Gelenk-Klinik

Loose bodies - hips

Pinching in hip movement followed by restriction with or without pain can also be caused by free joints caused his body.

What a free joint body?

Loose bodies are separated cartilage or bone pieces of different sizes, which are deposited in the joint, move, or may be pinched. This free joint body initially irregular shapes, but they are worn with time, until they are smooth, spherical or disc are. This process is similar to a pebble in the creek bed, through the steady flow mitgeschwemmt and glattgeschliffen will.

What happens when free joint bodies?

If free joints are joints in the body, they can between the Hüftkopf (femur) and the Hüftpfanne caught and disrupt the normal flow of movement. The extent of the movement can be restricted significantly. Moreover, it may be to wear of articular cartilage, which in the beginning remains unobservable, because the cartilage has no nerve endings. Strong pain arise only when the cartilage defect until the last bone, ie, pain is often a very late sign of the disease.

Causes of the free joint body

Loose bodies arise as a result of an injury, such as after fractures or after a dislocation. You can also occur when knochenschwächenden diseases such as, for example as a result of osteomyelitis dissecans or Hüftkopfnekrose. A hip joint inflammation (arthritis) or Hiparthritis can cause joints to free his body.

How is the diagnosis?

The joint body can be free on a radiograph may be detected and diagnosed, if these bones

n exist. Are the free cells to articular cartilage pure, those on the X-ray image can not be identified. In some cases, a magnetic resonance imaging further clues. If the free body joints, however, apart from the magnetic layers made or they are smaller than 0.5 mm, they are made on the images are not visible. If klinis

che studies nevertheless suspected articular free body, these can only be arthroscopic.

What treatment options are there?

Since the free joint body like a stone in a gearbox to further damage would result, they must be from the joint are removed. The arthroscopic surgery is usually through a small incision in the joint performed. For large free articular bodies must often articulated arthr

oskopisch be crushed before they can be removed. Only after the removal of the free joint body makes a knorpelreparative treatment for example with Orthokin meaningful.