Coxitis of the hip joint in children and adults: causes and treatment

Coxitis of the hip joint in adults and children: causes and treatment

Doctors often identify in children and adults coxitum of the hip joint.

This disease is an inflammatory process that occurs in the region of the joint that connects the pelvic bones to the femoral bone.

If you do not recognize the course of the pathological process in a timely manner and do not perform the treatment, then it can provoke permanent deformation of the bones and disability.

What is the disease?

The hip joint is one of the largest. It is located between the femur and the acetabulum.

Often, coxitis of the hip joint is diagnosed in the elderly, but this disease can be observed at a young age and even in children. Most often, the disease occurs in women and can affect one or two joints at once.

In children, coke is associated with intensive bone growth and occurs mainly at the age of 3-6 years, as well as during puberty.

Bone cocitis can be tubercular or nonspecific. It is formed when the inflammatory process affects initially the bone, and then only the synovial membrane.

The duration of the course of the inflammatory process is different, and depending on this, several forms of the disease are distinguished.

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Especially difficult is acute coke, and it continues for several months.

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When the chronic form of the disease occurs, there is a violation of mobility, loss of ability to work and deformation of bones.

Causes

The causes of coxitis of the hip joint of acute and chronic course can be very different. Of great importance are such factors:

• trauma to bones;
• gene mutations;
• intestinal infections;
• congenital dysplasia;
• harmful factors;
• psoriasis.

Purulent coxitis of the hip joint often develops on the background of the course of infectious processes. There are also specific forms of arthritis, which include tuberculosis coke. In addition, there are predisposing factors of the disease, which include:

• consumption of poor-quality food;
• frequent infectious processes;
• severe working conditions;
• exposure to toxic substances.

The causes of coxitis of the hip joint in children can hide in the course of dysplasia. This disease belongs to congenital pathologies.

Types of coxites

Depending on the provoking factor, several types of coxites of the hip joint are distinguished, each of which has its own peculiarities of percolation. The most common types of inflammatory process are:

• reactive;
• tubercular;
• transient.

Reactive coke is formed after a previous infection and is characterized by a rapid increase in symptoms. In addition, ligaments and internal organs are additionally involved in the inflammatory process. There can be significant damage to the skin and inflammation of the lymph nodes.

The tuberculosis type of the disease is often observed in children. Initially, the lungs are affected, and then the infection spreads to the legs. Symptomatic appears gradually, with the emergence of acute pain in the buttocks, disruption of gait coordination, restriction of movements.

Transit type of coxite arises as a result of trauma or earlier transferred inflammatory process. It is characterized by an acute onset and the presence of symptoms, characteristic of inflammation. Quite often it flows into a chronic stage.

Symptoms of the disease

Symptoms of coxitis of the hip joint in adults and children can be classical and specific, it all depends on the features of the course of the disease. The classic signs of the disease include:

• discomfort in the joints, turning into pain;
• lameness;
• formation of bone growth;
• smoothness of folds in the groin and gluteal region;
• amyotrophy.

The most basic sign of the course of the disease is the presence of severe pain in the affected area. In addition, there are also specific signs of the course of the disease.

When the purulent form of the coke is observed, strong cooling of the skin in the affected area, increased sweating, fever, weakness and excessive fatigue, swelling and swelling.

The temperature can reach very high values.

The rheumatoid form of the disease is characterized by the presence of stiffness of movements in the morning, pain and swelling of the affected area.

In the psoriatic type of disease, the skin over the affected joint acquires a bluish tinge.

Conducting diagnostics

Often, for a correct diagnosis, only a clinical examination is not enough, that's why doctors resort to additional research methods. To determine the course of articular pathology, you may need such diagnostic methods:

• radiography;
• tomography;
• ultrasonography;
• puncture of the articular cavity.

If you suspect a tuberculosis coke, you need to test Mantoux. To identify the rheumatoid and reactive type of disease will help laboratory research. In particularly difficult cases, a biopsy is indicated.

Features of treatment

Treatment of coxitis of the hip joint is chosen strictly individually for each individual patient, depending on what exactly triggered the disease. In the course of an acute inflammatory process, these therapies are used:

• taking painkillers;
• reducing the load on the damaged area;
• application of dressings;
• intraarticular injections;
• massage;
• surgical intervention.

