Massive proliferation of osteophytes
Introduction
Introduction "Bone hyperplasia", commonly known as "bone spur" or "bone sputum", refers to abnormal bone hyperplasia at the edge of bone and joint, and is also known as "osteoarthritis" in the clinic. Also known as "degenerative osteoarthrosis", "hypertrophic osteoarthritis" is an image manifestation of osteoarthritis, a lesion secondary to the destruction of articular cartilage, belonging to the degenerative change of bone, ie "Bone aging" caused.
Cause
Cause
Due to the destruction or disappearance of cartilage, the formation of "bone spur" or "bone sputum" and "bone and lip", the fibrous hypertrophy of the joint capsule and loss of elasticity, the reduction of synovial fluid, etc., will inevitably cause joint congestion, swelling and stiffness during joint movement. Pain, weakness or movement disorder, joint deformation and compression, and stimulation of peripheral nerves produce clinical reflex or radiation pain. Abnormal bone hyperplasia on the edge of the bone joint, which is called epiphyseal hyperplasia.
Examine
an examination
Related inspection
General radiography, bone density measurement, bone and joint soft tissue, CT examination, bone and joint plain bone and joint MRI examination
Due to the destruction or disappearance of cartilage, the formation of "bone spur" or "bone sputum" and "bone and lip", the fibrous hypertrophy of the joint capsule and loss of elasticity, the reduction of synovial fluid, etc., will inevitably cause joint congestion, swelling and stiffness during joint movement. Pain, weakness or movement disorder, joint deformation and compression, and stimulation of peripheral nerves produce clinical reflex pain or radiation pain, called "osteoma." The above-mentioned pathological and anatomical changes produce aseptic inflammation mostly in the joints of the bones and joints. Further development can lead to dysfunction of the joints, which not only causes discomfort to the patients, but also causes discomfort such as muscle aches, joint stiffness, and suffering. It affects the life of the patient, and affects the daily activities such as standing and walking of the joint function of the patient, which has a serious impact on the quality of life of the patient. Therefore, the disease has attracted great attention from the majority of patients and the medical community.
Diagnosis
Differential diagnosis
(1) Lumbar vertebrae hyperplasia: Most of the patients with this disease are middle-aged and elderly people over 40 years old, accompanied by lumbar stiffness pain or numbness of lower extremities. Some patients may have abnormal lumbar vertebral curvature; some muscles on the lumbar vertebrae have tenderness. .
(2) lumbar vertebrae hyperplasia: changes in lumbar X-ray films (positive, lateral, left and right oblique), such as patients with lumbar curvature abnormalities, lumbar scoliosis, lumbar vertebral space narrowing, lumbar vertebral body And small facet joint hyperplasia, lumbar spondylolisthesis, intervertebral foramen stenosis and other changes.
(3) The various symptoms of lumbar vertebra hyperplasia should be differentiated from a variety of lumbar diseases, such as lumbar disc herniation, vertebral body malformation, vertebral body tumor, lumbar tuberculosis and other diseases.
Due to the destruction or disappearance of cartilage, the formation of "bone spur" or "bone sputum" and "bone and lip", the fibrous hypertrophy of the joint capsule and loss of elasticity, the reduction of synovial fluid, etc., will inevitably cause joint congestion, swelling and stiffness during joint movement. Pain, weakness or movement disorder, joint deformation and compression, and stimulation of peripheral nerves produce clinical reflex pain or radiation pain, called "osteoma." The above-mentioned pathological and anatomical changes produce aseptic inflammation mostly in the joints of the bones and joints. Further development can lead to dysfunction of the joints, which not only causes discomfort to the patients, but also causes discomfort such as muscle aches, joint stiffness, and suffering. It affects the life of the patient, and affects the daily activities such as standing and walking of the joint function of the patient, which has a serious impact on the quality of life of the patient. Therefore, the disease has been highly valued by the majority of patients and the medical community.
