What is tenosynovitis and what is it? Nodular tenosynovitis MRI and biopsy

To this day, rheumatology has moved far ahead. Formed and assigned criteria for the approach to the diagnosis of various systemic diseases. Schemes are being created to make it easier for patients with serious pathology, as before the likuvat was not strong for doctors. But if you don’t take it to the point of respect, the so-called “small rheumatological” pathology. It is not about osteoarthritis of the knee joint or polyarthritis. Based on statistical data, more than 70% of patients with disease of the musculoskeletal system suffer from such nosologies, such as bursitis (inflammation of the bursa), tendonitis (inflammation of the tendon), tenosynovitis (inflammation of the tendon and acute yoga structures, for example, synovial cavity) myopathy (injuries of the mucus), enthesitis and enteosopathy (in the process of irradiation of the area of ​​attachment of the ligamentous apparatus to the cystic structures).

How to conduct a tinosynovial lesion

In this article, there is a mova about tenosynovitis, yogo raznovidi, cause that clinic with approaches to therapy. The exaltation of pathology depends on the knowledge of anatomy and manifestations of the disease, which is more important in different options.

Causes of inflammation of the tendon bag

Small rheumatological diseases are rarely blamed for serious systemic pathology. Proteo, enthesopathy and enthesitis are often associated with reactive arthritis, ankylosing spondylitis, psoriatic spondylitis, vulvar arthritis. Tenosynovitis is often blamed for microtraumatization, or in the minds of the former non-powerful physical pretensions. Vіn characteristic for kolіnnogo, homіlkovostopny and suglobіv verhnії ії іncіvka.

The ailment of de Quervain, which manifests itself in the fuse of the tendon of the m'yaz, which leads the great finger of the hand, and the tendon of the m'yaz-rozginach, which takes the fate of the yogi of the rozginanny, was previously called the washerman's ailment. Tenosynovitis in the area of ​​confusion of traumatization of the significance of post-arrangement elements. Today's wines are more typical for schoolchildren, even though it seemed marvelous. The choice of mobile devices and other gadgets with games and social measures will require the work of the thumb of the penzle itself. Tendons and m'yazi feel tired, overwhelmed, which leads to chronic inflammation after microtraumatization of their structures. That is why tenosynovitis in the region (de Quervain's ailment) is manifested in the schoolchildren.

Even more often, therapists, neurologists, doctors of general practice, rheumatologists stick to the blame for dysfunction of the m'yaza and the tendon tied to it after repair work. Injury of the tendon structures and sciatica in the area of ​​the knee and homilococcipital loins also occurs through the supra-world, but also through the static tension.

Tenosynovitis in the area of ​​the shoulder (two-headed m'yaza), knee nodule appears, if stress, which lies on the deep loam structures, outweighs those primary stress and causes micro-destruction, cracks and injuries. Following the mechanical component to the pathology, clitin elements follow, like a pathway for the secretion of interleukins and other pro-inflammatory cytokines, to develop a typical inflammation that accompanies pain, swells and functions ії m'yaza that tendon. Most of the reasons for the treatment of the pathology of the tendon bursa can include persistent pain, mild lesions and medical treatment, which are directly related to the repair of damaged tissue structures of the loam.

Vagіtnіst is a risk factor for the aggravation of the bagatioh “mumbling” until the singing hour and until the hour of falling ill. Often tenosynovitis (inflamed tendon bursa) of the knee nodule or inflamed tendon bursae in the area of ​​the homilk-foot nodule repair itself in the 1st or 2nd trimester. Obesity is attached to the development of pathology of the tendon of the tendon of the knee, homomile-foot joint.

Inflamed tendon and їх bags at the shoulder

The overt cuff is a frequent localization of various pathological conditions that are accompanied by pain syndrome, which cannot be treated adequately through an incorrect diagnosis. The shoulder area becomes a target for rheumatological and traumatological illnesses through the peculiarities of life. The cuff is shaped by the pidostna and supraspinatus m'yazi, the tendon of the two-headed m'yaz (biceps), subscapular and small round m'yazi. Tsya structure is a weak point of the described area. Especially rotashuvannya tendon of the biceps head.

Inflammation of the elements of the shoulder cuff

Blame tenosynovitis in the area of ​​the shoulder often under the hour of important objects. It is especially typical for patients, for example, they are taken to make a stele or stick it on a new tile. Tendons of the old head of the two-headed meat and other meat fibers are reattached to overstretching and traumatization with micro-ruptures. Next, the ignition cascade starts. A pleasant factor is є vіk. Vіdomi vpadki, if tendinіt razvivavsya due to the presence of exchange disorders - hypothyroidism, diabetic damage to organs.

In diagnostics, there are specific findings, which may be highly specific and sensitive. Before them, the Hawkins test, the “empty can” test and the “falling hand” test are carried out. Verify disease in the shoulder area and allow ultrasound follow-up. There may be revealed cracks, cracks, flare-ups and crystals of calcium pyrophosphate of the main middle of the tendon fibers (especially in the area of ​​tendon bundles in the long head of the biceps of the shoulder) and otochuyuchy їx synovial bags.

How to do the Hawkins test

Exaltation of descriptions of illnesses, transmission of topical injection of steroid hormones. Diprospan is introduced into the tendon bursa of the second head of the biceps shoulder (interbugor furrow) or at the most important point during palpation. In front of it, dilute with "Novocaine" or "Lidocaine", zdiyasnyuyut injection of 0.5 ml. Deputy "Diprospan" can improve other hormonal problems, but the drug may have a greater lasting effect. That is why, vrakhovuyuchi schilnist tenosinovіtiv and tendinіtіv to relapse, so the solution will be the most true.

Introduction of hormones in the shoulder area

Tendinity and tinosynovitis of the hands and fingers

The anterior shoulder area of ​​the hands is affected by the lower, lower tendon structures of the shoulder region. Here you can see two significant pathologies:

1. "Clicking Finger" Syndrome.
2. Sickness de Quervain.

M'azovі fibers, yakі zazpechuyut zginannya fingers penzlіv, mayut tendon bundles, scho zadnuyutsya single pine needles. With other injuries and unimaginable adventures, the stench is accompanied by degeneration and ignited. Qi processes of localization in the projection of interfaoangic subglobes. This is how nodular tenosynovitis manifests itself. "Nodus" at the Latin translation means vuzol. The igniting process transforms tenocytes - tendon matrix cells - into chondrocytes, building up the accumulation of calcium salts. Therefore, soft fibers are swelled into a knotted shape. Elements that winkle overwhelm the normal biomechanics of finger movement. Sometimes it becomes strange, that which has a characteristic sound. The syndrome can be named, what to say. Likuvannya vmagaє the introduction of hormones in the tendon (with an anesthetic). Make a choice - "Diprospan" and yoga analogues. The exaltation is supplemented with a physiotherapeutic infusion in the cold period and the exclusion of the m'yazovogo device of the hands for the help of exercising physical culture.

Like looking de Kervenivska ailment at the rose

De Quervain's pathology (painful disease) is the result of stenotic tenosynovitis, which is the same for the abductor and rupture of the great toe of the tendon structure. All the thoughts that have been formed about those who have been ill for a long time in the past, there are more and more often heard in young patients and in pedigrees in the first few years of the next half of the year. Tendinitis de Quervain is accompanied by a sharp pain in the area of ​​"anatomical snuffbox". Vaughn is ruffled for the thumb, 2 cm down from the bottom of the base. Often there is swelling with de Quervain's ailment.

In the diagnosis of tenosynovitis and localization, the specific symptom of Finkelstein helps. Vin is considered positive and pathognomonic for de Quervain's pathology, as it was in the projection of the "anatomical snuffbox" when the cyst was clenched into a fist at the medial insertion. Pain can clearly appear, as if the great finger is close to the valley and squeezed with other fingers. Frequent milking of de Quervain's ailment signals about the instability of ligamentous structures in the framework of the hypermobility syndrome.