What kind of therapy methods to apply, solves only the attending doctor in each specific situation after the implementation of a comprehensive survey.

Medication

It is often enough to carry out the medical treatment of coxitis of the hip joint in adults, because there are many drugs that can effectively cope with the intensive articular pain. In addition, pills and ointments that help restore the affected area are prescribed. These drugs include:

• anti-inflammatory;
• chondroprotectors;
• vitamins;
• antibiotics.

Anti-inflammatory drugs help to eliminate pain, inflammation and fever.

The most popular are such medications as Voltaren, Ketoprofen, Diclofenac.

However, it is forbidden to use these medicines for a long time, since they have many contraindications and side effects.

Chondroprotectors are widely used to restore articular cartilage. If the pathological process is expressed too much, then glucocorticoids may additionally be prescribed. Among the most popular chondroprotectors, it is necessary to distinguish such as "Artron "Chondroxide "Don".

To prevent the processes of destruction of the hip joint and accelerate the recovery of vitamins. In general, they appoint Teravit, Alphabet, Biovital.

If the inflammatory process was provoked by pathogens, antibacterial drugs are used to treat it. The type of antibiotic, its dosage and duration of therapy the doctor selects individually for each individual patient.

Surgical intervention

Surgical intervention is indicated in case the conservative methods did not bring the required result and there are serious lesions of the joints. In general, arthroscopic operations are used to remove the affected area, followed by the restoration of the removed structure.

At a very severe course of the disease, hip joint prosthesis is indicated. In this case, it is replaced by an artificial one.

Rehabilitation

It is important not only to quickly cope with the disease itself, but also to fully normalize the functioning of the hip joint, which is required to ensure full vital activity.

For each patient, a proper rehabilitation program is developed taking into account the nature of the course of the disease.

For rehabilitation to be successful, the patient must clearly follow all the prescribing doctor's instructions. Particular attention is paid to physical activity.

The recovery period can last for several months.

Features of the course of the disease in children

The causes and treatment of coxitis of the hip joint in children can be very different, but it should be noted that the disease is always very acute because of a weak immune system. Often there are signs of local and general inflammation. A purulent form can even lead to the death of a child.

Recognize the coxitis of the hip joint in children can be on such grounds:

• the child stumbles while walking;
• often falls;
• refuses to fully stand on his foot.

During the diagnosis, the doctor may ask you to perform certain movements with your foot. In addition, laboratory tests, an X-ray or a tomography are assigned.

The main objectives of the treatment of coxitis of the hip joint in children are:

• elimination of inflammation;
• pain relief;
• elimination of factors that provoked the disease;
• restoration of cartilaginous tissue;
• strengthening of immunity.

The choice of the method of treatment largely depends on the type of course of the disease, the age of the patient and the presence of concomitant diseases.

Prevention

The emergence of coxite can be completely prevented if timely prevention is carried out. Among the main measures of prevention are:

• sufficient physical exertion;
• healthy eating;
• weight control;
• protection of joints from cold;
• use of comfortable shoes.

Maintaining a healthy lifestyle can significantly reduce the risk of disease.

Possible complications

Running coxite can lead to the coalescence of the hip joint or its destruction. Any of these conditions provokes a disability.

In addition, in the last stages of the disease, the patient may have lameness, shortening or lengthening of the limb, prolonged intense pain.

Rapidly progressing coxitis can provoke atrophy of the groin and thighs. The flow of infectious coxitis can lead to dangerous complications, among which it is necessary to distinguish infectious-toxic shock and infection with sepsis.

A source: http://.ru/article/347299/koksit-tazobedrennogo-sustava-u-vzroslyih-i-detey-prichinyi-i-lechenie

Coxite

Consider one disease, which significantly worsens life for everyone who falls ill, is a coke, all of which will be discussed on vospalenia.ru.

What is this - coke?

In the hip area, there is a joint in which the acetabulum, neck and thigh head are connected. What is coke? This is an inflammation of this hip joint. Articular cartilage begins to die.

