Is there something else going on with hip pain in young women?

If the usual posture of the “shoppers” suddenly continued to appear knee or hip joint soreness, most people may not think that this seemingly simple joint sprain may be behind another hidden message. “Acetabular dysplasia” in the early stages of the onset of often manifested as knee joint pain, this “sound East meets West” symptom characteristics will often “fool” the patient, resulting in many people to relax their vigilance, delaying the Treatment. “Shopper” is trapped in the joint pain mystery Love shopping Wang recently had to give up the hobby of shopping on the street, recuperate at home, and knee pain “fight”. She was puzzled to go to the hospital for a knee examination found that everything is normal. At the same time, her groin area also began to appear pain and increasingly worse. After an unexpected follow-up radiograph, Xiao Wang was diagnosed with “acetabular dysplasia”, which was the “culprit” of the continuous pain for days. Xiao Wang was puzzled as to why she would develop hip dysplasia when she was already an adult. Why this disease for more than 20 years have not appeared pain symptoms? In fact, in daily life and Wang has the same experience of young women are not a few, the reason why they are trapped in the joint soreness, pain in the mystery because of acetabular dysplasia in the “haunted”. Acetabular dysplasia, also known as subluxation of the hip joint, refers to the failure of the acetabulum to get good development and the formation of a hip deformity. The main pathological change is that the acetabulum becomes shallow, resulting in insufficient inclusion and coverage of the femoral head by the acetabulum. Due to the above pathologic changes, the weight-bearing area of the hip joint will be reduced, and the pressure per unit area will increase significantly, which will gradually cause damage and degeneration of the articular cartilage, and ultimately lead to the occurrence of osteoarthritis of the hip joint, which will cause hip pain and limitation of activities. Therefore, the disability rate of acetabular dysplasia is very high. Initial symptom “preference” sound east west Obviously acetabular dysplasia “caused” the trouble, its pain manifestation in the early stage but often take “sound east west” cunning strategy, triggering a typical “Knee soreness”. This is one of the main reasons why acetabular dysplasia is often overlooked. Experts explain this by saying that the earliest hip lesions are not necessarily reflected in the hip. Instead, the lesion tends to irritate the nerves and radiate to the knee, causing pain or discomfort in the knee area. Because of this, patients are often misled into believing that there is something wrong with their knee in the early stages, and when they undergo a knee examination, the results often show that everything is fine. If the patient is able to understand the characteristics of “acetabular dysplasia” as a symptom, and pay attention to the hidden “ambush” behind the knee pain, then the patient will be able to have an X-ray of the hip in time. If you think of X-ray examination of the hip joint, you will be able to find out the problem at an early stage. Unfortunately, most people do not realize this. It is also worth noting that pain in the hip itself often means that serious damage has occurred to the hip cartilage. Typically, there is a relationship between the severity of hip pain and the degree and extent of damage to the articular cartilage. As the disease progresses, the pain worsens and the range of motion of the hip joint is easily affected. At this time, patients often have to use crutches to walk, seriously affecting the quality of life. Young women are easy to become the “main attack” target It is said that back pain and back pain of orthopedic diseases are most likely to “target” on women, acetabular dysplasia is no exception. Women, especially young women, are often the main target of acetabular dysplasia. Epidemiologic studies have shown that the prevalence of acetabular dysplasia is 0.6, with a male-to-female ratio of 1:6, and that it is especially prevalent in women. In general, the majority of patients develop symptoms between the ages of 20 and 40. Since the hip joint is only subluxated, not totally dislocated, during the onset of the disease, the patient does not produce any symptoms during childhood and adolescence, and walks like a normal person. However, the younger the patient is at the time of the onset of pain, the more severe the acetabular dysplasia and the worse the prognosis. In addition, unlike common back pain, the soreness caused by acetabular dysplasia will initially be located in the knee joint, and then mainly in the hip, thigh root, and groin area. The initial manifestation of hip soreness and swelling discomfort, aggravated by prolonged standing or walking for a long period of time, will generally be slightly better after rest. Most of the patients will think that it is due to fatigue or sprain, and do not pay attention to it. Therefore, experts recommend that young women, if the hip joint soreness, pain, accompanied by or alone knee pain, it is necessary to go to the hospital in time to do targeted examination. Do not just observe whether the knee joint is abnormal during the examination, but should also take a hip X-ray, in order to timely detection of hip joint lesions. Generally speaking, due to the early onset of the joint cartilage damage is light, the joint space on the X-ray film may show normal. However, with further aggravation of cartilage damage in the hip joint, the joint space will become narrow or even disappear, and even bone spurs will be formed, and osteoarthritis will eventually develop. If the early hip soreness and discomfort is not paid enough attention to, but in the emergence of hip pain or even limp before going to the hospital for examination, this time often may have missed the best time for treatment. Three orthodontic method of “type use” For early acetabular dysplasia patients, if early detection and early surgical methods to correct hip deformity, can effectively relieve or even eliminate their hip pain. Since the root cause of joint pain is due to joint deformity, orthopedic surgery can generally preserve joint function, stop or delay the onset and progression of osteoarthritis, and eliminate or delay the need for artificial joint replacement surgery. Currently, in children and adolescents, a variety of osteotomies and orthopedic procedures are available for early treatment. For adults, a periacetabular osteotomy is recognized worldwide as an effective method. This procedure corrects the acetabular deformity through osteotomies, restores the acetabulum and femoral head to a near-normal relationship, and eliminates joint pain. For young patients with acetabular dysplasia, this is the best way to treat the disease. For patients who have lost the best period of early treatment, as their disease has progressed to an advanced stage, osteoarthritis has formed and joint movement is obviously restricted. At this point, joint fusion fixation can be considered, which means that a painful, but still movable joint is turned into a non-movable, but painless joint. However, while joint fusion surgery can be a good solution to hip pain, it leaves the joint stiff and immobile, which can cause a lot of inconvenience to the patient’s life in the future. In addition, with the extension of time, patients may also gradually develop lesions in the lumbar spine as well as the knee joints, causing pain in these areas. Therefore, many young patients are skeptical about this procedure. A third, more effective treatment is joint replacement surgery. Hip replacement is a good surgical option for patients with advanced osteoarthritis, as it not only relieves pain, but also provides a functioning hip joint. However, it is important for patients to note that any artificial joint has a certain lifespan. This means that a second artificial joint revision surgery may have to be done within a decade or two after the joint is replaced. Not only do you have to suffer a second time, but it is also expensive. Therefore, it is very important to take good and reasonable care of the artificial joint.