2018年5月11日星期五
Bioplasm nls analyzer diagnostic significance in diagnostics of knee joint osteoarthritis
During our study given disorder was found in
2 patients with II and III Rg-stages of knee-joint osteoarthritis; these
patients also had evident degenerative changes of hyaline cartilage of
load-carrying surface of lateral femoral condyle. Both cases confirmed by
diagnostic-treatment artroscopy.
Relatively high Bioplasm
nls analyzer diagnostic significance in diagnostics of knee-joint
osteoarthritis having both high sensitivity/specificity of method and wide range
of registered pathological changes was revealed in the course of study.
Manifestations of osteoarthrosis vary and in most cases they start developing
not with bone changes detected by radiography. Changes of hyaline cartilage,
small osteophytes are detected during Bioplasm nls analyzer and at
pre-radiological stage of knee-joint osteoarthritis, simultaneously with
clinical semiotics manifestation. Many manifestations, if not reversible, but
quite effectively stabilized by modern therapeutic agents at this stage of
disease. This approach greatly improves the clinical significance of nonlinear
diagnostics in early detection of described signs of intra-articular
degeneration. When using Bioplasm nls analyzer, structural changes of hyaline
cartilage are detailed visible and determination of localization of its most
evident structural changes becomes possible, which often shows primary cause of
knee-joint osteoarthritis development, especially in case of apparent asymmetric
affection of lateral and medial parts. Certain structural changes often occur in
combination that promotes some characteristic symptom groups such as:
combination of kneecap lateroposition, degenerative thinning of anterior surface
of lateral femoral condyle, enthesopathy and calcification of the lateral parts
of quadriceps tendon. Detection and presentation of acentric osteophytosis is
both important at pre-radiological stage of knee-joint osteoarthritis and at
later stages, because (as our research had shown) patellofemoral arthrosis
becomes predominant in early stages; standard radiographic views show such
arthrosis not sufficiently clear. Minor structure anomalies of knee joint, such
as kneecap lateroposition, hypertrophy of fat body and alar folds, mediopatellar
fold and etc., have important practical importance since they may contribute to
osteoarthritis development (especially patellofemoral one) while menisci
anomalies, discoid meniscus in particular, and also their degenerative changes
cause predominance of dissymmetric tibiofemoral arthrosis.
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