And the younger the patient, the faster this process occurs, accompanied by deformation of the head and neck of the thigh.

The disease is mainly infectious in nature, and depending on the infection that infects it, it is divided into one or other species.

Classification:

1. By forms:
2. By the causative agent (for the reason), the species are:
   • Specific, which is divided into: syphilitic, tuberculosis, gonorrhea, brucellosis;
   • Nonspecific, which is often manifested in purulent coke;
   • Infectious-allergic;
   • Reactive - a secondary form of coke, which occurs due to infectious diseases;
   • Septic - occurs against the background of rheumatoid diseases;
   • Transit - it occurs afterwards getting injuries and wounds on the leg;
   • Dysenteric.
3. On the affected area:

• Primary synovial - include rheumatoid cocksite and coxites of infectious nature;
• Primary-bony - here include tuberculosis and nonspecific coke, which begins with a bone lesion, and then goes to the synovial bag.

According to the frequency of its manifestation, tuberculosis coke is in first place. In second place is the purulent coxite. The remaining species are much less common.

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Causes

The causes of coxitis of the hip joint are mainly of an infectious nature.

Bacteria or viruses penetrate directly into the hip joint or enter it through the blood, lymph, affecting the site. The inflammatory process begins.

Traumas and bruises, which often occur with children and men in the workplace, are common causes. But what else distinguish the causes of this disease?

1. An autoimmune reaction in which the body struggles with itself, hitting and inflaming certain parts of the body;
2. Violations in the work of metabolic processes. A common cause of coke is gout, because with this pathology uric acid (its crystals) begins to accumulate in the joints;
3. Overwork and excessive stress on the joint, which lead not only to the coke, but also to arthritis.

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Symptoms and signs of inflammation of the hip joint in children and adults are the same, so consider them together:

• The onset of pain, which gradually builds up and gives to the knee. With a purulent form, the pain is sharp and sharp. When tubercular form - noisy and moderate.
• There are irregularities in the gait. The joint becomes inactive, which causes the patient to limp. Gradually, the femoral and inguinal muscles atrophy.
• In the area of ​​the buttocks and groin appears unnatural smoothness of the cutaneous cut (smoothing folds).
• With severe and neglected form, there is a risk of developing bone or fibrotic ankylosis;
• There is an increase in temperature;
• The position of the bones in the affected joint is deformed.

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Cocksite in children

Cocksite in children is often manifested in one form - tubercular. More often they are sick boys, rather than girls. In adults this type of coke is rare - in 5 out of 100 cases.

The cause of tuberculous coxitis is an infection that is transferred from other organs affected by tuberculosis. Infection penetrates into the synovial bag and articular end, where it begins to multiply and secrete pus.

Purulent exudate breaks through and affects soft tissues that are close. This leads to abscesses and fistulas. The joint gradually disintegrates, which provokes the possibility of a dislocation.

Symptoms do not appear immediately. It all begins with the pain that is given to the knee, as well as the atrophy of the femoral and gluteal muscles, accompanied by the tightening of the subcutaneous tissue of the thighs.

This complex of symptoms is called "Alexandrov's positive symptom". The child begins to limp. When analyzing blood, a change in the number of lymphocytes and ESR is detected.

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At a roentgenography the centers of a lesion by a tuberculosis, mainly in the field of an acetabular hollow and a head of a femur are visible.

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If parents neglect the treatment of their child, then in a couple of years the acute coxite passes, the pain subsides. However, after this, the muscle and the deformed joint remain atrophied. There is a dislocation of the hip pathological type.

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Cocksite in adults

In adults, the coxite also arises because of, often, infection from already diseased organs of the body. Negligent or improper treatment of major diseases leads to the spread of infection throughout the body. Hip joints can be affected.

A man may have dislocations when working in hazardous and heavy industries. Physical work and heavy physical exertion can provoke coxite as an independent disease.

In women, this disease occurs with heavy physical exertion - when carrying heavy bags, taking heavy sports.

There are cases of inflammation when walking on high heels for a long time.

