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The first perceived symptom of necrosis of the femoral head is pain, which can be found around the hip joint, in the inner thigh, in the anterior side, or in the knee. In the early stage, the pain begins as dull, dull, and intermittent, and is aggravated by more activity, which can be relieved or relieved by rest. The specific description is as follows:
Stage (pre-radiation) symptoms: about 50% of patients present with mild hip pain that worsens with weight bearing. Physical examination:
Hip mobility is limited, with limited movement with internal rotation being the earliest, and hip pain worsens with strong internal rotation. X-ray: may be negative, or sporadic osteoporosis or trabecular bone is blurred.
Stage {necrosis formation, pre-head flattening) symptoms: clinical symptoms are obvious and aggravated compared with stage I. X-ray showed widespread osteoporosis of the femoral head, scattered sclerosis or cystic changes, trabecular bone disorder and interruption, partial necrosis area, and normal joint space.
(transitional symptoms:) clinical symptoms continue to worsen. X-rays showed that the femoral head was mildly flattened, collapsed within 2mm, and the joint space was slightly narrowed.
Stage (collapse stage) symptoms: clinical symptoms are severe. The function of the lower limbs is significantly limited, the pain is mostly relieved or disappears, and the muscles of the affected limb are atrophied.
X-rays showed that the outer contour of the femoral head and trabecular bones were disordered and interrupted, with semilunar signs, collapse greater than 2 mm, dead bone formation, flattening of the head, and narrowing of the joint space.
Stage (osteoarthritis stage) symptoms: clinical symptoms similar to those of osteoarthritis, with significant pain and severe limitation of range of motion. X-rays show collapse of the femoral head, marginal hyperplasia, fusion or absence of joint spaces, and hip subluxation.
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Hello, the common symptoms of femoral head necrosis are more obvious pain around the hip joint, axial percussion pain, obvious hip lateral pressure percussion pain, obvious tenderness at the midpoint of the groin, and obvious restriction of hip joint movement, positive 4-figure test, when walking, the pain of upper and lower stairs is the main, and the pain is also when walking flat, and the pain gradually worsens the longer you walk.
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There is no tiger bone necrosis, there is femoral head necrosis, and you mean the root bone**?
Pain alone cannot be judged as necrosis of the femoral head.
What you are talking about is not a technical term, it is difficult to judge your lover's condition, it is recommended to go to the hospital for examination.
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1) Hip and knee pain, also known as ectopic dusty pain, is the main manifestation of early femoral head ischemia symptoms, because of it"far"The distal hip joint is often overlooked and can be misdiagnosed as arthritis or joint injury, but is actually a radiological symptom associated with necrosis of the femoral head. This pain can be evident due to exertion, trauma, heavy alcohol consumption, excessive activity, going up and down stairs, etc. (2) Children aged 3-10 years old with a history of minor trauma or upper sensation before the onset of the disease.
Sudden onset, the child has pain in the kneele joint and thigh, which turns into hip pain a few days later, and then causes claudication, low body temperature and low fever, tenderness in the hip joint, the affected hip is maintained in a slightly flexed and adductive position, the hip joint internal rotation and abduction activities are obviously limited, the hip joint on the affected side is ** contrast, and the epiphysis and cartilage surface are not smooth. (3) Patients with diseases (such as psoriasis, erythema multiforme, etc.) using steroid drugs can slow down the glial synthesis of osteoblasts, hinder the transformation of pre-osteoblasts to osteoblasts, and affect the absorption of calcium from the intestine, resulting in osteoporosis, and fine fractures of bones can occur after trauma, reducing the resistance and causing bone compression or collapse. Obstruction of blood vessels due to compression of myeloid cells and capillaries can lead to osteonecrosis, or femoral head necrosis if it occurs in the femoral head.
When you notice that you have a limp when walking, which lessens after resting, or when you sit down, you have hip discomfort or soreness, most of the prompts should be alert. What are the preventive care for femoral head necrosis? Femoral head necrosis is a very common disease now, this disease has a great impact on many patients, many patients do not know much about this disease, so it leads to missing the best period of this disease, so what are the preventive health care for this disease?
1. The use of hormones in large doses is an important cause of necrosis of the femoral head, so when hormone drugs need to be used because of a certain disease, it is necessary to grasp the principle of short-term appropriate amount, and also cooperate with calcium, vitamin D, or vasodilator drugs, and do not change the drug and dosage without authorization, so as not to cause serious consequences. 2. In order to do a good job in the prevention of necrosis of the head of the femoral head, we should enhance the awareness of hip joint protection, when the severe trauma of femoral neck fracture occurs, we should adopt a strong internal fixation method, and at the same time, we should also use the head bone graft with a vascular pedicle flap, which can promote the blood transport of head protection, prevent the occurrence of osteonecrosis, and carry out regular follow-up after surgery, and take some calcium and traditional Chinese medicine appropriately to prevent avascular necrosis of the femoral head. 3. The preventive health care of femoral head necrosis should also pay attention to a reasonable diet, not hormone food, do not drink a lot of alcohol for a long time, pay attention to calcium supplementation, eat more fresh vegetables and fruits, bask in the sun, prevent excessive weight bearing, and often carry out appropriate activities, which is very helpful for the prevention of this disease.
Beijing] [Qianhai] [femoral head] [hospital].
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