Positive symptom of Finkelstein

Likuvannya ailments lead to intermediate entrances, rozvantazhennya brushes (more shortly, as if it would be an orthosis), pain relief (non-steroidal anti-spasmodic diseases are treated). De Quervain's tendinitis with topical administration of hormonal preparations. The best way to introduce the "anatomical snuffbox" into the area is "Celeston" and "Hydrocortisone". Don’t forget that, like in case of de Quervain’s disease, so in case of other tenosynovitis, glucocorticoids are treated with anesthetics. Such a total choice of preparations allows for the most adequate relief of topical injection of drugs.

Tendinity and tinosynovitis of the region of the lower tip

Tenosynovitis in the area of ​​the knee and homolycostomy nodule is more likely, the situation is described below. However, likuvannya sometimes called out the difficulties of the doctor. It is especially difficult to select food for supply. In the middle of the region of the knee and homilk-foot loam, not so rich tendon and synovial structures were planted. The stench is spread more importantly on the anterior surface of the large milky cyst (below the knee hummock).

In the region of homilkostop, development of tenosynovitis of the peroneal mass is characteristic. Most wines are claimed for transcendental vag. Near the area of ​​the lateral brush (at once there was a homilk-stop gloom, behind the great milk-milk brush) there is a stash of the incendiary nature. Vono maє "kolasopodіbnu" shape. On palpation it hurts sharply. Bolovі vіdchuttya vіdtvoryuyuyutsya chi polyuyuyuyutsya under the hour of walking. The exultation will be formed due to the hormonal stasis in the area of ​​the large milky cyst (lateral brush). The injection may be accompanied by increased pain. To zapobіgannya tsіy situatsії behind the great milky cyst to enter "Triamcenolone" and "Novokain". 0.3-0.5 ml - a sufficient amount of medical care.

Tinosynovial damage to the tendon structure of the peroneal mass

Video. Tenosynovitis of the tendon

The pain along the course of the Achilles tendon marks the development of tinosinovitis in the region. Tsei camp can develop and the anatomy of other rheumatological diseases: arthrosis of the knee joint, spondyloarthropathies. The treatment requires adequate anesthesia and the recognition of hormonal support for the introduction of the tendon structure into the hole.

Someone who knows a lot about such understandings, like a stretching of the tongue, m'yazіv. Instructed by these elements to know the tendon, yakі also skhilnі before stretching. Most of the time, the ligament is relieved, otherwise the tendon is stretched, the ignition process is formed step by step, which inspires the victim to live normally.

The skin of the disease bears its name, the inflamed tendon is called tenosynovitis. Pathology occurs in acute cases of chronic form, the patient has a strong pain syndrome. How to reveal an illness, how to love the area of ​​localization of pathology, what are the effective methods of treating illnesses? Knowing these aspects, you can easily identify the cob of the leak of tenosynovitis, ahead of the mass of complications.

General information

Deyakі vvazhayut tenosynovіt and tenosynovіt іdidentichnymi ailments. They do not differ from what is said about the ignition process in the tendons. Why did two names appear on one sickness? Calling on those who are talking about the pathological process in various balls of the synovial membrane. Tenosynovitis - inflammation of the synovial membrane in the middle of the tendon, tenosynovitis - the ignition process occurs in the paratendon (tongue of the synovial membrane).

Significantly overrun of tenosynovitis may be less than additional evidence of fahivets, having passed the deeds of follow-up. Independently pick up the technique of likuvannya fenced. Wrong intake of medicines can damage the camp, bring it to a state of development.

Cause a vindictive

Tenosynovitis develops through unknown reasons, fahivtsy see a sprinkling of the main negative factors:

• injuries and injury to the tendon. As soon as the wound proceeds without infection, then the wound quickly burns, not leaving a trace for itself. The manifestation of infection is caused to delay the process of aging, pathogenic micro-organisms saturate the development of inflammation, without medical help it is impossible to get into the disease. In certain moods, a person for a certain hour spends the rukhova activity of the affected kintsivka, after the wearer's function turns;
• weakening of the immune system. Insufficient strong defenses of the body are not healthy defenses against infections, which lead to a stronger ignition process in the tendons;
• degenerative changes in marshes. Tenosynovitis often occurs in rheumatoid arthritis, bursitis. Warehouses of brush-m'yazovoy fabrics are tightly tied between themselves. A break in the pathological process in one lobe can provoke a lesion in other lobe;
• overcoming other infectious diseases. Tuberculosis, syphilis, HIV infection, herpes. Pathogenic microorganisms spread by the body through the blood, attacking new "territories";
• poor vik. Tіnosynovіtu skhilnі people of different age, but most of the disease is diagnosed in summer patients. By the year of eating, the bone tissue and the m'yazovoi tissue are destroyed, the rush of blood changes, so as to rob them of the weak, whether any negative factor can lead to the ignition process;
• genetic weakness. Fahіvtsі napolyagayut on that scho zahvoryuvannya mozhe peredavatisya for spadkovistyu. If you have relatives with such an ailment, respectfully follow for your health, take care of preventive rules;
• perevtoma, tendon revantation. Most of the vipadkіv people today vikonu one themselves ruhi. Other groups of m'yazіv not zadіyanі. The very same tendon, which is constantly rebuffed by tension, is the most stable to the development of tenosynovitis. This aspect is worth not only people, like leading an active way of life, like professionally going in for sports, but also about patients, like they can do a sedentary job.

Before the cob of therapy, it is important to reveal a provocative negative factor, try yoga. Adzhe it is impossible to treat tenosynovitis, which is the culprit on aphids, without getting rid of pathogenic microorganisms. The physician shows the correct path to dressing, for a quick result, carefully read the doctor's notes.

Classification

Physicians podіlyayat usі fuse protsesi tendon on kіlka vidіv:

• stenotic. The disease is often localized in the area of ​​great swamps (ulnar, knee, coxal, homolytic). Most often, the tendons are affected, as if they were struck for the introduction of the fingers. In the aftermath of the storm, the affected areas are strongly intermingled. As pathology transforms into a chronic form, then the tendons and suglobs become scarred. Due to the presence of medical aid, the circulation of the mud is more and more blocked, tenosynovitis of this type is often seen in women;
• tuberculous tenosynovitis. It is formed on the aphids of the infection to the patient's body with a tubercular bacillus. The form of the pathology often affects the synovial sinuses of the carpal tendons. The hand is swollen, the frilliness of the fingers is decreasing. It’s not surprising that painful symptoms in this form of pathology are not pronounced, often the illness proceeds asymptomatically, which simplifies its own diagnosis and treatment. In most cases, such tenosynovitis is diagnosed in patients of 18 years of age;
• Ignition chronic form of pathology. The flow is similar to the tuberculous form of tenosynovitis. The result of such an illness is most often rheumatoid arthritis. An accurate diagnosis can only be made by a thorough blood analysis of an ailing person (with the presence of bacterial microflora).

Signs and symptoms

In most cases, the illness proceeds unfavorably for the patient, quite rightly. A lot of people do not pay attention to the discomfort in kintsivki, they see doctors less in zanedbanih vipadki. Fahіvtsі recommend seeing a doctor on the cob of the diagnosis of unacceptable symptoms, so that the earlier you start treating tenosynovitis, there is a greater chance of turning the tide, eliminating the negative effects. If you don’t sing glee at the same time, then the ear can be blocked, turning a person into a disabled person.

Tenosynovitis may be a typical clinical picture:

• the impossibility of turning ill with the hand;
• bolovі vіdchuttya pіd hour worki poshkodzhenim m'yazom or tendon;
• blackening of the burned tendon;
• on palpation, the tendon can be swollen.

