Synovitis seriously endangers the patient's health. Its most obvious symptom is that the patient will experience pain. Some patients' joints will become stiff and their movements will be limited, and some may even experience limping. Synovitis is a specific manifestation of various diseases (such as trauma, bone hyperplasia, tuberculosis, joint degeneration, rheumatic diseases, pigmented villonodular, surgery, etc.) in the synovial tissue. These diseases can cause mechanical, biological, chemical and other stimulations to the synovium, resulting in congestion and edema of the synovial tissue, increased vascular permeability, excessive secretion of synovial fluid, and reduced absorption, leading to clinical symptoms such as joint swelling, pain, and limited movement. If not treated in time. The synovial membrane of the joint is stimulated by inflammation for a long time and gradually thickens. ①Pain . The pain may be intermittent or continuous, worsening after walking or activity, and sometimes pain at rest. The pain is usually tingling, dull or sore, often radiating to the groin, inner thigh, back of buttocks and inner knee, and may be numb in the area. ②Joint stiffness and limited movement. The patient has difficulty in flexing and extending the hip joint, has difficulty squatting, cannot stand for long periods of time, and walks like a duck. Early symptoms include significant limitation of abduction and external rotation. ③ Limping . It is a progressive shortening claudication caused by hip pain and femoral head collapse, or hip subluxation in the late stage. Intermittent claudication often occurs in the early stages, and is more obvious in children. ④Physical signs . Local deep tenderness, tenderness at the adductor muscle insertion, positive 4-word test, positive GABA sign, positive A11is sign, and positive TKDele-Uq test. Abduction, external rotation or internal rotation is limited, the affected limb may be shortened, muscles may atrophy, and there may even be signs of subluxation. Sometimes axial thrust pain is positive. ⑤X-ray manifestations. The bone texture is fine or interrupted, and the femoral head is cystic, sclerotic, flat or collapsed. |
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