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Coxarthrosis is osteoarthritis of the hip joint. It can be primary (40% of cases) occurring on a normal hip, often after 60 years. It is more often secondary to anatomical malformation (60% of cases) and manifests around 30-40 years.
The course varies from patient to patient. Some forms of coxarthrosis are very little progressive. Conversely, others are “rapidly destructive” and are accompanied by the accelerated development of radiological images. The diagnosis of coxarthrosis is considered from the patient’s complaints and the doctor’s examination.
Pain is the main symptom. It is mechanical (increased with walking, calmed by rest) and is accompanied by stiffening of the joint observed during the doctor’s examination. Pain and stiffness create discomfort when walking.
Radiography:
- confirms, when it exists, the anatomical malformation (most often a “luxating dysplasia”);
- shows the usual signs of osteoarthritis (decrease in the space between the two hip bones; changes in the structure of the bone located immediately under the cartilage; bone growths called osteophytes).
In the treatment, non-drug measures are essential:
- reduction of possible overweight;
- joint economy (avoid prolonged standing, walking in rough terrain, and moving around during painful attacks);
- endurance physical activity (walking or cycling);
- rehabilitation exercises to preserve the mobility of the joint and strengthen the musculature.
Medicines have their place:
- analgesics, favoring paracetamol;
- anti-inflammatory drugs in short courses during painful outbreaks;
- slow-acting symptomatic anti-osteoarthritis drugs for several months.
The surgery:
- prevents the development of osteoarthritis when it corrects a luxating defect;
- takes care of the pain and disability (which are no longer controlled by the usual treatment) when she places a prosthesis.
Digital Osteoarthritis And Hand Osteoarthritis
Digital osteoarthritis is the most common localization of osteoarthritis. It mainly develops in women around menopause. It sits most often:
- at the joints between the last two phalanges of the fingers (osteoarthritis of the distal interphalangeal joints);
- at the base of the thumb (osteoarthritis of the trapezo-metacarpal joint or rhizarthrosis).
It rarely concerns the joints between the first two phalanges (osteoarthritis of the proximal interphalangeal joints). Search for knee arthritis (กล้าม เนื้อ เข่า อักเสบ which is the term in Thai)
