of the hip joint: Species and their treatment

Synovitis of the hip joint- It is customary to call the inflammatory process in the synovial bag of the hip joint.

Inflammation leads to the accumulation of fluid in the cavity of the synovium and causes swelling.

The disease in most cases affects only one limb.

The development of the disease leads to impaired mobility and the appearance of discomfort and pain during movement.

Unfortunately, the pain does not appear immediately or at all can not disturb, and other symptoms can not force a person to see a doctor.

Late diagnosis and untimely started treatment leads to a number of complications, and delay the healing process.

Causes of appearance

There are two types of synovitis development, and they are aseptic or infectious. For each type of development, there are a number of characteristic factors.

Aseptic nature of inflammation

With this development of the disease, the exudate that accumulates in the synovial bag is sterile, and the cause of its appearance is:

• Injuries and disruption of the integrity of soft tissues and directly the synovium;
• Allergic reactions;
• Pathology of autoimmune character;
• Chronic or systemic diseases;
• Neurological disorders;
• Metabolic and metabolic disorders;
• Endocrine disorders;

Pathology in the natural structure of the joint, it is possible congenital and acquired pathology, anatomical dysfunction.

Infectious nature of infection

The development of inflammation and excess fluid in the periarticular bag is due to the penetration of the infection in the cavity of the shell.

Infectious synovitis can be of a specific and nonspecific origin. Consider a nonspecific infection pathogenic viruses and bacteria.

Herpes infection, influenza, as well as penetration into the body of staphylococci and streptococci results in the accumulation of exudates infected with these bacteria.

Specific synovitis occurs when affected by syphilis, diphtheria, tuberculosis.

Clarification of the exact cause of synovitis is important for treatment. Elimination of the main problem is the key to successful treatment and targeted therapy of synovitis.

This situation is fraught with the development of a chronic form of the disease and subsequently leads to serious complications.

Types of synovitis

Synovitis or inflammatory process in the synovial membrane is divided into species due to the occurrence and course of the disease:

1) Infectious synovitis - develops due to the ingress of blood through a virus or infection. Reproduction of pathogenic bacteria occurs directly in the cavity of the synovial membrane and leads to an increase in the volume of exudate and swelling of the synovial bag.

2) Reactive synovitis - develops without the involvement of pathogenic bacteria. Inflammation arises as a consequence of an autoimmune process in the body.

It can trigger any disease of the internal organs, and the immune response to the problem causes an excess of antibodies, and in addition to pathogenic cells, the destruction of healthy tissues begins.

3) Chronic synovitis - develops in the absence of treatment of the acute phase of the disease.

4) Transistor type - occurs mainly in children after a respiratory illness, as well as after strong physical exertion.

5) Traumatic synovitis is the most frequent phenomenon.

Occurs as a result of damage to the synovium during injury or damage to the joint and tissues around it. This leads to the development of the body of excess synovial fluid.

The bilateral synovitis develops in autoimmune processes and traumas of both extremities.

Symptoms

Symptoms of synovitis of the hip joint develop in all at different rates, but, in general, the symptoms are similar in all. Of course, in many respects the patient's condition depends on the general condition, the presence of concomitant diseases and the degree of neglect of the disease.

Synovitis may develop secretly and the first symptoms may appear at a progressive stage.

The inflammatory process begins with swelling of the soft tissues and fluid accumulation, but since all this occurs in the synovial bag, there are no external manifestations at the initial stage. Progressive inflammation covers an increasing area of ​​lesion, and the inflamed joint becomes visible.

Redness becomes clearly visible on the skin.

With traumatic synovitis, these symptoms are easily not noticed, as swelling and redness always accompany the trauma. But in other cases, these signs should alert the person.

Regardless of the type of disease in humansthere are a number of common symptoms:

• Increased body temperature
• Weakness and general malaise
• Stiffness and discomfort during movement

With an infectious synovitis, there may be signs of intoxication, as the blood carries the infection throughout the body.

At the stage of fluid accumulation during examination and palpation, it is possible to determine the synovitis and its appearance. Serous synovitis is characterized by a painless accumulation of fluid, which is determined by palpation. Pressing the joint on both sides leads to pressure in the joint bag and a push from the area of ​​the lesion.