Specific symptomatology to lie in the place of localization of the disease:

• inflamed kolіnogo suglob. The first sign of illness is a sharp increase in the number of roses. Having commemorated such a sign, look at the healer negligently. A sign of posterity is observed when the synovial membrane is inflamed, the swollen bag is filled with motherland, which provokes an increase in the expansion of the colon. Most of the time it was a dull character, as if the pathology was in the acute phase, then the discomfort was unbearable, the need for the use of analgesics;
• pathology of homilkovostopnogo nodule. The tendons themselves do not change the sonic form of that zabarvlennya, but in the middle of the fabrics, which they feel, accumulate a lot of radini. Most often, homilk-stop suglob is affected by aphids, rheumatoid arthritis or serious injury to the area. The patient complains on pain at the posterior or anterior part of the foot, running falls are characterized by discomfort over the entire area. As painful as it sounds, it may be more painful, there is a neurogenic character, discomfort increases when the ailing leg is straightened;
• de Quervain's illness. Blame on aphids overwhelming the wrist or fingers on the hands. The ignition process is launched through regular physical advancement, either one-time, or a great force. In the field and injuries in the region. I don’t see myself sick for a long time, only the pathology that develops on aphids of a serious injury is characterized by severe pain, sharply unacceptable symptoms;
• ushkodzhennya dovgoї head of the biceps. The deyakі call the pathology tenosynovitis trigolovy m'yaza. People suffer from this kind of illness, as if they were constantly putting their hands behind their heads or sideways (for example, tennis). Inflammation is localized at the upper-anterior biceps, sometimes spreading to the lichen loam. The patient sees pain at the hour when my hands are up in the air, at the hour of other hands. If you become calm, tenosynovitis may not show itself.

For the detection of illness, radiography, CT and MRI are performed. If necessary, a bacteriological analysis of the revealed illnesses is prescribed. Based on the obtained results, a necessary course of therapy is prescribed.

Zrazkov's scheme of likuvannya

Pіdіbrati literate lіkuvannya help doctor. Don't get carried away by the ardent process on your own. For the adoption of tіnosynovіtu rіznі vіddіlіv іn addition, there is a scheme of likuvannya:

• medical therapy. Includes a variety of non-steroidal anti-inflammatory drugs. The stinks stop the inflammation, the pain syndrome, quickly improve the patient's self-esteem. Stop analgesics and polyvitamin preparations. Specific medications are prescribed by the doctor;
• physiotherapy(laser victoria, electrophoresis, magnetotherapy and other methods) is directed to the improvement of the rukhovo function, the initiation of blood circulation, the development of pain syndrome. Mustache manipulations are confiscated by an informed fakhivtsy;
• Puncture of suglob. Vykoristovuєtsya with chronic flow of tenosynovitis. The doctor uses too much water from synovial emptying, disinfecting with special preparations. The operation allows you to get out of the inflamed areas, move it further apart.

In front of the development of the disease, doctors recommend for the help of the brown ones:

• dbaily standing up to your body: in the face of strong ambitions, regularly go in for sports at a moderate pace;
• remembering the first symptoms of illness, go to the doctor. The launch of the fall should be carried out until the swamp is jammed, and again spend the same dry activity.

Tenosynovitis responds to rejoicing, immediately engage in therapy, vіdmovtesya vіd samoіkuvannya. Take care of your health, take care of preventive recommendations.

Report about Tinosinov de Querwin in the upcoming video:

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Odnoklassniki

Gigantoclitin synovioma, or nodular tenosynovitis, irritates the mind, as it affects the fingers and toes. Significantly more likely to settle for great articulations. In most of the depressions, the new formation is found in the tendon pits, and more often in the mucus bag and the synovial tunic.

The occurrence of nodular tenosynovitis can be provoked by the following factors:

• ancient organism;
• birth anomalies of happy tissue;
• inflamed cleavage;
• postіyni nadmіrnі navantazhennya on the tendon;
• injuries of the m'yazovo-zv'yazuvalny apparatus;
• osteoporosis;
• bursy;
• damage to the robotic immune system;
• ailments of an infectious nature

When it comes to patients with a frail age, then the disease can be blamed on aphids and other diseases, or on its own due to unhealthy eating and weakness of the suglobs.

Which symptoms indicate pathology?

It is important that for a long time the disease does not show itself and does not show symptoms. Alone, the new creation, by stretching for a few years, can not let yourself know, step by step, increasing in roses. If it reaches a great commitment, the light begins to grip the nerves, which becomes the cause of the blame for the pain, and the depletion of the swamp. Nodular tenosynovitis is characterized by clattering at the moment of flexion and rupture of fingers. There are such sound warnings about the fact that there is a lack of vitality of fabrics, as well as a new creation, as if they are being overwhelmed by the normal movement of the member.

Patients complain and have the following symptoms:

• swelling;
• change the guard.

If you talk about pain syndrome, then you are ignorant, hospitable and stupid. The lower back was localized in the area of ​​the appearance of a bulge, the proteo with an hour of overrunning the pathological state of the veins can expand to the entire upper and lower tract. The strength of pain sensations is felt at the hands of the body and physical pressures. In the process of progression of the disease, the blisters become more commemorative; It is important that the knots stick up at the tendon of the fingers.

Diagnostics come in

If the patient suspects the development of nodular tenosynovitis, it is important to turn to the medical mortgage. At the cob stage of diagnostic visits, the physician experiences ailments about those, who have long since become sick, and have additional symptoms. Then we will correct the person on ultrasound until the soft tissue is removed, as it allows visualizing the knots of the swelling and inserting them more accurately by expanding them to the globules. Sometimes it is necessary to conduct radiography, which makes it possible to establish the middle of the cystic deformity.

Effective and informative methods.

The next stage of diagnostics is magnetic resonance imaging, for the help of which physicians look at the new creation from the sides. At the end of the obstezhenya, the patient will need to undergo a biopsy. At the beginning of the hour, in the area of ​​​​the wound, take a small piece of tissue, which is corrected for cytological examination. For the help of a new kindness, they breathe in other types of downs, for example, lipomy, fibromy, hemangiomy.

How do you see jubilation?

Medical therapy

In order to prevent tenosynovitis, we prescribe non-steroidal anti-inflammatory drugs to the patient, for the help of which they can stop the ignition process and painfully notice. To relieve the pain, there are also pain-relieving faces, which can be prescribed in the form of tablets or gels and ointments for a healthy zastosuvannya. Medications are important, as they improve immunity. Under the hour of therapy of pathology, it is necessary to prescribe medicines, as a supplement to metabolism.

The correct faces and trivality of the yogo vikoristannya have the right to recognize as an exclusive doctor, who knows the history of the patient's illness. Pіdbіr medіnіkіv without intervening po'yazanіyіz іz іz oblastії localіzії і ії kіlіstі puhlin.

For the help of physiotherapeutic procedures, one can add a lot of fragility of the lesions of the articulation. Importantly for the therapy of nodular tenosynovitis, the following physiotherapy methods are used:

• laser therapy;
• ultraviolet oprominennya;
• magnetotherapy;
• massage;
• applications;
• electrophoresis.

Turn to hell

Surgery for nodular tinosynovitis

Although conservative therapy does not bring the necessary effect, painful symptoms do not deprive the patient, but the nodes continue to grow, prescribe surgical intervention. The surgeon zastosovuє small tools and special accessories, for the help of which optical sbіlshennya is available. The cream of self-illumination, you can also see the lesions of the tendon fistula zone or the tendon area.

