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Osteoarthritis - Top 100

Unfortunately, osteoarthritis of the joints of the hands is not as thoroughly studied as gonarthrosis and coxarthrosis. This is probably due to the relative good quality of osteoarthritis of this localization.
Osteoarthritis is one of the causes of pain and dysfunction of the temporomandibular joint. Most often there is a secondary osteoarthritis of this joint against the background of inflammatory arthropathies.
Analysis of the results of large population studies allowed us to distinguish four of the most common clinical forms of osteoarthritis

Accuracy evaluation of x-ray joint space width in the hip joints is determined by the correct positioning of the patient, turn the limbs and centration of X-rays during radiography. The position of the patient standing gap width articular significantly lower than in the supine position.

Knee-joint - one of the most difficult joints for proper radiographic examination because of their structural complexity and the wide range of movements. Osteoarthritis can be localized only in a certain section of the joint, which is also difficult to diagnose articular changes in osteoarthritis of the knee (gonarthrosis).

Standard radiography of the brushes is carried out in a direct projection. Fingers are located together, the brushes lie exactly on the cassette on one line with the axis passing through the forearms and wrists.
MRI provides objective and quantitative measurements of subtle, subtle morphological and structural changes in various joint tissues over time and is therefore a more reliable and easily reproducible method that helps monitor the course of osteoarthritis
As is known, radiography in most cases allows you to determine the damage to the knee joint with the involvement of bone elements in the pathological process. Often these changes are irreversible, the treatment of such patients is difficult.

Although MRI is the leading method for the detection of coxarthrosis, ultrasound has the advantage of detecting a small effusion in the hip (even less than 1 ml), as well as disturbances in the condition of the periarticular soft tissues in the early stages of osteoarthrosis.

The shoulder joint is one of the most comfortable for ultrasound, especially because many pathological changes occur in its soft tissues. Because of the low information content of the X-ray method, reflection of soft-tissue changes was allowed by ultrasound along with MRT to become leading in the study of the shoulder joint.

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