骨性关节炎（osteoarthritis）.docVIP

骨性关节炎（osteoarthritis） What causes osteoarthritis? A variety of factors cause articular cartilage fibrosis, chapped, ulcer, and loss of joint disease. The cause is not clear, and its occurrence is related to age, obesity, inflammation, trauma and genetic factors. The pathological characteristics of articular cartilage degeneration destruction, sclerosis of subchondral bone or cystic change, the edge of bone hyperplasia, joint synovial hyperplasia, joint capsule contracture, ligament relaxation or contracture, muscle atrophy weakness, etc What are the manifestations and diagnosis of osteoarthritis? I. clinical manifestation Primary osteoarthritis in middle age, disease incidence increases with increase of age, the affected joints is commonly weight-bearing joints and active joints, main symptom is joint pain, often occurring in the morning, after a little activity pain relief instead, but such as too many activities, due to friction joints pain worse. The other symptom is that the joint activity of the affected joint is not active, the long time to maintain a certain position and feel the stiffness of the joint, after a certain time activities to feel comfortable. Climate change often causes symptoms to occur. Several joints may be affected at the same time, but unlike rheumatoid arthritis, there is systemic symmetry. Examination of the affected joints may have mild swelling, the active joint has the attrition or the crackle sound, the disease develops severe person can have the muscle atrophy and the joint deformity. The symptoms of this disease are not directly proportional to the X-ray signs, and the symptoms vary according to the affected areas. (a) finger joint degeneration in the distal interphalangeal (PIP) Heberden s nodules in middle finger and index finger, the proximal interphalangeal Bouchard s nodules, less often mistaken for rheumatoid nodules, the first joint degeneration can cause wrist radial side parts of the pain, in addition to this little joint in