If a sick person has a great new creation, then plastic surgery is carried out, sometimes arthroplasty is necessary. If the puff is single, a small transverse cut is carried out. It is necessary to see a sprat of vuzlikiv, the cut will be zigzag-like. In case of relief from the new creation, like making a capsule, the hour of the operation does not cause everyday problems. However, there are fluctuations if there are no capsules. In such a situation, the surgeon proceeds to the discovery of a newly formed vascular tissue. It is important to carry out for the help of a special elevator. Medic, vikoristovuyuchi tweezers, rozhituu osvіtu, after which vodokremlyuє yogo elevator of fabrics. Robititse importantly relatively, schob not devoid of protrusions, yakі can provoke a recurrence of nodular tenosinovitis. In such a situation, it is necessary to carry out a second operation.

Irrespective of those that surgery is performed for more than a dozen years, a medical doctor cannot guarantee patients that after the operation it will not be complicated. Often after surgery for ailments, the sensitivity of the fingers is used. Others may be afraid of an increase in the friability of the joint. The most safe after-surgery lesion is a scar in the seam, which in some patients sometimes causes pain.

Preventive visit

To prevent the recurrence of nodular tenosinovitis, patients need to safely take care of all the help of the doctor at the time of treatment and the rehabilitation period. It is important for people to carry out the therapy of all illnesses in their own time, shards of little pathology can lead to the blame for the ailments that are described. We are important to change the diet. At the menu, it is recommended to include a large amount of zhzhi, yak bagat for protein, as well as vitamins and microelements. For the help of such a person, you will be able to strengthen your immunity. For whom can be vikoristan and vitamin-mineral complexes, which are sold in pharmacy chains. Living them to make them happy in the spring-autumn period, if a lot of people suffer from avitaminosis.

Periarticular lesions of soft tissues, including areas of the cyst, are often the reason for seeking medical help. The genesis of cichlid disease is most often associated with degenerative inflammation of the tendon and / or tendon pimples, which is due to a reversal of aphids on aphids, or due to a systemic defect in healthy tissue, which may occur with g permobile syndrome. However, a number of soft tissue lesions are smaller, while the genesis is not yet completely clear, for example, change of the dorsal aponeurosis with Dupuytren's ailment or palmar fasciitis with puffiness of various localizations.
The basis for the diagnosis of soft tissues is the analysis of scarg and clinical examination. Symptoms of damage to the tendon apparatus in the specialty of the older age group are often blamed on aphids manifesting high-grade osteoarthritis of the hands (Heberden's, Bouchard's nodes), which can lead to a pardon, because all symptoms (pain, names, etc.) clattering" at the hands of fingers) tied less osteoarthritis. It is similarly incorrect to interpret the skarg to the point of inadequate extortion.

Nodular tenosynovitis of finger flexion
The symptomatology of this disease is characteristic in one of its names - "finger that flickers." The main symptom of nodular tenosinovitis is the clattering, which is observed by the patient when the finger (or dekilkoh fingers) of the hand is bent. Illness occurs in cases older than 60 years, as isolated, and on aphids in other manifestations of degenerative skeletal damage. The development of nodular tenosynovitis in a young person can be associated with special types of professional activity due to twisting of the fingers of the hand, born with a systemic defect in successful tissue, or with inflammatory diseases of the loams. Until this hour, it is not clear what is affected primarily - the tendon of the tendon, or the sheath of the tendon fistula in the largest narrow zone of the kilse-like ligaments, spreading distally to the p'iast-phalangeal and proximal interphalangeal nodules (Fig. 1). The invisibility of the diameter of the tendon fistula and tendon of the tendon of the finger to lead to a degenerative-inflammatory productive process and the establishment of a nodule on the tendon. Difficulties in the tendon of the flexion in the tendinous groove (squeezing) on ​​the level of the finger from the grooves after the passage of the sounded litter and is perceived by the patient as a clatter. The cause of the conflict is to tease the synovial membrane of the tendon puff and further progress to the process. The result can be blamed for a zamikannya or a stalk of a ginal or a groin contracture of the finger. Looking around (palpation) of the dolonar surface with a folded-loose finger allows you to see in the projection of the affected tendon a clear rush of sweating.
Elimination of nodular tenosynovitis results in elimination of the igniter component, which allows, in a greater degree, to achieve restoration of the normal forging of the tendon of the tendon of the finger at the tendon joint. The most effective introduction of a small amount (1/4 ml of diprospan) of a long-term microcrystalline preparation of glucocorticosteroid into the lumen of the tendinous groin of the finger. The point of injection is 1-0.5 cm proximal to the interdigital fold in the projection of the affected tendon of the flexor. For vikonannya іn'єktsії 1 ml suspension of the drug diluted with 1 ml of 0.5% novocaine or 0.9% solution of sodium chloride. In case of skin damage to the tendon, 0.4-0.6 ml of sumishi is injected. Zanuruyuchi head straight at the tendon pihvi, one hour zdіysnyuyut vise on the syringe plunger. About the sign of the head in the lumen of the tendon fistula, there will be evidence of a decrease in support when the drug is administered, which is seen by the patient as “spreading” in the projection of the tendon fistula and the appearance of vibrating more distally after the injection. As a rule, one injection is enough to achieve the effect. In case of relapses, which are blamed after 6-12 months, the procedure is repeated. For the presence of the effect of 2 injections (with a three-to-one, many-month-long process), vicorist phonophoresis or electrophoresis with hyaluronidase. Injection of hyaluronidase into the veins or the tendon pelvis often calls out a growling ignition reaction. The data on the results of surgical treatment are ambiguous: zocrema, revision of the tendon fistula, and revision of the tendon joint can lead to adhesions and unsatisfactory functional results.

Ganglion (hygroma)
Ganglia and hryogenic vipins of the tendon wall of the tendon flare, or fold of the penis on the level of the promeneo-zastkovy loam. Insight into the tendon needle may have a valvular character, so that the synovial root should be placed in the ganglion when the tendon is pressed, but not back. Often the motherland is resorbed by the walls of the ganglion, which leads to thickening. Illness is common, most importantly in women of the young and middle age, who, when looking around, often show signs of congenital weakness of happy tissue (hypermobility of loams). Patziynti is pissing to appear at the advent of the dilian-haired "university" by the rosemir of 0.5-1 cm of elastic subcosure consistency, non-munim of the back of the ovyvy okhoi okhi abstsy. In particular, due to pronounced hypermobility, giant ganglia grow up to 5 cm in size (Fig. 2). The diagnosis is established with the appearance of a crumbly soft tissue in the projection of the tendon pimples.
Likuvannya pour into the puncture of the ganglion (with this inode, take out a small amount of streaks of great or high viscosity of the synovial cavity) and inject 0.2-0.4 ml of a microcrystalline preparation of glucocorticosteroid into the void. The most important is the use of undiluted triamcinolone acetate, which in connection with macular-degenerative disease can lead to “sticking” of the walls of the hernial bear and the formation of the disease. In case of insufficient effect, recurrent ganglion is vibrated with hysteresis.

Khvoroba de Quervain
The new name of the pathology is stenosing tenosynovitis of the long abductor and short rupture of the first finger of the hand. Illness is manifested by attacks of sharp pain in the base of the first finger. With whom the patient himself, it is important to describe or create a ruh, a kind of crying bіl. Under an hour of looking around, there is soreness near the sphere of the “anatomical snuffbox” - thin walls, as if it were furrowed to the shoulder, and sometimes there is a swelling of the zone (Fig. 3). Finkelstein's pathognomonic test: ask the patient to press the thumb to the palm as much as possible, hit it with the other fingers, and "fist", which, having settled, put it in the left side. With any fault, the tightness of the visceral tendon and the pain is evident, known to the patient. To the illness of a smart young woman and an individual of the middle and senior age with hypermobility of snow.
In mild cases, the treatment is carried out in an exchange of pressure on the affected hand, wearing an orthosis and infusion of ointments and gels with non-steroidal anti-inflammatory drugs. In case of a napolevical leak, local infiltration of the affected area with a glucocorticosteroid in combination with an anesthetic is carried out. Nadalі z method of prevention of recurrence to recommend the possibility of encirclement of the attack on the cyst.