With purulent development of synovitisthe body reacts sharplyon pathogens.

This is evidenced by the appearance of chills, sweating and fever. A purulent exudate provokes the defeat of all soft tissues in the joint region and this leads not only to redness, but a strong hyperthermia of the skin. In both cases, palpation is felt for lymph nodes in the joint region.

The chronic form of the course of synovitis differs by serious, mixed symptoms, which usually do not appear immediately. Pain and stiffness of movement appears at the stage of disease progression after physical exertion to the affected joint.

All signs are confused with overwork and heavy physical exertion. At rest, the pain recedes, and the person confirms, thus his guesses. But the disease does not recede, and the symptoms appear again and become perceptible even during the rest period.

Appeal to the doctor usually comes at the peak of synovitis development, when due to the reduction of the load on the a painful leg appears claudication, and pain and external symptoms on the skin are already threatening serious violations.

Diagnostics

To restore the leg to its former form, and also to restore mobility and avoid consequences, it is necessary to begin treatment as soon as possible. You can find the right therapy only after diagnosing the disease and determining the type and stage of the disease.

After a qualified full examination, it is necessary not only to clarify the diagnosis, but also to determine what caused the disease. Elimination of the cause will make treatment effective and exclude the development of relapse.

Diagnostic methods for determining the disease and its type include:

• Visual inspection;

• Palpation of the affected area;

• Biomaterial sampling for clinical analyzes;

• Biopsy of synovial fluid;

• Arthropneumography;

• X-ray examination;

• Ultrasound examination;

• Arthroscopy.

To exclude the malignant course of the disease, cytological tests are prescribed, and allergic tests are performed to exclude and suspicion of the allergic nature of the disease.

The main and most informative is biopsy of the fluid from the affected area.

Clinical studies will show the sterility or the presence of purulent inclusions, as well as the composition and amount of substances in the excreted void.

In the presence of pus, additional tests are done to identify the pathogen of inflammation.

Types of treatment for synovitis of the hip joint

Regardless of the causes of synovitis, the disease requires an immediate and integrated approach to treatment.

If there is a virus or infection that provoked the appearance of a liquid, they must be eliminated. If the disease is a consequence of any disorder in the body, you must first cure the underlying ailment, but also the treatment of synovitis can also not be postponed.

Several methods are used to treat synovitis:

• Drug therapy;
• Operative intervention;
• Traditional methods of treatment;
• Physiotherapeutic procedures.

For efficiency, experts recommend using a set of measures. If suspected development of synovitis is recommended to ensure peace and immobility to the affected joint. And to physiotherapy procedures to proceed after the removal of acute symptoms and inflammation.

To remove the inflammatory process and reduce the production of fluid in the hip joint conservative treatment with drugs will help, but the most effective method is surgical intervention. Even if the operation is the only correct choice, then drug therapy is prescribed in order to prevent the development of complications and to join all possible infections.

To relieve pain, swelling and redness are prescribednonsteroidal anti-inflammatory drugs. It can be an ointment for topical use, tablets for oral use and suppositories rectally.

To eliminate the inflammatory process, corticosteroids are also effective. With reactive synovitis, Dexamethasone showed efficacy. Antibacterial drugs are used if there is an infectious or purulent synovitis.

The most efficient and quickestsurgical synovectomy. During the operation, the doctor opens the synovial bag of the affected joint and removes excess fluid, suppuration and calcifications, after which the cavity is washed with an antibiotic solution.

In the postoperative period, it is important to prevent the spread or spread of infection.

For healing usephysiotherapy. Folk methods of treatment can be useful in combination with surgery and medication, but use them only with the permission of the treating doctor.

Conclusion and forecast

The prognosis of recovery and return of limb mobility depends on the time of the started treatment and correctly selected therapy.

Rehabilitation after therapy or surgery is also important.

The mobility of the joint and its original appearance can return, and the disease retreat forever. If the treatment was not successful or started later than necessary, then the patient faces disability or lameness.

A source: http://vse-sustavy.ru/lechenie/tazobedrennyj/sinovit-tazobedrennogo-sustava.html