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тобольске","retina":false,"avatarId":"0","isHermione":false,"isMacOS":false,"tld":"com.tr","isEmbeddedFuturis":false,"isLoggedIn":false,"brand":"yazeka","reqId":"1760278309050540-1374291217734898652-balancer-l7leveler-kubr-yp-sas-123-BAL","device":{"isIOS":false,"platform":"desktop"},"expFlags":{"isFootnoteDetails":true,"isFootnoteRedesignDivided":true,"futurisMultiqueryFlag":true}},"dialogStoreProps":{"baseUrl":"","orderedPairUUID":["Question"],"requestResponsePairs":{"data":{"Question":{"userMessage":"Анкилоз сустава: что это?","markdown":"**Анкилоз сустава** — это патологическое состояние, при котором происходит **полная или частичная утрата движения в суставе** из-за образования фиброзных сращений или окостенения соединительных структур [4](https://doct.ru/diseases/ankiloz.html). Суставные поверхности постепенно срастаются друг с другом, что приводит к снижению или полной утрате функции [4](https://doct.ru/diseases/ankiloz.html). \n\nПатология может поражать различные суставы: коленный, тазобедренный, локтевой, височно-нижнечелюстной, голеностопный и мелкие сочленения кистей [3](https://mz-clinic.ru/bolezni/sustav/ankiloz/). Полный анкилоз характеризуется полной неподвижностью, неполный — частичным сохранением движений [3](https://mz-clinic.ru/bolezni/sustav/ankiloz/).\n\n\n\n## Причины\nАнкилоз не является самостоятельным заболеванием, а возникает как следствие других патологических изменений в суставе [3](https://mz-clinic.ru/bolezni/sustav/ankiloz/)[10](https://cmrt.ru/zabolevaniya/sustavov/ankiloz/). Некоторые причины: \n* **Травмы** сустава, включая вывихи и внутрисуставные переломы [3](https://mz-clinic.ru/bolezni/sustav/ankiloz/). \n* **Воспалительные заболевания** (артрит) [2](https://tula.semeynaya.ru/directions/travmatologiya-ortopediya/ankiloz-sustava/)[12](https://slavutich.su/diseases/ankiloz/). \n* **Инфекционные заболевания** (туберкулёз, сепсис) [2](https://tula.semeynaya.ru/directions/travmatologiya-ortopediya/ankiloz-sustava/)[12](https://slavutich.su/diseases/ankiloz/). \n* **Длительная иммобилизация** конечности гипсом или аппаратом внешней фиксации [4](https://doct.ru/diseases/ankiloz.html). \n* **Онкологические процессы**, когда патологическая ткань прорастает в сустав [4](https://doct.ru/diseases/ankiloz.html).\n\n## Симптомы\nКлиническая картина анкилоза зависит от локализации и стадии процесса [4](https://doct.ru/diseases/ankiloz.html). Некоторые симптомы: \n* ограничение подвижности сустава [4](https://doct.ru/diseases/ankiloz.html)[12](https://slavutich.su/diseases/ankiloz/); \n* боль в суставе, которая усиливается при движении [12](https://slavutich.su/diseases/ankiloz/); \n* отёк и покраснение при воспалительных формах анкилоза [12](https://slavutich.su/diseases/ankiloz/); \n* деформация сустава — длительное течение заболевания может привести к изменению формы сустава [12](https://slavutich.su/diseases/ankiloz/). \n\nПри поражении височно-нижнечелюстного сочленения нарушается открывание рта, что осложняет приём пищи и речь [4](https://doct.ru/diseases/ankiloz.html).\n\n## Диагностика\nДля диагностики анкилоза используют инструментальные методы [4](https://doct.ru/diseases/ankiloz.html): \n* **Рентгенография** — позволяет определить наличие фиброзных сращений или полное окостенение сустава [4](https://doct.ru/diseases/ankiloz.html). \n* **КТ** — даёт более точное изображение структуры костных тканей, выявляет зоны сращения и характер повреждений [4](https://doct.ru/diseases/ankiloz.html). \n* **МРТ** — используется для оценки состояния мягких тканей, хрящей и выявления воспалительного процесса [4](https://doct.ru/diseases/ankiloz.html). \n\nПри подозрении на системные болезни проводятся лабораторные анализы [4](https://doct.ru/diseases/ankiloz.html).\n\n## Лечение\nВыбор метода лечения анкилоза зависит от формы (фиброзная или костная), степени ограничения подвижности и общего состояния пациента [16](https://dr-ruben.ru/articles/tazobedrennyy-sustav/ankiloz-tazobedrennogo-sustava-tbs-prichiny-diagnostika-i-lechenie/). **На ранних стадиях** применяют консервативные методы [16](https://dr-ruben.ru/articles/tazobedrennyy-sustav/ankiloz-tazobedrennogo-sustava-tbs-prichiny-diagnostika-i-lechenie/). Некоторые из них: \n* массаж, мануальная терапия — улучшают кровообращение и состояние мягких тканей [16](https://dr-ruben.ru/articles/tazobedrennyy-sustav/ankiloz-tazobedrennogo-sustava-tbs-prichiny-diagnostika-i-lechenie/); \n* физиотерапия (электрофорез, ультразвуковая терапия, ударно-волновая терапия) — снимает воспаление, уменьшает болевые ощущения, улучшает питание тканей [16](https://dr-ruben.ru/articles/tazobedrennyy-sustav/ankiloz-tazobedrennogo-sustava-tbs-prichiny-diagnostika-i-lechenie/); \n* лечебная физкультура (ЛФК) — помогает сохранить амплитуду движений, укрепить мышцы [16](https://dr-ruben.ru/articles/tazobedrennyy-sustav/ankiloz-tazobedrennogo-sustava-tbs-prichiny-diagnostika-i-lechenie/). \n\n**Если консервативные методы неэффективны**, применяется **хирургическое лечение** [3](https://mz-clinic.ru/bolezni/sustav/ankiloz/). Например: \n* артропластика — восстановление движений в суставе [16](https://dr-ruben.ru/articles/tazobedrennyy-sustav/ankiloz-tazobedrennogo-sustava-tbs-prichiny-diagnostika-i-lechenie/); \n* резекция сращений — иссечение сращений, освобождение суставных поверхностей [16](https://dr-ruben.ru/articles/tazobedrennyy-sustav/ankiloz-tazobedrennogo-sustava-tbs-prichiny-diagnostika-i-lechenie/); \n* артродез — частичное удаление костной ткани с последующим формированием нового неподвижного сращения в функционально выгодном положении [16](https://dr-ruben.ru/articles/tazobedrennyy-sustav/ankiloz-tazobedrennogo-sustava-tbs-prichiny-diagnostika-i-lechenie/). \n\n**Полное восстановление сустава** не обеспечивает даже хирургическая операция — можно лишь зафиксировать конечность в функционально выгодном положении [5](https://premiumzdravclinic.ru/ankiloz-sustavov).","linksData":[{"sourceId":1,"url":"https://uteka.ru/articles/bolezni/chto-takoe-ankiloz/","shownUrl":"https://uteka.ru/articles/bolezni/chto-takoe-ankiloz/","title":"Что такое анкилоз? 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