Mal. 1. Nodular tenosynovitis of fingertips.

Mal. 3. Swelling near the area of ​​damage to the tendon in case of de Quervain's disease.

Mal. 4. Syndrome of the carpal canal.

Mal. 5. Tenosynovitis of the tendon of the fingers and hand in the lower third of the anterior shoulder as the cause of carpal tunnel syndrome.

Mal. 6. Introduction of glucocorticosteroid at the carpal canal.

Mal. 7. Genital contractures of fingers IV and V in Dupuytren's disease.

Carpal tunnel syndrome
This illness, which most often occurs in the group of tunnel neurovascular syndromes. The main (but not the only) cause of the carpal (carpal) canal syndrome is non-specific tendinitis of the fingers, which is most important in women after 50 years. At the connection with the anatomical features of the carpal canal (rigidity of the walls), induce a plethora of tenosynovitis in the fingers, which pass at the carpal canal at once from the median nerve, causing compression of the nerve stovbur, which is a symptom atica (Fig. 4). Patients swear at the sight of names, paresthesia in the fingers of the hand after a period of calm (before sleep), in severe depressions - they roll through the night.
With a detailed spitting, it is clear that they are localized more importantly at the tips of the first three fingers of the penis - the zone sensitively innervated by the median nerve. Objective symptomatology at the cob stages of infection of the small grain, prote, with a respectful look, it is often possible to vibrate along the inner surface of the front in the projection of the tendon of the fold of the fingers, which adheres to the transverse ligation of the wrist ( hot-dog sign of American authors). These signs appear in 80% of patients and are a predictor of the success of local injectable antiseptic therapy (Fig. 5).
With a trivial term of illness, there are signs of radiation of the motor fibers of the median nerve - hypotrophy of the thumb of the thumb, which indicates an irrevocable change in the prognosis of conservative therapy.
Diagnosis of carpal tunnel syndrome is difficult. Take to respect the characteristic description of the patient's skarg, its localization, as well as tests that are recognized by the timchas to relieve the pressure on the median nerve (and, obviously, it hurts).
1. Tinel's test - the drug works on percussion with a neurological hammer in the area of ​​the canal, or to fix a vice with the thumb (energy, until the nail is white) on the area. The patient sees the appearance of a stronger known name at the tips of the first three fingers of the hand.
2. Cuff test - for the help of the apparatus for vimiryuvannya arterial pressure, attach arterial krovoobіg at the upper end. The first on the brain is the median nerve as the structure is shemizovana; paresthesias appear in the zone of innervation.
Recommendations for the diagnosis of carpal tunnel syndrome, the Phalen test (re-diagnosis in the promeneo-carpal tunnel, as it may help to squeeze the carpal tunnel and correct symptoms), for our data, it is rarely positive.
A typical clinical picture is that one of the positive diagnostic tests sounds sufficient for establishing the diagnosis of carpal tunnel syndrome. The treatment is more effective at introducing a microcrystalline glucocorticosteroid preparation into the carpal canal (Fig. 6). The procedure does not become folded, so that the canal is covered with a wide and soft wall made with wrist brushes. The reference point for the hour of insertion is the middle of the proximal fold of the wrist. The only possible complication in the course of the procedure is an injury to the head of the median nerve trunk. With whom the patient sees a strong (“shooting”) pain at the fingers of the hand. In this case, the head is pulled up and injected її 0.5 cm laterally or medially in the form of the cob mass of the injection (the transverse expansion of the canal is allowed to be done). Inject 0.5 ml of betamethasone dipropionate diluted in 1.0-1.5 ml of 0.5% novocaine.
Indication of the effect of the introduction of glucocorticosteroid to indicate the non-inflammatory cause of the compression of the median nerve in the carpal canal and compression of the median nerve to the other side. In this way, an electromyographic study is shown, in order to allow the localization of the injury to be objectively determined. Persistent impairment of sensitivity and ineffectiveness of conservative therapy for carpal tunnel syndrome and indications for surgical revision of the canal.

Guyon's Canal Syndrome
Tsey tunnel syndrome occurs in the crushed sensitive ulnar nerve on the ridge of the promeneo-zastkovy nodule in Guyon's canal, the transverse ligament of the wrist, the pea-like cyst and the superficial fascia of the anterior shoulder. At the canal, the tendon of the ulnar ligament of the cyst passes, the fuses in the yakoma and sound to call for pressure from the nerve stovbur. Tsei syndrome trapleyaetsya significantly more, lower carpal tunnel syndrome. It is possible for the patient to have both syndromes. The clinical picture of the Guyon's canal syndrome is characterized by paresthesias and names in the zone of innervation of the distal sensitive ulnar nerve - the tips of the IV and V fingers of the hand. For diagnostics, there is an analogue of the Tinel test and the cuff test. During the Tinel test, the pressure is felt on the medial surface of the pea-like brush (the largest protrusion of the wrist wrist on the lateral surface, the pinky on the opposite side of the little finger). With the introduction of glucocorticosteroid, the Guyon canal also serves as a reference point for the medial surface of the pea-like wrist wrist.

Dupuytren's contracture
Dupuytren's contracture with fibrosis of the dolon aponeurosis, hysteresis, as in vvazhayut, neurotrophic damage. The genesis of illness is not up to the end of the mind. Contractures of Dupuytren are sick in patients with diabetes mellitus, individuals who have suffered damage to the cerebral hemorrhage, although often there are no factors to reveal. People are more importantly sick. The main symptom of illness is the appearance on the lateral surface of painless lesions in the presence of vesicles and cords. At the debut of an ailment, there may be a disruption in the function of the brush, the stench will scream. At this stage, the illness may be manifested in a vague way when looking at some other drive, or when hand-worn. Fibrosis progressively progresses and becomes clinically significant when extended to the tendon of the fingers IV and V. When this is formed, the contracture of the pointed fingers is formed, the feet lie down due to the severity of the injury to the tendon. In stage IV and V manifestations, the fingers are fixed at the position of the total fold, which signifi- cantly worsens the functional structure of the affected hand. Such a picture vinikaє after 8-12 years of illness.
There are no more profound conservative methods of treating Dupuytren's contracture. Proposed physiotherapy methods (phonophoresis with hyaluronidase) and infiltration of narrowed aponeurosis with triamcinolone acetonide did not undergo re-testing in follow-up studies, in connection with which it is recommended to recommend them as effective don't hesitate. The only effective method for treating Dupuytren's contracture is a surgical method that works in the temporal altered dorsal aponeurosis. Efficiency of the operation to lie down in the stage of illness. Insane indications before surgical insertion are signs of radiance to the process of the tendon of the flexion of the IV and V fingers (Fig. 7). The final operation at this stage should be carried out until the full restoration of the penzl's function. At higher stages (contracture of the fingers is pronounced), folding operations are required to include tendon plasty and give a less satisfactory functional result.

Dolonnium (palmarian) fasciitis
Illness zustrichaetsya visibly rarely and manifests itself as painful bilateral narrowing of the dorsal aponeurosis with one-hour formation of fixed contractures of the fingers. On the view of Dupuytren's contracture with palmar fasciitis, pain syndrome and tendon injury of the tendons of all fingers of the hand are indicated (Fig. 8). When looking around, the soreness of the dorsal aponeurosis appears to be milder.
Approximately 50% of palmar fascia manifestations are a manifestation of a paraneoplastic syndrome with tufts of the femoral sphere and the intestinal tract. At the link with simus patients with palmar fasciitis, as if they turned back, they are guilty of being exposed to the oncological program. And only for the blame of oncological illness, symptomatic treatment is carried out, which affects the infiltration of the affected aponeurosis zone and tendon pimples on the equal hand with preparations of microcrystalline glucocorticosteroids. However, the effect of a kind of exuberance is less likely to occur at the bud stage of infection; After a few months, persistent fibrosis changes and patients often become disabled.