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Diagnostics

Diagnosis of hip inflammation occurs by general examination and identification of those symptoms that the patient complains of. If by visual inspection the suspicions of a serious illness are confirmed, then the patient undergoes a complex of examinations:

1. Blood test;
2. Radiography for internal examination of the affected area;
3. Puncture of exudate;
4. The volume of flexion is studied by bending the legs to the abdomen. The affected leg can not reach the abdomen. Other exercises are also being conducted;
5. MRI of the foot;
6. Ultrasound of the hip joint;
7. Analysis of urine.

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Treatment

Treatment of coxitis of the hip joint is performed in a hospital. Folk remedies at home here will not help, although they can slightly reduce the pain threshold. Treatment is carried out in two directions: orthopedic and medication.

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Than to treat a coxite?

Medicines:

1. Antibacterial and sulfanilamide drugs (taking up to 2 months);
2. Non-steroidal anti-inflammatory drugs;
3. Glucocorticosteroids in the form of injections;
4. Antibiotics, which are prescribed for purulent form.

Intra-articular sanation and surgical intervention are prescribed in case the medication did not work. It is prescribed prosthetics or replacement of the hip joint. There are such types of surgical procedures:

• Arthroplasty;
• Necrectomy;
• Intra-articular resection;
• Extra-articular resection - the operation gives a lesser result than with intra-articular resection;
• Correcting osteotomy - returns the physical position.

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Orthopedic therapy:

• Fixation of the hip joint in order to immobilize it, to give rest;
• As the convalescence recovers, the plaster bandage is removed, allowing the patient to walk first with crutches, and then without them;
• Massage;
• Physiotherapy;
• Medical-improving gymnastics.

The last procedures are carried out only after the swelling has been removed and the symptoms of acute coxitis have passed.

Diet in the treatment of coke does not play a significant role. There is strengthening of immunity, which is beneficial when using vitamin-rich foods.

After all procedures it is recommended to visit medical and sanatorium institutions, where additional preventive treatment will continue and rest will be provided.

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Lifespan

How many live with the coke? The length of life depends on the consequences of the treatment not being treated. If the patient does not resort to medical care, then complications such as sepsis and leukemia are possible.

They are the ones that can provoke diseases that will lead to death. But in itself, coke is not fatal. In the early stages it is easy and quickly cured.

Therefore, do not delay with a visit to the doctor at the appearance of the first signs.

A source: http://vospalenia.ru/koksit.html

Coxit is a pathology not only for adults and the elderly, but also for children

Coke is a pathology in which development of the inflammatory process directly in the joint cavity is noted.

Disease is equally affected by adults and young children.

Effective methods of treatment is the wearing of a coked gypsum bandage, medicamental therapy, physical therapy, massage. In some cases, surgical intervention is necessary.

Features of pathology

Coke is a pathology that has a number of differences from other types of arthritis.

The hip joint belongs to the largest joints of the musculoskeletal system of a person, therefore it is distinguished by some morphological features.

The disease is characterized by the development of the inflammatory process, which can begin both in the joint and synovial membrane, spreading to the bone structures, and vice versa. But this does not affect the complexity of the pathology.

Coke is a pathology that can lead to serious complications, so treatment should be immediate and comprehensive. The disease is often the cause of the development of other diseases, including systemic connective tissue diseases, specific infections, leukemia.

Causes

The assumption that coxite arises from weakened immunity is erroneous, many other reasons precede its development. Disease can attack for the following reasons:

In the body, metabolism is disturbed. This condition leads to some diseases in which uric acid crystals (gout) begin to be deposited in the joints.

Diseases of an autoimmune nature, when the immune system ceases to distinguish its own cells from foreign microorganisms, begins to manifest aggression towards them.

Overstrain joints, excessive load.

Concomitant diseases in the form of coxarthrosis or flat feet.

Diseases of an infectious or viral nature that occur with complications.

Caution should be observed for people whose work is associated with excessive physical exertion, and athletes.

With this kind of occupation without microtraumas, the tendons are not dispensed with, and their frequent repetition leads to undesirable consequences, as a result of which the joints suffer.

Forms and types

In medicine, the forms and types of arthritis of the hip are distinguished depending on the symptoms of its manifestation and the cause of development. From the correct diagnosis of pathology, further treatment of the patient depends.

