The femoral head is necrotic, and there is a noise in the bones inside

Is it not hip synovitis?

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The main harm of femoral head necrosis to patients, the first is pain, which can seriously affect the quality of life of patients, affect patients' rest, and affect patients' activities. The main pain of many patients with femoral head necrosis is pain, and some people have no collapsed bones, but the main pain is pain, and some can't stop the pain by taking painkillers. So sometimes this kind of pain needs to be relieved by some surgical methods, or the lesion is excavated to improve his symptoms.

Another major hazard is that the necrosis of the femoral head causes the limitation of the function of the hip joint, which may be the limitation of rotation in the early stage, and the hip joint cannot be cocked with the legs, internal rotation and external rotation. In the later stages, further development will lead to hip flexion, limited flexion and extension activities, inability to sit on a low stool, inability to go to the toilet to relieve stool, can only sit on the toilet, can not squat. There are also severe patients who cannot separate their legs, which seriously affects the daily activities of the patients, and they walk with a limp, walk with a limp, and have severe pain when they can't walk far.

The main hazards of necrosis of the femoral head are pain, which seriously affects the range of motion of the hip joint, and further development will lead to muscle atrophy, which will lead to a decrease in the mobility of the human body. Because the hip joint function is not good, it will lead to a decrease in the patient's mobility, which will cause a decline in cardiopulmonary function, resulting in a deviation in the overall state of the person.

The full name of the femoral head is aseptically bad, or the femoral head is ischemic bad. In the case of poor femoral head, there is a poor blood **, the femoral head is caused by various reasons, which further ischemia is caused by trabecular fracture, femoral head damage, femoral head collapse lesions can occur at any age, but the maximum age of children and the ratio of 35-65 men to women is 4:1, bone damage and hip pain, claudication is the main clinical manifestations.

The pain is mainly gradual and there may not be any clinical manifestations in the early stages, making CT when x-rays are detected. It is also the first to appear hip or knee pain, hip joint, and earlier in close proximity to the muscles (thigh pain), the pain can be continuous or intermittent form. Bilateral lesions may have alternating pain, the patient's hip joint movement is limited, and the main abduction and internal rotation are limited, so the patient is unable to cross his legs, difficulty getting on and off the bicycle, and severe patients with limited hip flexion are not squatting, bending over inconveniently, and need to use the toilet to defecate.

Plain x-rays are the basic method for diagnosing osteopathy. Orthopaedic pelvic and dermatoses of the femoral head in early fluoroscopy are normal or only vague and scattered osteoporosis is seen in the early stages of fluoroscopy, and this disease can see a further progression of local cystic changes. The texture of the trabecular bone is disturbed or seen in the center of the visible block of the increased density of the femoral head, the density of the femoral head is increased, the shadow is visible behind the center, and the third degree of the femoral head is less than the overall local bad bad; More than one-third and less than two-thirds of the majority are bad; More than two-thirds of the bones, the whole ** bone is more bad.

Failure of the femoral head can occur on plain x-rays, "snowflake cup", "crescent", "beak" changes, and joint subluxation occurs.

Analysis:

The main symptoms of femoral head necrosis are manifested in the following five points:

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 a numbness in this area.

Joint stiffness and limited mobility. The affected hip joint flexion and extension is unfavorable, squatting is difficult, and it is impossible to stand for a long time and walk duck steps. The early symptom is abduction, and the limitation of external rotation is obvious.

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.

Signs. Localized deep tenderness, adductor insertion tenderness, positive figure-4 test, positive Gaga S sign, positive A11is sign, Tkdele Lak UQ test. Abduction, external rotation, or internal rotation are limited, the affected limb may be shortened, muscle atrophy, and even signs of subluxation may be present.

Sometimes axial rush is positive.

X-ray findings. The bone texture is small or interrupted

Guidance: Femoral head necrosis can be prevented without disturbing the limb, once femoral head necrosis occurs, irreversible, ** joint replacement is recommended. If you require drugs, it is recommended to use Xianling Gubao Capsule orally for 2 days, and you can also use some drugs to promote blood circulation and remove blood stasis, such as swelling and pain capsules, but they are all conservative methods to slow down, can not be thoroughly**, please choose ** plan as appropriate, femoral head replacement is a more ideal ** method.