Illness on nodular tenosynovitis due to microtrauma of the tendon and joints. The sickness stands like a kind new creation, formed after igniting reactions. Tenosynovitis occurs in gostrіy and chronic forms, there may be a great succumbing to relapses, after a complete remission for the help of surgical intervention.

What is tenosynovitis?

Illness affects the fingers and toes of the hands and vines through the post-injury of the tendon and chronic inflammation of the swollen.

Tenosynovitis often develops in women, lower in representatives of the human state. Before the risk group, people enter from 30 years of age, as well as people of a frail age, through the destruction of the biological exchange of speeches, after some fabric weakens and rots its burning camp. Irrespective of those who are not malnourished, tenosynovitis is characterized by frequent relapses, including after surgical suicide. Ring out tenosynovitis with a trivial overshoot. The presence of tribal inflamedness provokes atrophy of tissues, as well as brushes and suglobs, as if they cease to fail their functions. To bring the whole process to disability.

Classification

This kind of disease has a large number of reasons, forms and types of illness, as presented in the tables:

Why blame?

Reasons for viniknennya tenosynovitis dosit richly. Vcheni see factors that provoke an ailment, such as:

• often injured tendon;
• arthritis;
• arthrosis;
• genetic strength;
• VIL infection;
• tuberculosis;
• bursy;
• damage to the exchange of speeches;
• vasculitis;
• venereal disease;
• supra-world physical adventure.

Often the cause of damage to the tendon of the fingers is a weakening of the immune system, which cannot be attacked by various infections, which can be used to heal a wound. Therefore, ailments on immunodeficiency pathologies are taken from the risk group. As tenosynovitis develops and the anatomy of the afflicted immune system, exuberance flows richly.

How to recognize an illness?

The traditional clinical picture for tenosynovitis and yogo progressive development. On the cob zahvoryuvannya symptomatology is expressed obscurely, but after a few hours the development of ailments will increase. Mayzhe in all ailments, the first symptom of pathology is a specific crackling of the affected stubble with severe fingers. Krіm tsgogo, vchenі see іnshі show ailments, like this:

• Pain syndrome of various forms:
  • hostry;
  • low;
  • periodic;
  • trivalium.
• Sketches of kintsivok.
• Changing the pigmentation of the skins.
• Damaged rukhovoї activity.

Pain syndrome is the most specific type of nodular tenosynovitis, which in the world spreads the disease all over the world. And also blame the fuse processes and the new growth, which reach 6 cm in diameter. As such symptoms appear, it is necessary to carry out an obstezhennia, and therapeutically come to an ailment.

Diagnosis by different methods

Ultrasound follow-up

With the method of diagnosing tenosynovitis, the ultrasound method is used. Grounded on the results of the investigation, it is possible to recognize the quantity and totality of the puff and to analyze in detail the place of localization of the new creation. It is possible to indicate the lure of blood-bearing vessels on the battlefields. It is not uncommon for the next hour to show that the molding is known to be in the tendon or in contact with it.

Radiography

Diagnosis is victorious, in order to indicate the presence of specific changes and steps of their influx on the brushes. The reason for the change is often the growth of supra-mundane swelling, movement of the vice, atrophy, erosion of the cystic tissue. This method gives accurate data for choosing the right strategy for the treatment of nodular tenosinovitis.

MRI and biopsy

Qi methods are used to compress the puff. For additional magnetic resonance imaging, you can look at the puff from the sides, recognize its thickness and features. Biopsy of a microscopic examination of the warehouse of illumination. For the help of a special outbuilding, a small part is built up in the form of fluff, so we will continue to do so. The analysis gives exact results and determines the type of illumination. Most often, such tumors are diagnosed, such as hemangioma, fibroma, neurinoma, fibrous tissue densification, lipoma or mucosal cyst.

Effectively exuberant

Medical therapy

For a skin patient, the course of treatment is selected individually and depends on the degree of severity and quantity of the solution. For the help of medicinal preparations, you can use tenosynovitis: redness, whiteness, swelling, and also improve swelling growth. For whom, a course of immunostimulating agents, analgesics and antibiotics is prescribed, which should be taken due to the cause of the ailment. Also, for the therapy of vicorist, anti-seizure medications and preparations for improving the exchange of speech are used.

Physiotherapy for nodular tinosynovitis

A set of physiotherapeutic procedures for the restoration of the function of the globule includes such things as:

• electrophoresis;
• ultraviolet therapy;
• massage;
• thermotherapy;
• Laser therapy.

Injuries and stretching, which are accompanied by a damaged tendon, often lead to the development of acute and chronic diseases of the musculoskeletal system. One of these injuries is tenosynovitis - inflammation of the synovial tendon near the affected loam. Let's take a look at the main causes of development, methods of diagnosis and treatment of pathology.

Mechanism and cause of guilt

A part of the tendon, which oozes out of the bones, is protected by special pimples, similar to the powers and functions of the synovial membranes of the sinuses. Tendons are freely folded over in the middle of the veins of a sufficient amount of rodin, which plays the role of oil.

In case of injuries or other pathologies, an igniting process develops in the lesions of the dilatation, which leads to a ringing of the chronic membrane and a change in the number of synovial nerves. For the rahunok of the growing tertya, for an hour, the fluff is mutually worn out of the fabric of the fur. Inflammation of the inner lining is called tenovaginitis, and the outer lining is called tendon tinosynovitis. є inflamed internal (synovial) shell of the loam with the approved vipot.

To the main reasons for the development of illness are:

• Injuries to the ligaments, most often stretching that clogged muscle;
• Pathology of the musculoskeletal system (arthritis, degenerative-dystrophic changes);
• Deyaki gostrі and chronic infectious diseases (tuberculosis, herpes, syphilis);
• Weakened immunity;
• Endocrine disruption;
• Shilnist to allergic reactions;
• Summer Vic.

Classification

Valid for classification for ICD-10 tenosynovitis code M65. Unspecified synovitis and tinosinovіty may code M65.9.

Virіznyayut kіlka vidіv ill. For the form of prot_kannya:

• Gostry - develops for a short hour after tendon rupture, is diagnosed in 90% of the fluctuations;
• Chronic - characterized by a sharp period of well-being and aggravation, it sounds like a blame for the aftermath of maladies in case of acute acute pathology.

3 reasons to develop:

• Aseptic - due to trauma, immunodeficiency, endocrine disorders;
• Infectious - caused by pathogenic micro-organisms (viruses, bacteria, fungi, or any combinations of them), sounds like a purulent form.

By type of fire:

• Stenotic - localized most often in large joints and accompanied by significant friability (this includes tenosynovitis of the tendon of the long head of the biceps, hands, knee, pelvic, homilk-foot joints);
• Tuberculosis - develops as a result of damage to the tendon pihv with a tubercular wand, sounds localized in the swamps of the hands;
• Chronic inflammation - blame and natomist rheumatic diseases.

Doctors diagnose vagueness of tenosynovitis of the tendon, which is why they did not know the exact reasons.

Symptoms of pathology

Up to the deep signs of tinosynovitis can be seen:

• Pain syndrome of varying intensity, which is exacerbated under the hour of active work;
• Appearance of a sore on palpation;
• Smeared that blackening of the skins of the curves of the guards;
• Difficulty in the development of sickness.

Tsikavo!