The severity of the symptoms distinguish:

Rheumatic arthritis. Pathology develops as a result of hip joint damage. Symptoms that accompany the pathology - swelling in the lesions, stiffness of movements.

Arthritis is purulent. Develops at a time when the patient feels a general malaise, has a fever. Symptoms - swelling, redness in the lesion, the formation of a purulent substance.

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Arthritis is arthritic. Symptoms - severe pain, development of the inflammatory process, redness of the affected area, impaired mobility of the joint.

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Arthritis is psoriatic. The form of pathology is observed in patients suffering from psoriasis. Symptoms - cyanosis of the skin in the area of ​​the lesion, pain, giving off in separate parts of the spine, asymmetrical defeat.

Depending on the cause of the development of the disease, there is a coxite:

• traumatic (bruises, joint damage, microtrauma);
• dystrophic (physical overstrain, hypothermia, lack of vitamins);
• reactive or infectious (fungi, viral, bacterial infection);
• rheumatoid (genetic defects of the immune system);
• tuberculous coxitis (causative agent of tuberculosis);
• transient.

It is very important to distinguish between the forms and types of arthritis, because the future treatment of the patient depends on this.

Symptomatology

Symptoms of coxitis of the hip joint are not much different from other types of arthritis, except for pronounced pain syndromes and poor state of health after sleep. Basically, a patient suffering from pathology feels:

• severe pain, discomfort in the affected area;
• stiffness in the morning;
• swelling of the affected area, its redness.

Many patients do not pay attention to pain in the development of pathology, because they appear periodically. Pain syndrome is characterized by long periods of remission.

Why do small children suffer from the disease?

Coxitum, affecting the joint in the hip region, occurs in adults and elderly people, but most often they suffer from children.

Transit coxite is a form of pathology, which is often found in preschool and school-age children. The defeat occurs through the transferred diseases of an inflammatory nature and traumas of a different kind.

A child suffering from pathology complains of acute pain in the groin area, motion is marked by lameness.

The causative agent of tuberculosis enters the joint cavity, more precisely, the neck or the head of the thigh, the acetabulum through the blood, where it begins to act actively.

There is necrosis of the synovial membrane, the end of the joint, purulent formations, the appearance of fistulas and abscesses, the destruction of the joint.

Tuberculous coxitis in children is difficult to detect at the very beginning of development.

An early symptom that indicates a pathology is severe pain, which gives to the knee. In the buttocks and hip, muscle atrophy is noted from the side of the lesion. The development of the inflammatory process is accompanied by an increase in temperature in the child.

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Treatment of cocksite in a child should be immediate, since the course of an acute period of pathology is no more than two years, after which the inflammatory process subsides.

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But this does not mean that the illness has passed.

Despite the reduction of pain syndromes, in children who do not undergo timely treatment, note muscle atrophy and joint deformity, and this leads to abnormal dislocation of the hip.

Methods of treatment

As a treatment, specific anti-tuberculosis chemotherapy is used and orthopedic measures are carried out. For the purpose of unloading the joint and ensuring rest, a coaxial gypsum dressing is prescribed.

To wear such simple adaptation to the child will have a long time, until the tuberculosis process abates. Positive results in treatment are provided by general restorative therapy, medical gymnastics, massage, drug therapy.

It is very important to eat properly, food should contain a complex of vitamins and minerals.

Coke is a pathology requiring immediate treatment.Parents who noticed the child's first symptoms of the disease should immediately consult a doctor. Thus, it is possible to save babies from joint problems at an older age, when treatment may be too late.

A source: http://drpozvonkov.ru/pozvonochnik/bolezni/koksit-tazobedrennogo-sustava.html

Coxitis: symptoms and hip joint treatment in children

Coke or coke is an inflammatory process that occurs in the cavity of the hip joint.

This pathology is divided into several species. Classification occurs depending on the cause that caused the disease.

Cocksite in the hip can develop at any age.

Types of coke:

1. Tuberculosis coke.
2. Infectious.
3. Syphilitic.
4. Gonorrhea.
5. Dysenteric.
6. Brucellosis.
7. Aseptic (with rheumatoid arthritis, Bekhterev's disease).
8. Non-infectious (purulent).

