The "rheumatoid arthritis" that has been treated for more than two years turned out to be "femoral head necrosis"?

With the increase of age, many middle -aged and elderly friends will be plagued by knee pain. They often mistakenly believe that they are osteoporosis, arthritis, etc., and take painkillers and physiotherapy for "headache doctors and feet". However It often ignores a very important point. The human body is connected. The root cause of knee pain may not be on the knee joint, and it may be that the femoral head above the top is a "failure".

Two years ago, Jiang Bo (a pseudonym) felt a bit painful on the knees of his legs, especially when he wanted to stand hard, stand, and walk, the pain in the inner tendons and sciatic nerves of the thighs was more intense. It was amazing, and the back of the back slowly became more and more painful, and even the pain could not be in bed. "Jiang Bo accompanied by his family to go to the hospital for hospitalization.

After conservative treatment such as lumbar closure, acupuncture, and physiotherapy, Jiang Bo felt that the pain was reduced and could walk down the ground, but the pain and recurrence after more than a month after discharge. After repeated hospitalization and conservative treatment in the local area, Jiang Bo's condition not only did not relieve it, but instead aggravated. The severe pain made him unable to walk and go out normally.

In order to obtain better treatment, in the past two years, the family has accompanied Jiang Bo to have a lot of hospitals for examination and treatment. The diagnosis results are considered to be "rheumatoid arthritis". When dealing with the treatment, Jiang Bo felt that the pain was discharged from the hospital, but his legs could not be lifted when walking and up the stairs. "Sometimes it hurts to be terrible, and I can't move, and walk around." This made Jiang Bo very distressed.

The Jiang Bo family, who was originally discouraged, inquired from relatives. Director Lu Weijie, the first hospital of the First Affiliated Hospital of Guangzhou Medical University, was very good at the diagnosis and treatment of joint diseases.

After careful inquiries about the medical history and specialty physical examination, Director Lu Weijie admitted that it was most likely that the femoral head was necrotic, but due to the delay for too long, there was currently only surgical treatment.

The family members felt incredible. After watching more than two years of "rheumatoid arthritis", it turned out to be "femoral head necrosis"? Why does the femoral head necrosis occur on the knee joint and the inner thighs? Facing the puzzles and doubts of their family members, Director Lu Weijie explained patiently, "The old people have no obvious malformations, there is no pain in pressing, and the activity is good. Judging from the positive results of the word test, the source of the doctor's high doubt is in the hip joint, not the knee joint.

Bi -hip joints with lesions

Because the knee and hip joints have the same sensory nerve dominance, they are transmitted to the same part of the brain, which causes subjective errors to identify, and hip joints have lesions but feel knee pain. "In addition, we also combine the patient's history of drug allergies and dehuminating dermatitis. It has been treated with hormone for 1 month. These may be the cause of femoral head necrosis." Director Lu Weijie's bold speculation, after hip articular imaging examination It is confirmed that it is indeed a femoral head ischemic necrosis.

Clarifying the cause of the cause, the next step is the key treatment method. Orthopedic joint surgery, cardiovascular medicine, anesthesia surgery and other disciplines have conducted diagnosis case discussions to formulate surgical plans for Jiang Bo. Then perform another surgery.

After hearing a detailed treatment plan, the Jiang Bo family finally saw hope. Director Lu Weijie's team successfully implemented the "right artificial hip replacement surgery" for him. He was treated symptomatically after surgery, and he was discharged home four days after surgery. After more than a month of recovery, Jiang Bo was admitted to the hospital again and replaced the whole hip joint on the other side. The recovery after surgery was good, and he could walk normally and get rid of the long -term bed.

Full hip joint replacement after replacement

Director Lu Weijie reminded that the hip joint and the knee joint are connected. If the hip joint pain occurs, the knee joint should be checked. On the contrary, if the knee joint pain should be checked, the hip joint should be checked to avoid judgment deviation. At present, there are many ways to treat femoral head necrosis. Starting from the basic change of lifestyle, the use of auxiliary tools to reduce or avoid affected hip bearing bears, alcohol abstaination, hormone use, controlling lipid metabolism, treatment is related to abnormal bone metabolism abnormalities, The primary disease, this is a kind of auxiliary therapy for the treatment of early femoral head aseptic necrosis.

Early femoral heads of sterile necrosis treatment can also be treated with physical therapy, such as high -energy shock waves and hyperbaric oxygen in the body, and cooperating with drug treatment. According to the severity of the lesion Joint replacement.

In recent years, arthroplasty replacement has gradually clarified in the treatment of severe hip joint diseases, and surgical technology has matured. The major cases have confirmed that the efficacy is affirmed, and it has become one of the standard surgery commonly used in clinical practice. After surgery, the symptoms of patients can get rapid and significant relief, and their functions can also return to near normal levels, greatly improving the quality of life. Due to the merger of the patient's internal medicine, the perioperative surgery must be highly concerned, and give full play to the strength of the relevant professional teams, and the group forces to ensure the quality of the medical treatment, the medical safety of the patient, and achieve excellent results. "

(Guide expert: Chief Physician Lu Weijie, the first hospital affiliated to Guangzhou Medical University)

- END -