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Со временем в процесс вовлекаются кости, связки и мышцы [1](https://voronezh.sovamed.ru/zabolevaniya/artroz-tazobedrennykh-sustavov-koksartroz/). \n\nКоксартроз может быть односторонним или двухсторонним [3](https://www.mos-clinics.ru/diseases/koksartroz/). Чаще всего заболевание встречается у людей старше 45–50 лет [1](https://voronezh.sovamed.ru/zabolevaniya/artroz-tazobedrennykh-sustavov-koksartroz/).\n\n\n\n## Причины\nТочные причины возникновения коксартроза не полностью ясны [6](https://www.altermed.ru/orthopedics-vertebrology/coxarthrosis/). Некоторые факторы риска: \n* **Генетическая предрасположенность** (врождённые или приобретённые мутации гена проколлагена II типа) [6](https://www.altermed.ru/orthopedics-vertebrology/coxarthrosis/). \n* **Пожилой возраст** — с возрастом снижается возможность восстановления повреждённого суставного хряща [3](https://www.mos-clinics.ru/diseases/koksartroz/)[6](https://www.altermed.ru/orthopedics-vertebrology/coxarthrosis/). \n* **Избыточная масса тела** — увеличивает нагрузку на суставы [6](https://www.altermed.ru/orthopedics-vertebrology/coxarthrosis/). \n* **Травмы тазобедренного сустава** (особенно — переломы и вывихи) [6](https://www.altermed.ru/orthopedics-vertebrology/coxarthrosis/). \n* **Патологии костей и суставов** (ревматоидный артрит, подагрический артрит и др.) [6](https://www.altermed.ru/orthopedics-vertebrology/coxarthrosis/).\n\n## Симптомы\nПризнаки коксартроза зависят от стадии и выраженности повреждений [8](https://cmrt.ru/zabolevaniya/sustavov/koksartroz/). Некоторые симптомы: \n* боль в области паха, бедра, таза, отдающая в колено [8](https://cmrt.ru/zabolevaniya/sustavov/koksartroz/); \n* ограничение подвижности, тугоподвижность сустава [8](https://cmrt.ru/zabolevaniya/sustavov/koksartroz/); \n* хруст или щелчки при движениях [8](https://cmrt.ru/zabolevaniya/sustavov/koksartroz/); \n* укорочение одной или обеих ног [8](https://cmrt.ru/zabolevaniya/sustavov/koksartroz/); \n* изменение походки, появление хромоты [8](https://cmrt.ru/zabolevaniya/sustavov/koksartroz/); \n* ослабление и истощение мышц бедра [8](https://cmrt.ru/zabolevaniya/sustavov/koksartroz/). \n\nНа поздних стадиях может потребоваться использование трости или костылей [8](https://cmrt.ru/zabolevaniya/sustavov/koksartroz/).\n\n## Диагностика\nДля постановки точного диагноза проводят: \n* **Рентген** — определяет ширину суставной щели, остеофиты и состояние головки бедренной кости [8](https://cmrt.ru/zabolevaniya/sustavov/koksartroz/). \n* **УЗИ** — оценивает состояние мягких тканей и динамику изменений [8](https://cmrt.ru/zabolevaniya/sustavov/koksartroz/). \n* **КТ** — уточняет анатомию суставов и околосуставных структур [8](https://cmrt.ru/zabolevaniya/sustavov/koksartroz/). \n* **МРТ** — детальная оценка хрящей, связок, мышц и сухожилий [8](https://cmrt.ru/zabolevaniya/sustavov/koksartroz/).\n\n## Лечение\nЛечение коксартроза направлено на облегчение симптомов, улучшение качества жизни пациента и замедление прогрессии заболевания [6](https://www.altermed.ru/orthopedics-vertebrology/coxarthrosis/). Некоторые методы: \n* **Медикаментозная терапия** — нестероидные противовоспалительные средства, хондропротекторы, внутрисуставные инъекции гиалуроновой кислоты или кортикостероидов [12](https://Megapteka.ru/specials/koksartroz-tazobedrennogo-sustava-5008)[13](https://cmrt.ru/stati/kak-lechit/koksartroz/). \n* **Физиотерапия** — электрофорез, магнитотерапия, ультразвуковая и лазерная терапия [12](https://Megapteka.ru/specials/koksartroz-tazobedrennogo-sustava-5008). \n* **Лечебная