The coxitis of the hip joint in children and adults can be primary-bone or primary synovial. The non-specific and tuberculous coxit belongs to the primary bone.

Primary synovial coke can be caused by infectious agents and is a consequence of rheumatoid arthritis. The occurrence of coxite can be provoked by contact infection of the joint tissues in the following diseases:

• sacroiliitis;
• trochanter;
• spondylitis.

The provoking factors

Arthritis of the hip joint or coke disease from inflammatory processes in other joints is characterized by a number of features.

Firstly, this is due to the morphological structure of the hip dysarthrosis, which is the largest in the musculoskeletal system of man.

Secondly, the hip joint lies in soft tissues at great depth.

The main causes of coxitis of the hip joint include the following factors:

• autoimmune diseases;
• metabolic disease;
• infectious diseases;
• excessive load on the joint.

As with any arthritis, the inflammatory process in the synovial capsule is typical for coke. There are two ways of developing the disease.

1. The inflammatory process begins directly in the articular bag, and then is transferred to the bone tissue - the acetabulum and the femur.
2. Primarily, the inflammation affects the bone structure, and then covers the articular membrane and the entire joint as a whole.

What is the danger of the disease and the main symptoms

Arthritis of the hip joint belongs to a number of very serious pathologies, since its appearance can provoke numerous dangerous complications, including sepsis and infectious-toxic shock.

In addition to formidable complications, cocksite in children and adults can signal the presence in the body a number of pathological processes: systemic connective tissue diseases, specific infections, leukemia.

Symptoms of cocksite directly depend on the causes that caused the pathology, and are characterized by inflammatory changes in the joint. For the disease is typically acute or chronic course. Symptoms observed most often:

• painful sensations in the zone of the pathologically altered joint, irradiating along the course of the lower limb;
• contractures of muscle tissue;
• decreased mobility in the joint.

In the joint cavity, as a result of inflammation, an effusion can accumulate, which will lead to swelling and swelling of the joint. A similar pattern is most often observed in adults and children with an underdeveloped muscular apparatus and with excessive accumulation of fluid in the joint cavity.

Synovial exudate can flow outside the joint capsule and penetrate into the tissues that are nearby, which leads to the formation of phlegmon and abscesses.

Local signs of coxitis - hyperemia of the skin, increased temperature of the joint. Common symptoms include weakness, malaise, fever.

Peculiarities of coke in children

Adult people are more vulnerable to degenerative diseases, and children are prone to inflammatory diseases. Therefore, in children the arthrosis of the hip arises more often than in adults. An important role in this respect is played by imperfection of the children's immune system.

Tuberculosis coke is a form of illness that is most common in children. Symptoms of pediatric tuberculous coxitis are pain sensations in the hip joint. The kid can limp on a sick limb. Usually there are no other signs of the disease.

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In time, the initiated treatment of pediatric cocksites can prevent serious consequences, in particular a hip dislocation, which occurs as a result of destructive changes in the hip joint, if there is a tuberculous arthritis. Coxopathy treatment should be carried out under stationary conditions.

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Purulent or pyogenic form of coke is a very dangerous phenomenon. If treatment does not start on time, the disease can be fatal. Sometimes arthritis of the hip joint can be the result of vaccination.

Methods of treatment

Treatment of arthrosis of the hip joint consists of a whole complex of measures. The main methods of therapy:

1. Medicated.
2. Orthopedic.
3. Surgical.
4. Sanatorium and resort.

If the patient is diagnosed with coke, the treatment usually begins with the immobilization of the joint. For this, plasters and bandages are used.

Along with this, prescribe medications.

Surgical methods of treatment are aimed at sanation of the lesion focus and renewal of the physiological functions of the joint.

At the conclusion of the basic therapeutic course, whether it be medical or surgical treatment, For a long period the patient is shown physiotherapy, massage and medical physical Culture.

Surgical methods of treatment include:

• Necrectomy.
• Arthroplasty.
• Extra-articular resection.
• Intra-articular resection.
• Correcting osteotomy.

Arthroplasty is indicated to elderly patients after the elimination of the inflammatory process.

Extra-articular resection is a procedure without opening the joint. In the presence of tuberculosis foci, the result is worse than with intra-articular resection.

