sacroiliitis
Introduction
Introduction to ankle arthritis Ankle arthritis is a branch of osteoarthritis in arthritis. Most arthritis of the ankle is not a single disease, but is caused by other diseases. For example, many patients with ankylosing spondylitis show sacroiliitis in the early stage of the disease, so it is not enough to diagnose ankle arthritis. Should be further examined for what caused it. However, arthritis is generally not associated with the sciatic nerve. The articular chondrocytes of primary ankle arthritis have low activity, and the soft tissue support strength of the hip muscles is weakened, and the cartilage is degenerative. The older the age, the more accumulated damage, the amount of mucopolysaccharide in the articular cartilage matrix of the elderly is reduced, the fiber component is increased, the toughness of the cartilage is reduced, and the degeneration is easily caused by the damage. The incidence of obese people is higher. basic knowledge The proportion of illness: 0.0025% Susceptible people: no special people Mode of infection: non-infectious Complications: degenerative ankle arthritis
Cause
Cause of ankle arthritis
Body factor (55%)
The articular chondrocytes of primary ankle arthritis have low activity, and the soft tissue support strength of the hip muscles is weakened, and the cartilage is degenerative. The older the age, the more accumulated damage, the amount of mucopolysaccharide in the articular cartilage matrix of the elderly is reduced, the fiber component is increased, the toughness of the cartilage is reduced, and the degeneration is easily caused by the damage. The incidence of obese people is higher.
Disease factor (45%)
Biomechanical imbalance can be produced, the bearing area can be narrowed, and the increased pressure of the articular cartilage in the bearing area leads to osteoarthritis caused by the wear of the articular cartilage. Flat hip, femoral epiphysis slip, articular surface unevenness, mechanical wear, can cause osteoarthritis. Some diseases of the hip joint damage articular cartilage such as suppurative hip arthritis, hip tuberculosis, hemophilia, neuropathic hip disease and the like.
Prevention
Ankle arthritis prevention
Most patients have a good prognosis, and only a few have developed complete ankylosis. Attention should be paid to understanding the nature of the disease, enhancing confidence in disease resistance, and formulating practical treatment options according to the doctor's request. Indomethacin preparations are usually available, but such drugs often have side effects and should be taken under the guidance of a doctor. Ask a doctor of Chinese medicine to see a doctor. You also need to see a specialist, and the treatment time is longer.
Complication
Ankle arthritis complications Complications degenerative ankle arthritis
Degenerative changes can cause changes in osteoarthritis in the ankle joint, and severe ossification can be achieved.
Symptom
Ankle arthritis symptoms common symptoms ankle pain morning zombie fossa pain
1. Pain: Pain is the main symptom of the disease and the main cause of dysfunction. It is characterized by concealed seizures, persistent dull pain, and more often after the activity, rest can be relieved. As the disease progresses, joint activity can be limited by pain, and even pain can occur during rest. When sleeping, the muscles around the joints are damaged, and the joint protection function is lowered. The activity that causes pain can not be restricted as in the case of waking, and the patient may wake up.
2, morning stiffness and adhesion: morning stiffness suggests the presence of synovitis. However, unlike rheumatoid arthritis, the time is relatively short, usually no more than 30 minutes. Adhesive feeling means that after the joint is still for a period of time, it feels stiff when starting to move. If it sticks, it can be relieved by a little activity. The above situation is more common in the elderly, lower limb joints.
3, other symptoms: As the disease progresses, there may be joint distortion, instability, rest pain, and increased pain when weight bearing. Dysfunction can occur due to poor mechanical anastomosis of the joint surface, muscle spasm and contraction, joint capsule contraction, and bone spurs.
Examine
Ankle arthritis examination
Check and check:
1. Piedallu enrolls the patient to take the seat. The examiner observes whether the posterior superior iliac spine is at the same level from the rear. Under normal circumstances, the affected side is low; when the lumbar flexion occurs, the affected side is elevated more than the healthy side.
2. The antagonistic hip abduction test was positive.
3. Degenerative ankle arthritis showed degenerative signs on the X-ray film, and the manifestations of degenerative changes occurred depending on the course of the disease, mainly with hyperplasia and spurs.
Diagnosis
Diagnostic identification of ankle arthritis
The difference between ankylosing spondylitis
Ankylosing spondylitis Ankle joint pain is characterized by rest can not be relieved, can be relieved after the activity, which is also the difference with lumbar disc herniation, lumbar spinal stenosis, lumbar trauma. In patients with ankylosing spondylitis, only the ankle joint is stiff and the muscles are sore. The reason is inflammation of the tendon of the tendon, ligament and ankle joint, that is, tendon inflammation. Misdiagnosed as lumbar disc herniation, rheumatism. Pain in the back of the hip and thigh is easily misdiagnosed as sciatica, but lower extremity pain caused by ankylosing spondylitis rarely radiates below the knee.
Ankylosing spondylitis alternates with pain in the ankle joint and is the most characteristic symptom in the early and middle stages of ankylosing spondylitis. It is a deep level of occult pain in the fixed part of the ankle joint. It is prominent on one side first, and then develops as left and right alternating pain. The severe pain is on the ankle joint. Ankle pain can be upturned to lumbar vertebrae pain, down to the pain of the ischial or thigh pain, and the pain is aggravated by coughing, sneezing or other moving movements. Initially the pain can be unilateral, intermittent, and gradually develops into bilateral, persistent pain with lumbar stiffness a few months later.
Ankylosing spondylitis invades the ankle joint and ascends to lumbar pain, so ankylosing spondylitis ankle pain is often accompanied by low back pain and lumbosacral pain with morning stiffness. First, recurrent, intermittent or bilateral alternating soreness, with the development of the disease, or persistent deep dull pain or tingling, accompanied by lumbar pain, general fatigue, characterized by rest, cloudy or tired Aggravation, activity, pain relief after heat.
