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MedenoSrce - Artroza komolca

Artroza komolca

Datoteke:
DatotekaVelikost
Snemi datoteko (msartrozakomolca.ppt)msartrozakomolca.ppt592 kB
PPT

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Degenerativna bolezen sklepov
Prehitro obrabljanje hrustanca
Neraven in razpokan hrustanec
Zmanjšana elastičnost odpornost hrustanca
Hondromalacija
Sinovitis (hrustančni dentritus)
Robna hipertrofija hrustanca in kosti – osteofiti
Skleroza kosti
Degeneracijske ciste


Vzroki
Sprememba kvalitete hrustanca
Pretirana obremenitev zdravega hrustanca
Klinična slika
Krepitacije, jutranja okorelost
Omejena gibljivost, bolečina ne minejo in se povečajo z aktivnostjo, vkleščenost
Vnetje sklepa
Komolec
Primarno redko, povezan z OA metakarpofalangealnih sklepov
Navadno posledica poškodbe, pogostejše pri hemofilikih
Zmanjšana gibljivost, bolečine, krepitacije, vkleščenja, lahko ulnarna nevropatija
Osteofiti, stanjšan sklepni hrustanec, spremenjena oblika sklepnih površin, skleroza kosti

Zdravljenje
NSAID-i
Hialuronska kislina
Razbremenjevanje
Odstranjevanje prostih teles
Odstranitev glavice radiusa
Endoproteza
Artrodeza