hip bursitis
Introduction
Introduction to hip bursitis The hip bursa is located around the hip tendon and joints and contains a small amount of synovial fluid, which mainly acts to reduce friction and cushion shock. Synovial fluid increased significantly when the burs were inflamed, and most of them were non-bacterial inflammation. basic knowledge The proportion of illness: 0.04% Susceptible people: no specific people Mode of infection: non-infectious Complications: muscle atrophy
Cause
Causes of hip bursitis
The main reasons are as follows: 1 Most of them are caused by long-term excessive abduction and external rotation of the lower limbs (such as jumping, squatting), standing or walking on the hard ground for a long time, and sitting on the hard bench for a long time. 2 Overworked (such as running, climbing, cycling and other sports activities) or fall directly hit the hip joint, causing the joint capsule to be pulled or squeezed. 3 feel the wind and cold dampness caused. 4 can also be caused by local bacterial virus infection. 5 suffering from ankylosing spondylitis, rheumatoid arthritis, gout and other diseases. 6 Children's hip joints are immature, and the disease is prone to occur when the labor intensity is too high or the joints are loose. 7 pairs of lower limbs are not equal. 8 hip surgery such as hip arthroscopy or hip replacement.
Prevention
Hip bursitis prevention
1. Pay attention to hygiene: Strengthen labor protection and develop the habit of washing hands with warm water after work.
2, rest is the best way: rest is the primary method to solve any joint pain, so the joint should be well rested.
3, ice: If the joint is very hot to touch, you can use the ice method, alternating with 10 minutes of ice, 10 minutes of rest, as long as the joint is still hot, do not use hot compress.
4, ice and heat alternate: If the acute swelling and pain is weakened, and the heat has been eliminated, it can be treated by alternating hot and cold methods, that is, hot for 10 minutes after 10 minutes of ice application, so repeatedly.
5. Swinging the painful arm: The painful part is on the elbow or shoulder. The doctors suggest that the arm swing freely to relieve the pain.
6. Avoid being too sedentary.
Complication
Complications of hip bursitis Complications muscle atrophy
Due to pain, swelling and tenderness, it can lead to muscle atrophy and limited mobility, and can also be complicated by surrounding tissue cellulitis.
Symptom
Hip bursitis symptoms common symptoms joint edema joint pain joint swelling and intermittent claudication
Generally, hip pain, swelling, and claudication are obvious after acute injury. Hip pain, the pain can be located outside the hip joint, buttocks or groin. It is more obvious when walking or going upstairs; however, many patients feel only discomfort after walking, and walking as usual. After 2 to 3 days or more, they feel aching limbs, walking is unfavorable, and they develop into limbs. Standing, walking, limp or bypass, hip joint tenderness, pain in active joints; hip joint mobility decreased, there was a sound when the hip was flexed, and the affected limb prolonged by 0.5 to 3 cm, sometimes the lateral swelling of the hip joint occurred. X-rays did not show any abnormalities in the hip joint, but CT or IBM imaging showed that the synovial sac had fluid. Since the hip joint has not been painful or pain relieved, the patient has been walking for a long time, or insisting on work, these patients can appear short limbs, at this time or longer, clinical examination of hip joint stiffness, the scope is obvious Zooming out, X-ray shows that the surface of the femoral head is rough and even collapsed, and the gap between the femoral head and the ankle is narrowed. The early degeneration and necrosis of femoral head necrosis can be seen by CT or IBM imaging.
Examine
Hip bursitis examination
To check for localized tenderness above a bursitis, check for swelling and no synovial fluid. If the patient has obvious pain, redness, fever and swelling, the infection should be excluded. The tendons or muscles around the joint must be excluded. Trauma, suppurative bursitis, intra-sacral hemorrhage, synovitis, osteomyelitis cellulitis, etc., pathological process can involve the same sac and joint.
In some cases, mucus or bloody mucus can be drawn during the puncture of the bursa.
Diagnosis
Diagnosis and diagnosis of hip bursitis
According to clinical symptoms and signs can be diagnosed. However, this disease has a trend of femoral head necrosis, X-ray, CT, IBM imaging examination should be done in time during the diagnosis and treatment.
[Differential diagnosis]
The disease should be distinguished from septic hip arthritis, tuberculous hip arthritis, aseptic necrosis of the femoral head, and congenital hip subluxation.