Correcting osteotomy is the method by which the joint acquires a natural position.

Treatment of tuberculous coxitis

This type of coke is more susceptible to children than adults. The signs of the disease grow slowly and sluggish, so the disease is difficult to diagnose. The only symptoms are complaints of the baby to the pain in the hip joint and noticeable lameness.

The tuberculosis form of cocksite is treated only in the dispensary. The patient is prescribed a comprehensive therapy aimed at fighting tuberculosis. An essential condition for therapy is wearing an immobilizing dressing.

Reactive and transient coxite

With reactive coxitis, the signs of the disease grow rapidly, and not only the articular tissues, but also the mucous membranes, and the tendons are affected. In some cases:

• dermatitis;
• conjunctivitis;
• increased lymph nodes;
• defeat of nail plates;
• inflammatory processes in the kidneys;
• arrhythmia.

The development of cocksite occurs against the background of previously transmitted infectious diseases.

It is necessary to treat the disease, based on the elimination of the infectious agent that provoked the inflammatory process.

To do this, prescribe antibiotics of a narrow and broad spectrum of action, and in addition drugs that are directed at eliminating the main symptoms.

Transitory arthritis of the hip joint has not yet a clear etiology. Most likely this form of the disease develops due to trauma. Most often, children suffer.

Symptoms:

1. acute pain in the groin;
2. pain in the hip joint under stress and movement;
3. lameness.

For the appointment of adequate treatment requires complete diagnosis, so the patient is hospitalized in a hospital. Great attention is paid to rehabilitation methods and sanatorium-and-spa therapy.

A source: http://sustav.info/bolezni/drugie/koksit.html

Coxitis of the hip joint in Adults and Children

Coxite(arthritis) is an inflammatory disease of the hip joint cavity.

It affects the cervix and the head of the hip, the acetabulum, characterized by pain and lameness.

It can be cured if diagnosed on time, otherwise there is lameness, stiffness of movements, muscle atrophy.

Types of coke

1. Nonspecific;
2. Specific;
3. Infectious-allergic;
4. Transit;
5. Aseptic;
6. Reactive.

The purulent variant of the disease belongs to the nonspecific variant, and the specific one arises as a result of concomitant diseases: syphilis, tuberculosis, gonorrhea.

Reactive appears after infectious diseases: measles, dysentery and is often manifested in children.

Aseptic coxite is characteristic for rheumatoid diseases, and transient develops after trauma.

Causes

Experts have identified the causes of coke, for example, due to autoimmune changes, the body begins to fight itself themselves, considering their proteins foreign, resulting in the development of rheumatoid arthritis, and then as a consequence - coke.

If there is a metabolic disorder, gout appears, which contributes to the accumulation of uric acid salts, after which against the background of the disease develop hip joint damage.

The coxite itself occurs when excessive load on the joint:hard work, heavy weight of the patient and for other reasons, and then another disease can develop that destroys the hip joint completely.

The most common cause of joint damage is tuberculosis, after which second place is occupied by purulent infections, other manifestations become less frequent.

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If adults receive Coxarthrosis due to degenerative joint changes, the cause of the appearance in children is called weak immunity. It occurs against the background of various inflammations in the body.

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Most often, children manifest tuberculous coxitis, it manifests itself with pain, limp and, in a neglected situation, can lead to complications and even death.

Purulent form of this disease is very dangerous, because more often the baby dies of sepsis.

Sometimes the effect of the appearance of a coxite becomes a vaccine.

Symptoms and manifestations

With a purulent form, the pain is sharp, shooting, and with the tuberculosis variant it is slightly blurred, aching, it is difficult to recognize.

The next sign will be joint stiffness, smoothness of the skin upon palpation.

With neglected symptoms, muscle atrophy is noted.

More often, tuberculosis cocksitis affects children aged 5-7 years, mostly boys.

Recently, such a diagnosis is made and adults who have the disease of tuberculosis.

There is a necrosis of surrounding tissues, the joint in which there is pus, affecting surrounding tissues. In addition, fistulas and abscesses may form. In case of inflammation, a dislocation of the joint may occur with an offset.