Approximately in 30% of patients, the disease develops incrementally and at the primordial stage is accompanied by little discomfort. With the appearance of any suspicions of tenosynovitis, it is necessary to turn to fahivtsya, and signs of ignoring it can lead to serious conditions and disability.

The exact clinical picture of the deposit depends on the location of the ignition process.

Dovga head of biceps

The tenosynovitis of the tri-headed m'yaz most often opposes athletes, the mad ones often turn their hands upside down and behind their heads. The pathology is localized in the upper third of the biceps, sometimes spreading to the area of ​​the ulnar nodule. Whether it's the upper limbs, accompanied by a sharp pain, you will become calm daily discomfort.

Kolinny suglob

In case of tinosynovitis of the colitis, a sharp increase in the lesion of the colitis in the expansion is indicated. Illness is characterized by a dull, aching pain that worsens when the leg is bent and broken. Significantly intermedium frivolity kіntsіvki, z'yavlyaєs kulgavіst.

Homilkovostopniy suglob

Injury of the homilkostop is accompanied by severe pain in the anterior or posterior legs of the foot, which is aggravated by trivial standing or walking. Tendons do not change in rosemaries, but a significant amount of radin accumulates in wounded tissues. The moves are changing, they are blaming problems with the selection of the right one. Thus, in case of severe tinosynovitis of the lateral group of the right homolycostomy nodule, the patient has confusion only on the left leg, and on the other hand.

Fingers of the upper and lower ends

Pathological process in case of nodular tinosynovitis to bring to the formation of benign neoplasms in the area of ​​the tendon on the fingers and fingers. Alone or multiple indentations with a diameter of up to 4-5 cm are painful on palpation, the skin over them often swells and changes color. The main symptom of pathology is the appearance of a crunch when the fingers are bent and broken.

Foot

With injuries of the medial brush, tenosynovitis of the tendon of the long leg of the great toe often develops. Pathology is accompanied by severe pain at the front of the foot and frizziness (impossible to bend or spread toes to the side). Rarely, as a result of a direct blow, tenosynovitis of the Achilles tendon may develop. With such a short time of walking, there is a difference in intensity, which is localized in the area of ​​​​the five.

Diagnostics

Having examined the nutrition that such tendon tenosynovitis is, let's look at the main methods of yoga diagnostics. With the first signs of pathology, one should turn to a rheumatologist or an orthopedic surgeon. To establish the diagnosis on the basis of the patient's scarg, the doctor prescribes a number of obstezheniya:

• Ultrasound for the purpose of diagnosing, the nature and localization of tendon lesions;
• MRI for accurate assessment of changes in suglobiv and otochyuchih tissues;
• Severe blood analysis revealed indications of inflammation;
• The puncture of the suglob of the appointment of the sbudnik of infection.

X-ray and other instrumental investigations are most often carried out in case of chronic tinosynovitis, which leads to deformation of the cysts of the stubble. Dodatkovo may need a consultation of higher education specialists (endocrinologist, allergologist, immunologist).

Exaltation of pathology

Let's take a look at the main ways of exposing the tendon tinosynovitis on the butt of the great articulation of the lower limbs (collar, homilk-foot). Before the main methods of conservative therapy, it is possible to take doses of predation on suglob and taking medications.

Rozpodіl navantazhennya on suglob. In the hostile period, patients are shown immobilization of the affected rash. To relieve pain and inflammation, it is recommended to use warm and cold compresses. After understanding the main symptoms of tenosynovitis, judicious gymnastics is carried out, which includes the right to vanishing, raising and wrapping the cloud in a proper dynamic mode. The type of triviality to take is determined by the doctor individually on the basis of the clinical picture and I will become ill.

Medical treatment for the help of offensive groups of drugs:

• Non-steroidal anti-seizure medications for internal and external intake (Indomethacin, Rumakar);
• Analgesics (Ketarol, Ketanov, Deksalgin);
• Glucocorticoids for injections in the empty tendon pylorus in severe pathology (Betamethasone, Methylprednisolone);
• Antibiotics in case of confirmed infectious warehouse inflammation (selected individually on presentation of the results of the bacteriological examination);
• Colchicine for confirmed gout;
• Other preparations for the normalization of the functions and vitality of cartilage tissue (chondroprotectors, hyaluronic acid in the form of intravenous injections, vitamins).

So get stuck:

• Physiotherapy (electrophoresis, magnetotherapy, bioptron, mud bath);
• Massage and manual therapy for the prevention of atrophy of ulcers and ligaments, normalization of muscle blood flow.

Chronic tenosynovitis of the tendon at the stage of aggravation is treated with a similar rank. Usim patients are shown more sanatorium-resort treatment and a course of preventive visits (massage, exercise therapy, physiotherapy).

Note!

If the symptoms of tendon tenosynovitis are ignored, the ignition process turns into a chronic form, which is accompanied by deformity of the bones, secondary friability with advanced disability.

Jubilation with folk traditions

As an additional method of therapy for tendon tenosynovitis, it is allowed to establish traditional medicine recipes:

• Massage with ice (3 times a day, 10-15 strands, 2 strokes);
• Salt dressings (with the help of sea salt, soak gauze, cool, put a foot on the ailment for 20-30 quills);
• Raztirannya oil sumishshu (up to one tablespoon of be-like dewy olії add 2 drops of yalic and lavender ethereal olіy, rub the summіsh in the morning of the day);
• Implantation of turmeric, tincture of Voloskogo gorіha and polynu.

The most effective way to exfoliate the tendon of the knee joint is to compress. A cold alcohol compress in case of tinosynovitis helps to relieve the burning camp during the acute phase of the illness, relieve the pain and swelling. For this preparation, the medicinal alcohol should be mixed with clean water at a ratio of 1: 3, with the help of the sum, I will fold the sprat balls into gauze and wrap around the ailment of the knee. The procedure is carried out daily with a stretch of 7-10 dB.

Pine baths are recommended for treatment of tenosynovitis of homilkovostopny slough. Fill the enameled pan on two thirds with fresh pine needles, fill it with water to the top, boil it for five years and insist for 3-4 years. The hour of taking a bath should be 15-20 hvilin, the course of bathing is 2 tizhn.

Surgical intervention

For the presence of a stable result after conservative therapy, patients are assigned an operation. Most often, surgical intervention is necessary when it is important to pass through the tinosynovitis of the subcolonial muck. The procedure includes partial resection of tissue damage in the area of ​​the tendon, removal of scars and suppuration from distant suturing. In severe depressions, endoprosthesis is indicated.

Tenosynovitis tendon suglobіv є partial post-traumatic damage. A complex conservative treatment helps to relieve the symptoms of the disease and prevent the development of complications. In case of ineffectiveness of drug therapy, surgical intervention is indicated.

Illness of the musculoskeletal apparatus - widened pathology, as a cause of severe illness, disability, mortality. Tenosynovitis - inflammation of the tendons and synovial membranes - affects the practical part of the population, is accompanied by a pronounced pain syndrome, the second function of the affected kintsivka. Timely diagnostics and more effective treatment outperform disability, turn patients back to health.

cause sickness

Tendon - bundles of tissue fibers, for the help of such m'yazi, they attach themselves to the brushes of Ushkodzhennya and the sickness of the tendon from irradiation in the process of special membranes, synovial pihv, in which the stench of rotting is called tenosynovitis. Causes of pathology:

• injuries, ushkodzhennya;
• widening of the fire from adjacent loams;
• dystrophic changes, tissue damage in case of systemic, endocrine diseases.

Illness of the upper kіntsіvok obmezhuyut pratsezdatnіst people. Tenosynovitis of the old head of the two-headed shoulder mass is often blamed for the hour of work, associated with great physical adventures, seen in athletes-important athletes. There is a bіl at the shoulder, which sharply rises on palpation. Tenosynovitis of the long head of the biceps is often blamed when working with arms raised high - sticking trellis, putty, stuffing walls, insoles.