гимнастика (ЛФК)** — специально разработанный комплекс упражнений помогает укрепить мышцы, поддерживающие тазобедренный сустав, увеличить его подвижность [12](https://Megapteka.ru/specials/koksartroz-tazobedrennogo-sustava-5008). \n* **Хирургическое лечение** — эндопротезирование тазобедренного сустава, показано при необратимых изменениях, полной утрате функции и выраженной боли [13](https://cmrt.ru/stati/kak-lechit/koksartroz/).","linksData":[{"sourceId":1,"url":"https://voronezh.sovamed.ru/zabolevaniya/artroz-tazobedrennykh-sustavov-koksartroz/","shownUrl":"https://voronezh.sovamed.ru/zabolevaniya/artroz-tazobedrennykh-sustavov-koksartroz/","title":"Артроз тазобедренных суставов: причины, симптомы, признаки, диагностика, лечение","shortUrl":"voronezh.sovamed.ru","isTranslated":false,"description":"","greenUrl":"voronezh.sovamed.ru"},{"sourceId":2,"url":"https://BestClinic.ru/diseases/koksartroz/","shownUrl":"https://BestClinic.ru/diseases/koksartroz/","title":"Коксартроз тазобедренного сустава (артроз): симптомы и лечение в Москве | «Бест Клиник»","shortUrl":"BestClinic.ru","isTranslated":false,"description":"","greenUrl":"BestClinic.ru"},{"sourceId":3,"url":"https://www.mos-clinics.ru/diseases/koksartroz/","shownUrl":"https://www.mos-clinics.ru/diseases/koksartroz/","title":"Коксартроз тазобедренного сустава: симптомы, причины, диагностика, профилактика и лечение","shortUrl":"mos-clinics.ru","isTranslated":false,"description":"","greenUrl":"mos-clinics.ru"},{"sourceId":4,"url":"https://www.gosmed.ru/lechebnaya-deyatelnost/spravochnik-zabolevaniy/travmatologiya-bolezny/koksartroz-tazobedrennogo-sustava/","shownUrl":"https://www.gosmed.ru/lechebnaya-deyatelnost/spravochnik-zabolevaniy/travmatologiya-bolezny/koksartroz-tazobedrennogo-sustava/","title":"Коксартроз тазобедренного сустава: лечение, операция, диагностика","shortUrl":"gosmed.ru","isTranslated":false,"description":"","greenUrl":"gosmed.ru"},{"sourceId":5,"url":"https://www.smclinic.ru/diseases/koksartroz/","shownUrl":"https://www.smclinic.ru/diseases/koksartroz/","title":"Коксартроз: симптомы, причины, диагностика и методы лечения в «СМ-Клиника»","shortUrl":"smclinic.ru","isTranslated":false,"description":"","greenUrl":"smclinic.ru"},{"sourceId":6,"url":"https://www.altermed.ru/orthopedics-vertebrology/coxarthrosis/","shownUrl":"https://www.altermed.ru/orthopedics-vertebrology/coxarthrosis/","title":"Коксартроз: симптомы, диагностика, причины, признаки, виды и методы лечения различных степеней остеоартроза","shortUrl":"altermed.ru","isTranslated":false,"description":"","greenUrl":"altermed.ru"},{"sourceId":7,"url":"https://polyclinika.ru/tech/koksartroz-stepeni-simptomy-lechenie/","shownUrl":"https://polyclinika.ru/tech/koksartroz-stepeni-simptomy-lechenie/","title":"Коксартроз - причины, степени, стадии, симптомы, признаки, лечение","shortUrl":"polyclinika.ru","isTranslated":false,"description":"","greenUrl":"polyclinika.ru"},{"sourceId":8,"url":"https://cmrt.ru/zabolevaniya/sustavov/koksartroz/","shownUrl":"https://cmrt.ru/zabolevaniya/sustavov/koksartroz/","title":"Коксартроз, причины, симптомы и лечение | Заболевания суставов","shortUrl":"cmrt.ru","isTranslated":false,"description":"","greenUrl":"cmrt.ru"},{"sourceId":9,"url":"https://ProBolezny.ru/artroz-tazobedrennyh-sustavov/","shownUrl":"https://ProBolezny.ru/artroz-tazobedrennyh-sustavov/","title":"Артроз тазобедренных суставов (коксартроз): причины, симптомы и лечение в статье эндокринолога Бабинцева М. 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