Epikondilit (Golfer's Elbow, Tenisist's Elbow). Epicondylitis: causes, symptoms, diagnostics, treatment of the epicondylitis of the littovoy slope by folk

- tse degenerative-fiery tissue loss in the area of ​​\ u200b \ u200bthe lіktyovy slope. To develop in the attachment of the tendon of the inner and outer surfaces of the front to, apparently, the inner and final epigastric epithelium of the brachial bone. Pathology develops in a step-by-step manner, manifests itself with pain in the lithic loam, which can be used in case of development (in case of acute epicondylitis) and in case of hapraction (in case of internal epicondylitis). Lіkuvannya is strictly conservative: correction of navantazhennya on suglob, immobilization, physiotherapy, exercise therapy.

ICD-10

M77.0 M77.1

Country houses

Epicondylitis is a degenerative-dystrophic process in the area of ​​adhesion of the tendon of the mucosa in front of the epithelium of the humeral cyst and in the tissues that drain the tendon. Falsely from localization is manifested by local pain along the outer surface of the lithic loam. To develop as a result of chronic re-entanglement of mussels before the release. Diagnosis of epicondylitis is displayed on the basis of characteristic clinical tributes. Likuvannya is conservative, prognosis is friendly.

The end of the state of the phase of the epicondylitis of the patient indicates electrophoresis with iodine caliber, novokain or acetylcholine, UHF and cold compress on the area of ​​the battle. In addition, in order to fix the moment, the patient from the epikondilita is shown educational gymnastics- repeated shortly overextension of the hand. Such ruffs take advantage of the elasticity of tissue structures and change the quality of microtraumas. In the new period for renewal of clothes of clothes and improvement of myazovaya atrophy, massage and mud baths are designated.

drug therapy

Pain syndrome with epicondylitis of accumulation by the ignition process in soft fabrics To that, with a lot of ill health, they can produce non-steroidal anti-firing flares. Oil refineries are stagnant, in case of ointments and gels, ointments in case of epicondylitis have a local character. The assignment of non-steroidal anti-inflammatory drugs orally or internally in specific traumatology and orthopedics during epicondyles is not to practice due to lack of performance and unjustified risk of development side effects.

In case of lax pain, which is not weak with a stretch of 1-2 tension, vikonuyut blockade with glucocorticosteroids: betamethasone, methylprednizolone or hydrocortisone. Slid vrahovuvati, when with vicorian methylprendizolone and hydrocortisone with a stretch of the first one, it is possible to make more pain relief, due to the reaction of tissue on the drug.

Glucocorticosteroid drug should be used for anesthetics (add lidocaine) and injected into the area of ​​maximum ailment. With a callous epicondylitis, the vibration is not difficult, the blockade can be carried out in the position of the patient, whether sitting or lying down. In case of internal epіkondilіtі for the blockade of the patient, lay down on the couch with his hands tied down with bridles. This is also the provision for ensuring the availability of the zone and the internal supernatant і, on the basis of the sedentary position, during the period of the procedure.

With conservative therapy without glucocorticosteroids stagnation, the pain syndrome in case of epicondylitis will develop more often for 2-3 days, with blockades - for 1-3 days. In small children, they are more likely to suffer from pain, but they do not know how to use glucocorticosteroid drugs. The immaturity of such an abnormality grows in chronic epicondylitis with frequent relapses, hypermobility syndromes and bilateral epicondylitis.

surgical treatment

Even the pain syndrome can last for 3-4 months, it is shown surgical treatment- hanging lesions of the tendon in the area of ​​its attachment to the cyst. The operation is carried out as planned gallant anesthesia for provincial anesthesia. V during the operational period apply a splint, the shvi will know in 10 days. In general, there is an important therapy, which includes physiotherapy, massage and physiotherapy procedures.

The cause of pain in the dilyantsi of the lіktyovy hillock is thunderous. Might be the enemy itself, the corner itself, or lay down on the knuckle, lay down to the bag, the soft tissue, the tendon and the ligament. It is not easy to grow ill with the disease of the littovoy slope. If you want a pathology, you can't imagine a problem for life and not a vimage of extravagance medical aid, Do not carelessly do not care for the help of a lykar. Also, the wrong treatment can be the reason for the transition of epicondylitis into a chronic form with a severe pain syndrome.

What is it like - epicondylitis?

Epicondylitis of a littoral slope is carried to non-infectious ailments support and arm systems... Wine is characterized by development of firing in the area of ​​special humps on the shoulders - the place where the tendon is attached to the muscles in front of it. The reason for the fallout is the repetition of the overworld navantazhennya on the connection before the release or the rise of the overworld one-time sludge.

The tendon of the muscles of the anterior and the other muscles of the hand is thrown over the lumbar slope of the yak through the block and is attached to the lateral (lateral) or medial (internal) hump of the shoulder cyst. Tsі vistupi is called a supramischelka, the stench grows out behind the boundaries of the capsule of the lіktyovy hinge. To that, the corner becomes invisible and ruhomim.