Ailment of leek loam

The m'yazi in front of the shoulder is fastened to the ridges of the shoulder brush. Tenosynovitis of the tendon of the rosin of the brush is accompanied by pain when working in the garden, in the city, sports activities (the elbow of a tennis player). At the inflamed area, the virost is radiating, causing epicondylitis. Illness points to the point of sickness. In case of pathology, the tendon of the m'yaziv, fixing to the inner lining (golfer's elbow) is more likely to be blamed for the overt ruptures of the anterior shoulder, the folded brush, and the inner surface of the elbow.

Illness of the cyst

ignition finger - inflammation of the ligaments, with which the tendon is infringed at the narrow canal, covered with synovial needles and ligaments. The finger must be broken for the help of a free hand. It develops as a professional disease in the doctors, slyusars, perucars, surgeons.

Tenosynovitis of rozginachi fingers is manifested by swelling on the tiln surface of the cyst. Differential diagnostics is necessary for arthritis of the promeneo-zastkovy glomerulus, in case of which there is also bloating in this galus. In tinosinous swelling, the swelling moves distally, repeating the tendon rupture.

Suglob can be folded budovu, vikonu ruhova and supporting functions. Tenosynovitis "crow's feet"- the pathology of the tendon of the m'yazіv stegna, yak_kriplyatsya to the inner surface of the knee. Often sick in summer, guard women. Walking, walking down the stairs help the unacceptable sight.

Tenosynovitis of the tendon of the subcolonial mass manifests itself as pain on the posterior surface of the knee, which is exacerbated by overt ruptures. Napіvperetinchay m'yaz pochinaєєt vіd sіdnichnoj mound, go to the plane of the tendon, yak krіpitsya to the great milky cyst. Yogo zapalennya called out bіl і kolіnі, zamezhuє zginannya.

Tenosynovitis in neglected fluctuations for the daytime exuberance radiate to the ignition process of virostkiv, suglobovy bags. With active inflammation, a great amount of exudate can break through the radii into the gomilka. The patient is hospitable for the hour at the gathering. Suglob zbіlshuєtsya in obsyazі, nabryak shiryuєєtsya on gomіlka. The bending of the foot provokes the hospitable bіl, which will be strengthened under the hour of walking. Illness is often mistaken for deep vein phlebothrombosis, incorrectly exacerbating pathology.

Suglob is subject to great static and dynamic ambitions. Tenosynovitis of the Achilles tendon often develops in athletes-runners at long distances, ballet dancers, and in ailments with deformity of the foot, flat feet through an incorrect distribution of the nerve. Active and passive movements are surrounded by a foot. Often palpable tissue in the tendon gap. Shkіrnі twisted over the mist of the blow of the blow of hype, swollen.

Small-milk m'yazi mayut dvoperistu Budov, to that they are called peroneal. They begin at the small milky brush, go through the bridle of the gomilki, bend the foot of the call, fasten to the moldy brushes. Їх function - zginannya that pіdtrimannya sklepіnnya feet. Tenosynovitis vibrates when walking, try active ruhs with a homilkovostop. Behind the oval tassel, there is a matted ridge - the burning of the tendon. Characteristic is the step of the move - the patient lifts his leg high, swings his foot forward and lowers it.

On the feet, tenosynovitis often affects the fingers. Characteristic bіl, scho posilyuєєtsya when onslaught on the ailment of the mіstse, kulgavіst when walking. The inflammation of the tendon of the homilk-stop nodule and the foot is unsafe, which re-injuries lead to the appearance of cystic growths - osteophytes, the foot is deformed, culgative development develops. Decreased rukhovoї activity lead to a short term lead to atrophy of the ulcers, chronicity of the process.

The reason for the development of tinosynovitis often є inflamed adjacent loam, arthritis. Differential diagnosis may be of great importance for effective examination. In the table, the main signs are indicated that allow the treatment of tenosynovitis in arthritis.

Clinical signs of both diseases are recognizable, which allows for effective diagnosis without going into complicated methods of obstezhennia.

In sick people, groups develop in succession:

• damage to the exchange of speeches;
• with systemic and endocrine diseases;
• dystrophic changes in organs and tissues;
• genetic pathology

Nodular tenosynovitis often opposes women of the middle and frail age. On the hands, wrists, interphalangeal swamps, there are new growths of 2-5 cm, growth from the synovial tendons. Since 1852 (the first description of this pathology), discussions continue about these trips. There are different variances, the main theories are plump, infectious, genetic. I don’t have a single thought. It’s easy to exult, after a surgical removal, the relapses are blamed.

Tenosynovitis de Quervain above descriptions as a professional illness. The tendon of the long rupture and the short fold of the first finger of the penis pass in one synovial cavity. Їx sweating as a result of microtraumas, which are repeated, to bring the thumb to the fouling. It develops in the caregivers of child nursery schools with frequent taking of children in their arms, in women in the prenatal period through the need to look after the child. Sickness sting on the bіl bіl basis of the first finger, impossibility to win over the zvichnu robot.

A peculiar form of inflammation of the tendon and synovial pimples in front of it - strengthening tenosynovitis. It develops with frequent repetition of the same type of hand damage. There is swelling, blackening on the tilnіy surface in front of the plate. A special symptom is crepitation (to put a palm to the affected area and ask the sick person to turn their fingers, palpation feels their own crunch).

To fall due to severity, localization of damage, obvious complications and concomitant illnesses. Tіnosinovіta lіkuvannya go through a complex, zastosovuyut such methods:

Immobilization, meta yakoi - nadanny nerukhomosti kіntsіvki, - obov'yazykovy method likuvannya injuries, ear and ailment of the musculoskeletal apparatus. Traditionally, for the treatment of tenosynovitis, plaster casts are applied. Disadvantages of the method:

• cumbersomeness, unhandiness when wearing clothes;
• ruynuyutsya water;
• do not miss x-rays;
• simplifies the conduct of juvenile manipulations.

Modern technologies make it possible to create fixators, orthoses and bandages for immobilization, prepared from a light polymer. Attention may be low in comparison with gypsum, the terms of exuberance will be short, and the full renewal of the functions of the film will be adopted. In pharmacies, a great selection of orthoses for all conditions is being promoted. The fixator needs to be correctly selected.

Drug therapy is carried out according to medical indications. With purulent conditions, stop antibiotics. The hostile process is accompanied by antiseptic therapy. Symptomatic relief is prescribed in cases of severe pain syndrome of elevated body temperature. As the tenosynovitis of the tendon of the old head of the biceps expands, then the exuberant transmission of the cold increases the burden.

Physiotherapy procedures zastosovuyt after the calming down of hospitals and in the rehabilitation period:

1. Electrophoresis is a method in which medical preparations in an electric field move around the damaged tissue.
2. Ultrasound sprays high-frequency acoustic waves, bleeding is improved, and burns are quick.
3. Thermal treatment - application of ozocerite (girsk wax), paraffin may have a luscious effect in the rehabilitation period.
4. Three new methods to stop laser therapy - injecting into the ailment with a focusing optical exchange.

The main method of restoring the friability of the loam, which was used after the trivalo immobilization. It is important to follow these rules:

Surgical treatment is indicated for purulent complications of tenosinovitis. The surgeon opens the synovial lining, sees the rot, cleans the wound with an antiseptic. The operation is also necessary for the apparent growth of the tendon with tissues, which will make you feel sick.

Tenosynovitis affects the navkolosuglobovі tissues of all great zchlenuvan, accompanied by a manifestation of pain syndrome, demineralization of the rukhovoi activity of a person, thus reducing the quality of life. Timely diagnostics and effective expediency to shrug off short terms in the absence of ailments, protect disability.