What is Tenosynovitis or PERITENDITIS
Tenosynovitis — a degenerative or inflammatory lesion middle of the tendons, primarily those who are dressed in the tendon sheath and pass through the narrow ligamentous channels. This occurs in the wrist and ankle areas. Usually occurs defeat all closely adjoining tissues — tendons, synovial sheath and its ligamentous channel. Therefore, the terms «tenosynovitis», «tenosynovitis», «ligament» is often used as synonyms, especially because sometimes it is impossible to determine the location of the primary lesion. Difficulty slip tendon at the ligamentous channel may be due to nodular thickening of the tendon, proliferation and thickening of the synovial sheath or cicatricial narrowing ligament channel. It is known that the back of the wrist ligament ligamentous has 6 channels. The defeat of the I-channel, through which the tendon of the short extensor and adductor of thumb leads to stenosing tenosynovitis of the tendons (de Quervain’s disease); with the defeat of VI channel through which the tendon of the ulnar extensor muscle of wrist, develops constrictive tenosynovitis or ligaments of the channel (synonym — ulnar styloiditis).
On the palmar surface of the hand is palmar carpal ligament, under which there is ligamentous channel. With the development of the pathological process in the synovial sheath flexors (passing through this channel) occurs compression of these sheaths, and located the same branch of the median nerve, which clinically manifested symptoms are referred to as «carpal tunnel syndrome». In the palmar carpal ligament has a so-called guyonsky channel through which the ulnar nerve and ulnar artery. With the defeat of the canal and compression of nrohodyaschih here formations developing so-called syndrome guyonskogo channel. Likewise develop tendovaginitis ligamentity seven channels located at the rear of the foot in the ankle region, and on the plantar surface of the foot and its podpyatochnoy portion.
There are three forms of the pathological process in tendovaginitah:
light, or the initial form in which there is only hyperemia of the synovial sheath with perivascular infiltrates in its outer layer, a similar pattern is observed mainly in the damaged tendons of the extensor and flexor wrist, feet and fingers
hard form, characterized by the accumulation in the synovial sheath moderate amount of effusion, and clinically manifested by a small rounded swelling in this area; similar pattern is developing carpal tunnel syndromes, or guyonskogo channel, and tenosynovitis peroneal muscle;
chronic constrictive form with sclerotic changes in the synovial sheaths, erasing structure between the individual layers, and stenosis of the vagina; manifestation of this form is, for example, stenosing tenosynovitis de Quervain, «flipping the finger» and others.
Tendovaginitis may be secondary, accompanying various joint diseases, infectious or allergic processes, or primary, independent. Primary reasons tendovaginitis wrist area are likely to be professional or sports microtrauma, tenosynovitis ankle — statics anomalies (flat, clubfoot, genu varum et valgum), prolonged standing on his feet, racing and micro makrotravmy, varicose veins, thrombophlebitis, lymphostasis.
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Symptoms of tenosynovitis:
The clinical picture tendovaginitis main symptoms are pain on movement with the participation of the affected tendon, local tenderness and swelling of the tendon. In some cases the corresponding muscle atrophy.
On the radiograph is sometimes observed thickening of soft tissues in the affected tendon. Laboratory findings were normal.
Characterized by spontaneous pain, aggravated by extension and abduction finger in the styloid process of the radius with irradatsiey in I finger or the side of the elbow, as well as the reduction of force I toe. In the area of the styloid process of the beam is determined by the brutal pain, clearly limited, sedentary swelling. Pain increases sharply when the resistance of the patient efforts of doctors lead allotted thumb (positive stress test for abduction of the thumb). Positive sample as Ally — sharply painful mixing tips large and IV and V fingers.
How to treat Tenosynovitis or PERITENDITIS – Cold Laser Vityas
Other article about Myositis, Tenosynovitis (or PERITENDITIS) and Sprain read here:
Tenosynovitis or PERITENDITIS. What is Tenosynovitis. Symptoms of tenosynovitis — read here:
Joint sprain: symptoms sprain and signs sprain - read here:
Myositis. How to treat Myositis, Symptoms of myositis - read here:
Big VIDEO Methodical Application Guide TRAUMATOLOGY — Cold Laser Vityas
Joint sprain: symptoms sprain and signs sprain.
1.6 CALCANEAL SPUR
1.9 BONE FRACTURES
1.11 OPEN WOUNDS
2 SKIN DISEASES