Joint stiffness

Introduction Joint toughness refers to the occurrence of different degrees of obstacles in normal joint functions (such as flexion and extension, rotation, etc.), which is manifested by a reduction in the range of motion. It is very different from a joint that has completely lost function. The causes of joint stiffness are summarized as: bacterial: joint stiffness caused by septic arthritis, bone tuberculosis, etc.; sterility: such as long-term plaster fixation, incorrect steel needle internal fixation, steel plate internal fixation can lead to The occurrence of joint rigidity. The wounds of the operation, the inability to receive timely treatment after the bruise, the swelling, and the inability to exercise in time after the fracture is healed are the main culprit for the joint toughness.

Cause

The causes of joint stiffness are summarized as: bacterial: joint stiffness caused by septic arthritis, bone tuberculosis, etc.; sterility: such as long-term plaster fixation, incorrect steel needle internal fixation, steel plate internal fixation can lead to The occurrence of joint rigidity. The wounds of the operation, the inability to receive timely treatment after the bruise, the swelling, and the inability to exercise in time after the fracture is healed are the main culprit for the joint toughness.

an examination

Related inspection

Synovial fluid routine examination of bone and joint soft tissue CT examination arthroscopy

The diagnosis of joint stiffness is not difficult. It can be cured according to fracture dislocation or traumatic infection, but the joint flexion and extension function does not recover for a long time, and the joint is severe. Need to be differentiated from traumatic joints. Both have limited joint activities. The former has less pain and the joint movement disorder is more serious. The latter has more obvious pain, and the joints are swollen and the joint dysfunction is lighter.

1. Ask about the treatment of fractures.

2. Check the active and passive range of joints and record the degree of muscle atrophy and muscle strength.

3. X-ray examination: the former joint space is normal or slightly narrow, the latter joint space is narrow, the articular surface is rough, the bone density is increased or there is bone inflammation such as bone hyperplasia.

Differential diagnosis

It is not difficult to diagnose a strong joint. It can be cured according to fracture dislocation or traumatic infection, but the joint flexion and extension function does not recover for a long time, and the joint is severe. Need to be differentiated from traumatic joints. Both have limited joint activities. The former has less pain and the joint movement disorder is more serious. The latter has more obvious pain, and the joints are swollen and the joint dysfunction is lighter. X-ray examination: the former joint space is normal or slightly narrow, the latter joint space is narrow, the articular surface is rough, the bone density is increased or there is bone inflammation such as bone hyperplasia.

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