Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical Surgery2070-478X2409-143XVoronezh State Medical University35610.18499/2070-478X-2011-4-2-298-304UnknownPeculiarities of the diagnosis of the initial stage of coxarthrosisк.м.н., доцент кафе- дры травматологии, ортопедии и ВПХ Московского государственного медико-стоматологического уни- верситета, руководитель Центра травматологии и ортопедии Дорожной клинической больницы им. Н.А.Семашко на ст. Люблино, г. Москвыdrguriev@mail.ruд.м.н., профессор, Заслуженный дея- тель науки РФ, заведующий кафедрой травматоло- гии, ортопедии и ВПХ Московского государствен- ного медико-стоматологического университетаdrguriev@mail.ruк.м.н., доцент кафедры травма- тологии, ортопедии и ВПХ Московского государ- ственного медико-стоматологического универси- тета, заведующий отделением ортопедии Центра травматологии и ортопедии Дорожной клиниче- ской больницы им. Н.А.Семашко на ст. Люблино, г. Москвыdrguriev@mail.ruМосковский государственный медико-стоматологический университетДорожная клиническая больница им. Н.А.Семашко на ст. Люблино, г. Москва24062011422983043004201630042016Copyright © 2011, ., ., .2011Over the period from 1997 to 2006, 580 patients (14 to 45 years old) with back pain and gonalgia complaints were examined, including 292 female and 288 male patients. Hip joint pathologies in the so-called incipient stage were found in 192 (33,7%) patients, with progressive disease being detected in 128 (66,3%) cases. When choosing a medical examination plan it is very important to take into consideration the patient’s complaints, his/her occupation, case record, sex, age and genetic predisposition. It is also important to check whether the patient received conservative treatment and what was the treatment response. Radiation examination includes X-ray of joints, MRI and computer-assisted tomography. A comprehensive and consistent examination of patients allows diagnosing progressive coxarthrosis at an early stage.сoxarthrosisdiagnostic algorithmwhirlboneкоксартроздиагностикаголовка бедра[1. Alekseeva L.I. Faktory riska pri osteoartroze. Nauch-][no-prakticheskaia revmatologiia 2000; 2: 36-45.][2. Zolotarev A.V. Rentgenovskaia komp'iuternaia tomogra-][fiia v diagnostike zabolevanii tazobedrennogo su-][stava. Avtoref. dis. … kand. med. nauk. Petrozavodsk][1996; 19.][3. Kovalenko V.N., Bortkevich O.P. Osteoartroz . Prakti-][cheskoe rukovodstvo. Morion 2005: 10-11.][4. Kovalenko V.N., Bortkevich O.P. Prakticheskoe rukovod-][stvo. Morion 2005: 326-328, 345-349.][5. Remizov N.V. Luchevaia diagnostika degenerativno-dis-][troficheskikh zabolevanii tazobedrennogo sustava i ee][rol' v planirovanii i kontrole rezul'tatov endopro-][tezirovaniia. Avtoref. dis. … kand. med. nauk. M. 2004;][23.][6. Kellgren J.A., Lawrence J.S. Osteoarthritis and disk][degeneration in an urban population. Ann Rheum Dis.][1958; 17: 388-397.][7. Lawrence R.C. Prevalence estimates of the arthritis and][selected musculoskeletal diseases in the United States.][Arthritis Rheum. 1998; 41: 587-596.][8. Lawrence R.C. Estimates of the prevalence of arthritis and][selected musculoskeletal disorders in the United States.][Arthritis and rheumatism 1998; 41(5): 778-799.]