Тендовагинит – что это такое?The answer to this question can be found in the materials of the presented article. In addition, we will tell you about the cause of this deviation, and describe in detail its clinical picture.
Tendovaginitis - what is it?
The medical term "tendovaginitis" came to us fromLatin from the word tendovaginitis. In literal translation, this expression means the following: tendo is a "tendon", and vagina is a vagina. As for the suffix –itis, it gives us an idea of the inflammatory process.
Thus, the question of tendovaginitis - what it is, can be easily answered that it is an internal inflammation of the synovial membrane of the vagina (fibrous) muscle tendon.
Causes
Tendovaginitis tendon, or so-calledprofessional tendovaginitis is usually caused by prolonged overstretching of muscles or their microtraumatization in workers of certain professions (for example, loaders, typists, pianists, workers in heavy industry, etc.) who for a long time perform the same movements with only a limited group of muscle tissue. In addition, this deviation is often observed in some athletes during overtraining (for example, in skaters, skiers, etc.).
The cause of nonspecific tendovaginitisthere may be a spread of any inflammatory reaction from the purulent focus to the synovial vagina of the tendon. This is how purulent arthritis, osteomyelitis and felon develops.
Следует особо отметить, что тендовагиниты quite often make themselves felt after some infectious diseases (for example, brucellosis, gonorrhea, tuberculosis, etc.). At the same time hematogenous spread of any pathogens is often observed.
Помимо всего прочего, тендовагинит стопы, forearms and other joints are observed in such rheumatic diseases as systemic scleroderma, rheumatoid arthritis, rheumatism, Reiter’s syndrome, Bechterew's disease, etc. Also, this deviation can develop against the background of reactive inflammation, which is toxic.
Classification of the disease
Now you know the information about how tendovaginitis - what it is. It should be noted that this deviation is classified by:
1. Reason of occurrence:
- infectious tendovaginitis (specific and non-specific);
- aseptic (reactive and professional).
2. Clinical signs:
- chronic;
- acute.
3. The nature of the inflammatory response:
- serofibrinous;
- serous;
- purulent.
Clinical picture
These or other symptoms of this disease depend on the form in which it occurs. It should be noted that it is extremely important to recognize these signs on time and immediately consult a doctor.
So, let us consider in more detail what symptoms are characteristic of this deviation.
Nonspecific tendovaginitis, flowing in acute form
For such a pathological condition characterized by an acute onset, as well as the rapid appearance of a rather painful swelling in the place where the affected tendons are located.
Patients are most often acute.tendovaginitis of the hand. The treatment of such a deviation is reduced to taking anti-inflammatory oral medications, as well as the use of various systems and injections. If you do not go to the doctor in time, the painful swelling and swelling will quickly go from hand to hand, which will significantly limit the movement of the patient.
Creptive tendovaginitis (or aseptic acute)
This deviation is typical for synovialvaginas, which are located on the feet, dorsum of the hand, as well as the biceps muscles of the shoulder. This disease begins quite acutely. In the area of the lesion, edema very quickly appears, and during palpation there is crepitus. If the wrist tendovaginitis develops, then almost immediately the patient has limitations of the wrist and fingers, as well as their severe pain. It should be noted that such aseptic acute disease can easily become chronic.
Chronic tenodovaginitis
Such a deviation most often develops invaginas extensor tendons and flexor fingers, that is, in the area of their restraints. The clinical picture of this condition is carpal tunnel syndrome. When it is observed tumor and rather painful formation, which has an elongated shape (often in the form of an hourglass), elastic consistency and is located in the wrist canal. It should also be noted that such a deviation can be easily felt during palpation.
A particularly prominent form of the disease that is chronic in nature is de Kerven's tendovaginitis (or stenosing tendovaginitis).
Tuberculous tendovaginitis
The clinical picture of this disease is characterized by the formation of so-called "rice bodies", which are located along the extensions of the tendon sheaths. They can be detected by palpation.
Where can develop?
Tendovaginitis is an inflammatory disease that can affect absolutely any joint. Consider where this pathological condition develops most often.
Arm tendinitis. This deviation is the mostcommon. This fact is due to the fact that it is on the upper limbs that the greatest load is imposed. Moreover, the hands are most often exposed to various injuries and hypothermia.
- Tendovaginitis brush. As stated above, hands arethe most vulnerable part of the body. Minor injuries, frequent hypothermia, and excessive stress often lead to inflammatory reactions in the tendon sheaths. In most cases, this disease is not infectious in nature, but is associated only with the professional activity of a person.
- Tendonitis of the forearm. Такое заболевание довольно быстро прогрессирует.As a rule, this part of the body affects crepitus tendovaginitis. The disease begins with increased hand fatigue, aches, and burning, stinging, and numbness.
- Tendovaginitis of the finger. At the initial stage of development, this deviationrecognize quite difficult. As a rule, this requires an appeal to a specialist, who must examine the patient and conduct a probing of the affected area. If such inflammation is of a purulent nature, the patient may complain of excruciating pain and noticeable swelling.
- Tendovaginitis of the wrist. This disease most often develops onrear ligament. As a rule, this deviation affects the tendon responsible for straightening the thumb. The obvious signs of a pathological condition are pains over the wrist, which increase with time during movement, and when resting and relaxing the hands sometimes calm down.
- Tendovaginitis of the wrist joint. With this deviation affects the tendon, which is responsible for the thumb. Often it thickens, and the pain that occurs in the wrist, give to the shoulder or forearm.
- Tendovaginitis of the shoulder joint. Most often, this deviation occurs in ironers, carpenters, grinders, blacksmiths, etc. This disease can last 2-3 weeks, and then proceed in the subacute phase.
- Tendovaginitis of the elbow joint. The presented type of the disease is quite rare. As a rule, it develops due to any injury or damage.
- Finger flexor tendinitis. Most often, this disease is observed in women who are related to manual labor.
Tendovaginitis of the Achilles tendon. Such a deviation begins to develop due to excessively increased loads on the muscles of the leg or Achilles tendon.
Tendovaginitis of the knee. The disease also develops inthe result of prolonged physical exertion on the joint. In addition, it may occur due to a violation of posture, improper structure of the body, in case of infection, etc.
Tendovaginitis of the thigh. This pathological condition is causedoverloads of muscle tissue and tendons, as well as various injuries. It should be particularly noted that the representatives of the weaker sex are more susceptible to this disease than the strong half of humanity.
In addition, tendovaginitis may occur in the tendons of the feet, ankle and lower leg.
