Coxarthrosis

Hip Osteoarthritis (Coxarthrosis): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin (normal: intact; abrasions/wounds, redness, hematomas (bruises), scars) and mucous membranes. Gait pattern (fluid, limping) – leg statics! [Schonhinken, pain limp] Body or joint posture (upright, bent, Schonhaltung). Malpositions … Hip Osteoarthritis (Coxarthrosis): Examination

Hip Osteoarthritis (Coxarthrosis): Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Uric acid Laboratory parameters 2nd order – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification. Examination of the joint punctate Rheumatoid factor (RF) ANA … Hip Osteoarthritis (Coxarthrosis): Test and Diagnosis

Hip Osteoarthritis (Coxarthrosis): Or something else? Differential Diagnosis

Cardiovascular (I00-I99). Peripheral arterial occlusive disease (pAVD) – progressive narrowing or occlusion of the arteries supplying the arms/ (more commonly) legs, usually due to atherosclerosis (arteriosclerosis, hardening of the arteries). Mouth, esophagus (esophagus), stomach and intestines (K00-K67; K90-K93). Inguinal hernia (inguinal hernia/inguinal hernia). Musculoskeletal system and connective tissue (M00-M99). Bacterial arthritis (infection of the joints). … Hip Osteoarthritis (Coxarthrosis): Or something else? Differential Diagnosis

Hip Osteoarthritis (Coxarthrosis): Complications

The following are the most important diseases or complications that can be caused by coxarthrosis (hip osteoarthritis): Musculoskeletal system and connective tissue (M00-M99). Absolute leg shortening due to loss of substance in the hip joint. Activated coxarthrosis (osteoarthritis with signs of inflammation: Calor (overheating), pressure and movement pain, effusion, soft tissue swelling) – e.g. after … Hip Osteoarthritis (Coxarthrosis): Complications

Hip Osteoarthritis (Coxarthrosis): Cartilage-Protective Agents (Chondroprotectants)

Chondroprotectants inhibit cartilage-degrading substances and thus reduce further loss of protective cartilage. At the same time, they promote the regeneration of cartilage tissue.Furthermore, they are believed to have an anti-inflammatory effect. As a result, there is a reduction in pain, swelling and improved joint mobility. The greatest success is achieved by injecting chondroprotectants directly into … Hip Osteoarthritis (Coxarthrosis): Cartilage-Protective Agents (Chondroprotectants)

Hip Osteoarthritis (Coxarthrosis): Drug Therapy

Therapy goals Pain relief Improvement of mobility Improvement of walking performance Improving the quality of life Delay the progression of osteoarthritis Therapy recommendations Depending on the severity of the disease and individual problems, the following medications can be used: Analgesics (painkillers) Non-acid analgesics Nonsteroidal anti-inflammatory drugs (NSAIDs; non steroidal anti- inflammatory drugs, NSAIDs). Selective COX-2 … Hip Osteoarthritis (Coxarthrosis): Drug Therapy

Hip Osteoarthritis (Coxarthrosis): Diagnostic Tests

Obligatory medical device diagnostics. Radiographs of the hip – pelvic overview (bilateral findings?)Note: In one study, only 9.1% of symptomatic patients with hip symptoms had appropriate radiographic findings. Radiographic osteoarthritis is often a late finding. Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics and obligatory medical device … Hip Osteoarthritis (Coxarthrosis): Diagnostic Tests

Hip Osteoarthritis (Coxarthrosis): Surgical Therapy

If joint destruction is not too advanced, joint-preserving surgery may be considered: Pelvic realignment osteotomy – for hip dysplasia (congenital malformation of acetabulum leading to congenital hip dislocation (hip joint dislocation)). Femoral corrective osteotomy (conversion osteotomy) – for malalignment. Hip arthroscopies – to eliminate localized cartilage damage. Acetabular positioning – for coxarthrosis requiring surgery for … Hip Osteoarthritis (Coxarthrosis): Surgical Therapy

Hip Osteoarthritis (Coxarthrosis): Phytotherapeutics

Herbal antirheumatic drugs Herbal preparations can be used for supportive, analgesic (pain-relieving) therapy. Application is mainly: Nettle herb – analgesic and anti-rheumatic effects; dosage: 50-100 g nettle porridge per day. Gamma-linolenic acid (GLA) – e.g. borage oil, evening primrose oil; gamma-linolenic acid is an omega-6 fatty acid that has anti-inflammatory (anti-inflammatory) effects via prostaglandin metabolism; … Hip Osteoarthritis (Coxarthrosis): Phytotherapeutics

Hip Osteoarthritis (Coxarthrosis): Prevention

For the prevention of coxarthrosis (hip osteoarthritis), a clinical examination and hip ultrasonography (ultrasound examination of the hip; according to Graf) should be performed in all infants as part of the U3 early childhood screening examination (4th-6th week of life) to exclude congenital (congenital) hip dysplasia or dislocation. Furthermore, attention must be paid to reducing … Hip Osteoarthritis (Coxarthrosis): Prevention

Hip Osteoarthritis (Coxarthrosis): Analgesics-Anti-Inflammatories

Therapeutic target Relief of symptoms Therapy recommendations For non-active coxarthrosis: analgesic/pain reliever paracetamol (best tolerated) Caution! According to a meta-analysis, paracetamol is hardly effective in coxarthrosis and gonarthrosis. In activated coxarthrosis (abraded cartilage or bone inflamed): nonsteroidal anti-inflammatory drugs (NSAIDs), e.g., selective COX-2 inhibitors (e.g., etoricoxib) or diclofenac [no long-term therapy! ]Note: No diclofenac in … Hip Osteoarthritis (Coxarthrosis): Analgesics-Anti-Inflammatories