Diagnosis and treatment of osteoarthropathy with hyperparathyroidism

Overview Of Parathyroid Disease (Causes, Symptoms And Treatment For Hyperparathyroidism) (Health And Medical Video July 2018).

Major changes in the bone and joint system with hyperparathyroid dystrophy, diagnosis and principles of treatment of the disease Recklinghausen.

Increased production of parathyroid hormone glands leads to a condition called hyperpartireosis, one of the manifestations of which is the development of various changes in the bone and muscular system and, first of all, in the bones and joints. These changes are called hyperparathyroid osteodystrophy, or Recklinghausen's disease.

Changes in the bone and joint system with hyperparathyroidism

The disease can last for a long time without visible changes in the bone and joint system, despite the fact that in some cases, patients make express complaints. And only with time there are deformations of the skeleton in the form of:

  • Increase of kyphosis of the thoracic spine, decrease of growth;
  • Deformation of the chest - lower than before, there are rib arches, as well as the shape of the edges and the sternoclavicular articulation;
  • Distortion of long tubular bones, especially after fractures;
  • Deformation of joints due to the phenomena of arthrosis and hypermobility (insolubility) in them due to the weakness of the connective-muscular apparatus.

Also, due to weakness and hypotrophy of the muscles there is a disturbance in the movement, distortion of the load on the joints, which aggravate their deformation. If the disease develops in childhood or adolescence, even before the end of the growth period, then growth can be observed.

Diagnosis of bone and joint changes in Reclementhausen's disease

The leading diagnostic method is X-ray (overview and computed tomography). In this case, pronounced diffuse osteoporosis, the presence of lacunar (focal) resorption sites in the bones, the appearance of cystic rearrangements, osteoporosis in the sternum, collarbones, edges, flat bones and bones of the forearm are detected.

In addition, there may be sites of hyperostosis (compaction of the bone structure) and osteophytes. Special changes are observed in the structure of the vertebral bodies - along with osteoporosis, their shape changes - they acquire a "thallus", and their upper and lower plates are flexed, giving them the appearance of "fish vertebras," and the intervertebral discs are a galaxy shape. Very often, in patients, consolidated microbipes are found in flat bones (often pelvic bones and/or ribs), and in the elderly - pathological compression fractures of the vertebral bodies.

If possible, a magnetic resonance imaging can provide valuable additional information, especially in the study of the spine and internal organs.

An additional and refinement method of diagnosis is the ultrasound of the joints and para-articular soft tissues (the presence of asphyxiant bursitis, periarthritis, lime deposits, chondrocalcinosis, etc.)

The ultrasound of the internal organs, especially the kidneys, also helps to detect fibrosis and calcinosis, MIC, ICD, and CSD.

Of great importance is densitometry (ultrasound or x-ray), which helps in the dynamics of monitoring the change in density of bone tissue (during the development of the disease and with its correction)

Additional diagnostic methods are also used, including biochemical and instrumental ones.

Treatment of osteoarthropathy in Reclementhausen's disease

  • Usually this is the elimination of the main cause of the disease - adenomas parathyroid glands operative or radiological method.
  • Treatment of osteoporosis with drugs directed action (bisphosphonates, calcium preparations with vitamin D3, etc.).
  • Anti-inflammatory therapy, phytotherapy.
  • Osteopathic therapy (massage and exercise therapy are contraindicated, especially in severe osteoporosis).
  • Physiotherapy, reflexology, balneological treatment.
  • The development of a rational mode of work and rest, physical activity, as well as a special diet that completes the lack of trace elements, but does not lead to the progression of the disease and the development of ICD, CSF, and herbs. All this requires constant supervision by the doctor and does not allow self-treatment.

Diagnosis and treatment of osteoarthropathy with hyperparathyroidism

Category Of Medical Issues: Diseases

Leave Your Comment