Tendonitis is an inflammation of the synovial tendon sheaths. There are tendonitis infectious and aseptic. Meet as "dry form and exudative, including purulent tendonitis. Emphasize traiterously and stenosing and brucellosis tendonitis.
Purulent condition often develops on the hands of virus in the vagina finger at transition of a purulent process with subcutaneous tissue (see Felon, tendon).
In other parts of the body tendonitis may be the result of injury synovial sheaths. Symptoms: uniform swelling, sharp pain with motion and pressure along the tendon sheath, heavy intoxication, the temperature of 38-40 degrees. The process may be complicated by abscess, osteomyelitis, septic arthritis. After treatment often remain contracture (see).
Treatment. Septic condition requires immediate interference: the early opening of the tendon sheath with immobilization removable plaster Longuet in functionally advantageous position, daily warm bath with potassium permanganate. To cleanse the wound - dressing with hypertonic solution of sodium chloride, then ointment; shows penicillinate - 300 000 IU 4 times a day.
Traiterously tendonitis occurs in the extremities (usually at the top) after a long work at people's physical labor (milkmaids, typists, candy wrapper), which have in the process to perform a quick and repetitive movements, carried out by the participation of a limited number of small muscle groups. The disease usually occurs in people who do not have sufficient professional skills. The process goes as aseptic inflammation of the synovial vagina. Pain and swelling in the course tendons, often at the rear of the forearm in the region of the distal end of the radial bone and wrist joint, less often on the rear foot, the front surface of the leg and ankle, aggravated by movement. With the feeling, pain, then there is a characteristic crunch (crepitus), pronounced when driving. Inflammation develops acutely, lasts on average from 4 to 15 days.
Treatment: rest, immobilization of the bus or plaster Longuet 6 to 10 days. With 4-5 day it off during procedures (warm bath, UHF, sollux, warmer). Capacity for work is restored usually 6 to 9 days after the disappearance of the swelling and trepetanii. However, too early resumption of the work threatens to relapse.
Disease prevention and relapse - periodic, short breaks, during which recommended a change in the nature of movements, therapeutic exercises, warm baths, massage. For those who hadn't quite mastered the profession, the duration of continuous work performed should be increased gradually.
Stenosing tendonitis - aseptic inflammation of the tendon-ligamentous apparatus of the brush. The reason is single or chronic occupational injury. The disease develops gradually, pain at the level of the metacarpophalangeal joints. Bending and straightening of the finger is difficult and takes place clicks ("trigger finger"). Palpated dense education, associated with tendon.
Treatment: peace (immobilization finger removable plaster Longuet), thermal procedures. In the absence of effects - operation (dissection annular ligament). The prognosis is favorable.
Brucellosis tendonitis is one of the forms of infectious condition. In the area of the tendon sheath on his forearm appears flexible, rounded swelling in size from 1 to 3 cm, painful when pressed. When the pressure decreases or disappears through the movement of the exudate by tendon sheath. There is swelling of the back of the hand and crepitus in the lower third of the forearm. The diagnosis is confirmed by specific reactions (see Brucellosis). Treatment: calm, heat, vaccine therapy. Duration of treatment 7-14 days. Possible relapses.