Radiologic examination shows foci of tuberculosis in the area of ​​the acetabulum.

With the development of coxitis, the pain intensifies, and the muscles pull up the leg due to atrophy to the hip joint due to thickening of the subcutaneous layer of fiber on the side of the lesion.

The acute period takes 1-2 years, after which the inflammation can disappear even without treatment. But the leg is shortened due to the atrophy of the muscles and the deformation of the joint.

Features of the course of the disease in children

In children and the elderly, this disease is more difficult, because they have weakened the immune system.

In addition to immunity, the cause of the disease may be a malfunction in the work of metabolism, the endocrine sphere, with flat feet and heavy loads on the joints, after various infections.

Angina, staphylococcus aureus, otitis media, pneumonia, all this can give a complication of cocksite. If the underlying disease is cured, then the pelvic bones can be treated and inflamed.

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With venereal diseases in the mother (gonorrhea, syphilis), a child can get sick even in the baby age.

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And up to 6 years, the cause is usually measles, rubella, intestinal infections, scarlet fever.

Usually, the acute form can be expressed about 2 years gradually turning into a chronic one.

The pain is localized in the hip joint, gives to the knee.

In addition, the work of the digestive tract is disrupted, anemia may develop. Walking is becoming more difficult, the person is limping.

If the doctor can not diagnose the blood by blood tests, it becomes apparent already when the baby begins to limp.

Most often, the acute period is already passing, and the disease becomes chronic.

What is characteristic of the disease: a decrease in hemoglobin, a change in the blood formula.

At an atrophy of muscles of a basin there can be constipations.

What kind of examination?

• Examination with palpation;
• Analyzes of urine and blood, puncture of joint fluid;
• Ultrasound and MMRT.

When diagnosing this disease, first of all, treatment becomes the immobilization of the joint.

For this, bandages and gypsum are used. In addition, various medications are used that affect the cause of infection, as well as pain medications.

Treatment of coxitis of the hip joint

What is the treatment directed at:

1) Pain removal and stopping inflammation in the joint;

2) Search and elimination of the reasons for its appearance;

3) Restoration of cartilage tissue of the joint;

4) The rise of immunity and the strengthening of the general condition of the patient.

What methods of treatment are used:

• Drug treatment;
• Surgical and orthopedic methods;
• Spa treatment.

Surgical methods are aimed at removing infection from the focus of manifestation, for example, in the joint cavity, introduce various drugs that help to remove the infection, and an operation to return mobility.

Extra-articular and intraarticular resection, arthroplasty, necrectomy and corrective osteotomy are all aimed at improving the patient's condition.

On average, treatment lasts no less than, months and is aimed at stopping the infection, the destruction of the joint. In addition, concomitant therapy is performed on the cardiovascular system, and the lymph nodes are put in order.

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With tubercular form, the coxite suffers, the kidneys are also light, and only then the joints themselves.

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In this case, not only the mobilizing bandage is imposed for 2-3 months, but antituberculous chemotherapy in the hospital is also carried out.

Coke can give a complication to the eyesight, which will also need to be treated.

Transit coxitus is rooted in the transmitted diseases or injuries and is characterized by pain in the groin area when walking. Self-treatment is done on an outpatient basis.

Treatment is more often aimed at relieving inflammation and eliminating pain, so the doctor prescribes the use of analgesics and anti-inflammatory drugs. They are prescribed in the form of injections, including corticosteroids. Gypsum fixation and bed rest are prescribed.

With purulent coke, antibiotics are prescribed. In case of complications, surgical intervention is appointed, namely, joint replacement. The operation is prescribed only in the case when drug treatment does not have an effect.

After removal of inflammation, exercise therapy is applied, massage.

Prevention

You can not injure the muscles and hip joint.

It is necessary to establish a balanced diet rich in protein food. At the slightest change in the state of health, you should consult your doctor.

Do not self-medicate this disease, because with proper diagnosis and treatment of the disease is not a threat.

However, when the condition is neglected, the disease leads to destruction of the hip joint, as well as sepsis.

A source: http://vse-sustavy.ru/lechenie/tazobedrennyj/koksit-u-detej-i-vzroslyh.html