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Knee joint osteoarthritis (gonarthrosis)

Knee joint osteoarthritis (gonarthrosis)

Knee joint osteoarthritis (gonarthrosis) — a dystrophic process, which is based on degeneration of articular cartilage with subsequent changes in bone joint surfaces, osteophyte development boundary, which leads to deformation and impairment of the motion of the knee.

All diseases of knee joint and periarticular tissues are divided into two major groups - inflammatory and metabolic (not counting the injured knee).

Anatomy of the knee joint in normal (ligament, meniscus, articular cartilage).

They are based on an autoimmune inflammatory response that develops in the knee joint and the tissues surrounding the knee joint. This means that the immune system, designed to protect our body from infections, tumors and other diseases, behaves poorly - he was "attacking" our own knee (the word "autoimmune" can be decoded as immunity directed against itself).

Knee joint osteoarthritis (gonarthrosis) diagnosis

At the core of metabolic diseases of the joints are a variety of metabolic disorders. As a result of such shifts change the biochemical reactions that occur in the tissues of the joint. As a result, cartilage degenerates, in some places destroyed, it postponed the various salts. All of this changes the surface of the inflamed joint and the structure of its cartilage.

MRI of knee joint in the frontal projection (ligament, meniscus, articular cartilage) in the diagnosis of osteoarthrosis (gonarthrosis).

To clarify the nature of the changes in the knee joint is required:

  • inspection of the patient
  • complete blood count
  • X-ray of the knee
  • MRI of the knee joint
  • CT of the knee joint
Osteoarthrosis (gonarthrosis) of the knee joint (ligaments, meniscus, articular cartilage).

 

Knee joint osteoarthritis (gonarthrosis) treatment

Depending on the knee joint cartilage surface degeneration, the following therapeutic action is indicated:

  • drug therapy (NSAIDs, analgesics, hormones)
  • drugs injection (hormons, platelet-enriched plasma (PRP) or artificial joint fluid) into the knee joint cavity
  • manual therapy (myofascial release and chiropractic)
  • physiotherapy (UHF, SMC, IT)
  • Medical exercise therapy
  • surgery

In severe cases, rupture of ligaments (cruciate) and the meniscus is possible arthroscopic surgery to remedy the defect.

Hormons, platelet-enriched plasma (PRP) or artificial joint fluid can be injected into the knee joint cavity, which weakens the pain symptom and inflammation, and also promotes the regeneration of the articular (cartilaginous) surface.