Trochanteritis of the hip joint is a relatively infrequent inflammatory disease, in which a zone of attachment of the tendons of the gluteal muscles to the synovial bag covering the upper end of the femur (spit) is observed. Most of the reported cases of pathology occur in the female half of the population due to the lower natural strength of the tendon tissues.
The development of the inflammatory process can be associated with both penetration of the infection in the hip region and with other, aseptic factors. Tuberculosis lesions are more common, which usually develops quite slowly, against the background of the defeat of other organs. Common non-infectious causes of trochanderitis are:
- age changes;
- hypothermia ;
- intensive physical activity, etc.
Symptoms of trochanderitis of the hip joint
If the disease is not detected on time, the inflammatory process will begin to affect all nearby soft tissues, tendons and ligaments. However, it can be difficult to define it, because signs of trochanderitis are not specific, resemble a clinical picture in other diseases (for example, with coxarthrosis).
Inflammation of the femoral tendons with trochanderitis can be suspected by such symptoms:
- pain of aching, pulling or acute character in the upper part of the thigh during movement, physical exertion;
- stihanie pain in the absence of movements (but discomfort in this area is still preserved);
- increased body temperature;
- puffiness in the region of the hip joint;
- presence of abscesses, fistulas in soft tissues of the given zone.
Septic forms of trochantitis occur with more severe symptoms, accompanied by a feverish condition. It should be noted that with this disease, joint mobility persists even in the case of intense pain.
Diagnosis and prognosis of trochanteritis of the hip joint
To make an accurate diagnosis, the following studies are usually required:
- ultrasound examination of the joint;
- radiography;
- blood test for rheumatic tests;
- a general blood test .
The prognosis for trochanteritis of the hip joint largely depends on the severity of the symptoms and the timeliness of the treatment, but in most cases is favorable.