What are the methods for early diagnosis and treatment of femoral head necrosis and self examination

Examination method of femoral head necrosis: Patient friends, when you feel hip pain, do not use drugs indiscriminately, observe for a few days, and then go to the hospital for consultation. When you feel that the pain is aggravated, you can do a "4" sign test with deep pressure on the painful area, and if it is positive, it proves that there is a lesion.

Do a hip function test, such as hip abduction, bone adduction, flexion, etc., whether there is internal femoral muscle spasm and pain. ECT or magnetic resonance imaging can be done in the early stage, and early ischemia can usually be diagnosed. The three main symptoms of femoral head necrosis are hip (unilateral or bilateral) pain, claudication, and dysfunction.

Because the only symptom in the early stages is pain, it is often misdiagnosed. If attention is paid to, early MRI can confirm the diagnosis. Early detection of femoral head necrosis should be carried out in a timely and effective manner, I hope it can help you, I wish you an early **!

Hello Early symptoms of femoral head necrosis Femoral head necrosis due to the early pain and symptoms do not occur at the femoral head, but in the waist, knee and other positions, in the diagnostic examination, often focus on the examination of the painful part, often ignore the routine examination of the femoral head, misdiagnosis, missed diagnosis. Low back pain is mostly misdiagnosed as sciatica and lumbar disc distance (prolapse); Knee pain is misdiagnosed as knee arthritis and rheumatism; There is the greatest chance of misdiagnosis of diseases such as hip synovitis and ankylosing spondylitis. After the misdiagnosis occurred, the patients focused on these misdiagnosed diseases, and did not pay attention to the development of femoral head necrosis, resulting in the continuous deterioration of the condition and missing the best period.

It is recommended that you go to the hospital to take a **diagnosis, early diagnosis, early ** is better, I hope it will help you!

Hello Shandong Hand and Foot Surgery Liang's Orthopedic Disease Hospital will answer for you Femoral head necrosis is caused by trauma, long-term use of hormones, long-term alcoholism, acute massive blood loss and traumatic anemia and other factors, resulting in femoral head necrosis. Necrosis of the femoral head is also known as aseptic necrosis of the femoral head, or avascular necrosis of the femoral head. The main symptoms of femoral head necrosis are manifested in the following five points:

1.Pain. Pain may be intermittent or constant, worsened with walking activity, and sometimes at rest.

The pain is mostly pinprick, dull or sore, and often radiates to the groin area, inner thighs, posterior buttocks and inner knees, and there is numbness in this area. 2.Joint stiffness and limited mobility.

The affected hip joint is not conducive to flexion and extension, difficulty in squatting, inability to stand for a long time, and walking duck steps. Early symptoms are abduction and limited external rotation activities. 3.

Limp. It is a progressive shortened claudication due to hip pain and collapse of the femoral head, or late hip subluxation. Intermittent claudication tends to occur in the early stages, especially in children.

4.Signs. Local deep tenderness, adductor insertion tenderness, positive figure 4 test, positive Gaga S sign, positive A11is sign positive test.

Abduction, external rotation, or internal rotation are limited, and the affected limb may be shortened, muscle atrophy, and even signs of subluxation. Sometimes axial rush is positive. Line performance.

Bone texture is small or interrupted, and the femoral head is cystic, hardened, flattened, or collapsed.

1. Pain in the knee joint 2. There are some people who have early femoral head necrosis and pain in the groin area, so if there is no obvious reason for the pain in the groin area, high attention should be paid to suspicion of hip joint disease, and early hip imaging examination should be performed.

Hip soreness and indirect pain, pain in the abdomen and buttocks, stiffness and inconvenience in movement, and more and more pain over time.

Then we should see if our bones are stiff, and then see if the bones are painful, if such a situation will occur, then we should go to the hospital to shoot**, look at the specific situation, and make a reasonable **, relieve our pain, when we are angry, the body will be very weak, and it will be very uncomfortable, sometimes it will be very weak, and there will also be osteoporosis.

If your hip pain is constant all the time, it will get worse every day. Weakness of the lower limbs, the most obvious is pain at the base of your thighs, or your abdomen, or low back pain, if this is the case for a long time, it may be necrosis of the femoral head and you should go to the hospital for examination in time.

See if there are some problems in your body, if there is a problem, you should be in time, whether your bones are in pain, and in the early stage, there will be no way to walk upright, which indicates bone necrosis.

At this time, according to your daily activities, for example, the joints are seriously affected when you move, and the speed is relatively slow when driving, and then there is also joint swelling and pain, and in the early stage, there will generally be weakness in the limbs, and the pain will become stronger and stronger.

