Joint stiffness

Introduction Joint stiffness refers to different degrees of obstacles in normal joint function (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. Surgery trauma, inability to receive timely treatment after bruising, swelling, and timely exercise after fracture healing are the main culprit for joint stiffness.

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. Surgery trauma, inability to receive timely treatment after bruising, swelling, and timely exercise after fracture healing are the main culprit for joint stiffness.

an examination

Related inspection

Bone and joint MRI examination of bone imaging rheumatoid factor urinary fluoride fluoride (F)

The diagnosis of joint stiffness is not difficult, and 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

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. 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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