Femoral head necrosis symptoms self-examination?
summary
Avascular necrosis of the femoral head is also known as undead cancer. What are the early symptoms of avascular necrosis of the femoral head? Here is a detailed introduction.
Femoral head necrosis symptoms self-examination?
Hip joint, knee joint and inner thigh pain were the main causes. In acute stage, joint pain can be aggravated obviously. In severe cases, hip joint movement is limited and claudication occurs,
In the early stage, some patients were asymptomatic and often missed diagnosis. Pain can be intermittent or persistent, aggravated after walking activities, sometimes for rest pain. The pain is mostly acupuncture like, dull pain or pain discomfort, and often radiates to the groin area, the inner thigh, the back of buttock and the inner knee, with numbness in this area.
The patients had poor hip flexion and extension, difficulty in squatting, inability to stand for a long time and walking duck step. The early symptoms were obvious limitation of abduction and external rotation. Local deep tenderness, adductor insertion tenderness, 4-word test positive, Gagas sign positive, a11is sign positive, tkdele lakuq test positive. Abduction, external rotation or internal rotation activities are limited, the affected limb can be shortened, muscle atrophy, and even subluxation signs. Sometimes axial impulse pain is positive.
matters needing attention
In the early stage, only local tenderness (adductor femoris starting point, inguinal midpoint, sartorius starting point, lateral trochanter of hip joint and gluteus medius are common tenderness points), "4" test and Thomas sign were positive. In the late stage, the movement of the hip joint was limited in all directions, limb shortening, flexion and adduction contracture deformity, muscle atrophy, the affected hip could appear signs of subluxation, Trendelenburg sign was positive.