If the patient's range of motion in the hip joint is small, there is a suspicion that there is a problem with the femoral head, and further examination is required.

The early symptoms of femoral head necrosis mainly include the following aspects: 1. Knee joint pain, many people will have knee joint pain.

The following 5 methods can help you deal with the initial situation of femoral head necrosis: When you feel hip pain, do not use drugs indiscriminately, observe for a few days, and then go to the hospital for consultation.

With necrosis of the femoral head, pain is usually felt (usually in the groin and radiating to the inner thighs and knees), may be intermittent or constant, worsen with walking, and sometimes at rest. The pain is usually pinprick, dull or sore. Once you notice discomfort, you should go to a regular hospital for examination in time to avoid missing the best time.

This information comes from: [Femoral Head Admission Center, Beijing Air Force 466 Hospital].

I had a tendon pain in my left leg two days ago.

I need to take a film to confirm. Don't jump to conclusions. For details, please consult this doctor.

Many patients with femoral head necrosis are asymptomatic in the early stage, pain is the main symptom of patients in the early stage of femoral head necrosis, the location of pain often occurs in the groin and radiates to the inner thigh and knee joint, some patients will have pain in the buttocks, and a small number of patients can also have long and short legs and claudication in the early stage.

Commonly used tests: X-ray, radionuclide bone scan, CT, MRI, arthroscopy.

Diagnosis: The diagnosis is based on imaging, and MRI can detect osteonecrosis foci early.

Basis for diagnosis: Diagnosis of necrosis of the femoral head is based on imaging

The line can determine the extent of the lesion, and the lesion area appears as a linear translucent area, surrounded by sclerotic bone, and presents a crescent sign. In the late stages, collapse, deformity, subluxation, and narrowing of the joint space occur.

The crescent sign may be shown as a three-layered structure: the center is dead bone surrounded by a translucent bone resorption band, and the outermost part is neoostosclerotic bone, and the late stage is the collapse and deformation of the femoral head, with a large hypodense area in the center, shell-like fracture fragments under the articular cartilage, and the acetabular labralization is prominent, and the joints may be deformed.

3.The various signal changes of MRI of femoral head necrosis reflect the metabolic level of diseased tissues at different levels.

Self-examination of femoral head necrosis method:

Method. 1. Check inflammation: When you have a cold and fever, it will speed up the erythrocyte sedimentation rate, resulting in an increase in white blood cells, which will aggravate the pain of the hip joint.

Method. 2. Check cold and dampness: When the weather is cold, the hip soreness and pain are aggravated, and the function is restricted.

Method. 3. Hip pain radiates to the groin area or to the posterior or lateral side of the buttocks or the inside of the knee.

Method. Fourth, the hip joint is stiff, there is no strength, the movement is restricted, and the leg lift is inflexible, and the symptoms that appear in the initial stage are cross-legged or outward leg skimming and squatting are more difficult.

Method. 5. After the fracture, dislocation or hip sprain has healed, intermittent or persistent hip pain occurs gradually or suddenly.

Method. 6. Lameness: It is to walk, the affected limb does not dare to bear weight and use force, just like walking on tiptoe.

Method. 7. Patients who use a large number of hormones for a long time or for a short time or often drink heavily have hip pain, mostly dull pain and dull pain, often located on the outside of the hip and in the middle of the groin, which is very obvious when moving, and will be reduced after rest.

How to self-detect necrosis of the femoral head? Doctors have a saying that first rule out 3 bad habits.

Here are some simple and easy-to-tell methods excerpted from the orthopedic department website of the Guangxi Armed Police Corps Hospital to help you diagnose whether you have femoral head necrosis.

1. Hip pain radiates to the groin area or the posterior or lateral side of the buttocks or the inside of the knee.

2. Hip stiffness, weakness, limited movement, inflexibility of leg lifting, early symptoms are cross-legged or outward leg skimming and difficulty in squatting.

3. Lameness: that is, the affected limb does not dare to bear weight when walking, and walks like tiptoe.

4. After the fracture, dislocation or hip sprain heals, intermittent or persistent hip pain occurs gradually or suddenly. It is worse with walking activity, sometimes at rest, and the pain is usually pinprick or sore, and the above reactions occur.

5. Long-term or short-term use of a large number of hormones or frequent alcoholics have hip pain, mostly dull pain, often located in the groin, obvious during activity, relieved after rest.

6. Cold and dampness: When the weather is cold, the hip joint is sore, the pain is aggravated, and the function is limited.

7. Inflammation: When you have a cold and fever, the erythrocyte sedimentation rate is accelerated, the white blood cells are increased, and the pain in the hip joint on the affected side is aggravated.

MRI is very accurate in the diagnosis of early femoral head necrosis