Fibers of the tendon are woven into the circumference and reach up to the tight nodule of the shoulder brush. So, the tendon and the area of ​​the attachment are practically not stretching structures, with overwhelming attachments, there are small tears of the tissue. Repeated microtrauma or a one-time overwhelming effect on the development of aseptic firing and growing degeneration in the area of ​​overgrowths, which is called epicondylitis. At the end of the process, the ends of the tendon, the bone and kistkova fabric... In case of a trivial overcoming of a disease in the area of ​​overgrowths, there is a problem.

cause sickness

Situations that can provoke the development of the epikondilita of the littovoy slope:

• being busy with sports, especially part of training with repeated rucks (tennis, light and important athletics, golf);

• professional education, tied to the names of stereotypical rukhiv (among milkmaids, some of the specialties of education, personalities, masseurs, vodіїv, svachok and zakryynikiv);

• the frequency of carrying important bags on zignoy in lіktі rutsі;

• vikonannya pobutovnyh inquiries: procurement of firewood, mechanical cleaning of obrudnennyh surfaces, repair and farm robots, home canning;

• hand trauma, which leads to an even worsening in the area of ​​overgrowths or changes in biomechanics of ruffs in the form of pain in the case of pain syndrome;

• congenital dysplasia, deterioration of the structure and strength of the resulting tissue;

It is most often before burning in the area of ​​supra-growths to produce repeated ruffs, to be seen in significant zusillas and to produce microscopic tendon-oxides.

Classification

Epicondylitis of a lithic slope can be medial (internal) or lateral (zovnishnim). Tse lie in that, as a supervisor of hostilities. The assessment should be carried out when turning with a lowered hand, dolley forward, so that in the position of the supination before the plan. The development of a twofold increase in overgrowths is developing. The name of the epicondylitis is called "the tenor's taste", and the inner one is called the "golf player's taste".

When the disease is trivial for 6 months, a diagnosis of chronic epicondylitis arises, which may be continuous or recurrent. To tsho talk about gostry or pidgostromu perebigu. To get involved in the area of ​​supra-growths of the shoulder, there is a tendency to chronic overload, to which it is necessary to continue to develop and provide adequate treatment. In general, according to the state standard, the form can be seen as a stage of ailments.

For ICD-10 epіkondilіt lіktyovy huglob to be referred to as "the most entezopathies" in the distribution of ailments kistkovo-m'yazovoy system... In case of severe overgrowth, the vicoriste code is M 77.1, and in case of a medial hump - M 77.0.

symptoms

The main scargoat during epіkondilіtі of a lіkty slope є bіl with singing ruffs, knowing in calm. Vaughn can be brought up to a private colony active members in the ruts, I want all the words and loops to become invincible. Localization of pain to lie down in the form of a disease. For the intensiveness and character, the won can be buoyant, shocking, baking, hospitable. It is not possible to see it in the brush, with the whole stench you see not in the slopes or in the hands, but in the sounds and sounds.

In case of lateral epicondylitis bіl vinik in case of rozginalnі and supіnatsії beforeplіchchya (turning the lobule forward), forced rocking of the hand and fingers. In case of medial localization, discomfort is simulated by pronation before the front (turning the valley back), holding hands in a licky slope, bringing the fingers into a fist. A characteristic of this title is a symptom of a hand, if it is impossible to grip the hand of a spy for any object through the beads in the muscles before and in the area of ​​the supra-growths of the person. Whenever there is a vigilance of epicondylitis, it is possible to provoke important objects transferred to the hands, sharp insertions of straightened hands to that on the pelvis.

Out-of-the-box symptoms in a feverish person, intoxication, and lack of dizziness are not typical.

Zrіdka with a stately swirling epіkondilіtі look around allows you to wake up a little swelling and unclear wrinkles in a thin slope. Palpation of the central region of the patient.

diagnostic methods

Retaliation of anamnesis, looking around and carrying out functional tests to be supplemented with instrumental methods of diagnostics. Conduct ultrasound scan of the affected area, X-ray, and in some cases, MRI or CT is indicated.

Basically, it is important for the prevention of cystic-swelling pathology, as well as epicondylitis, it is necessary to differentiate from arthritis, traumatic appendage of the supramischelka, malignant tendons and tendons.

lykuvannya

The epicondylitis of a littoral slope can lead to the destruction of professional performance and a decrease in the quality of life. Stiff and twists and turns are the cause of sleep disturbance, an increase in asthenia and navit depressive breakdown... And chronichne zapalennya can lead to non-collar tissue changes. That is, when epіkondilіtі lіktyovogo loam not varto engage in self-abuse, they only rely on folk methods. The stench can be a good addition to the therapy prescribed by the doctor.

The basic principle of the treatment of the medial and lateral epicondylitis of the lithosphere:

• securing the general calmness of the affected area for no less than 7-10 days, for which it may be necessary to work, to tighten the trainings and to spend a team-hour fixing the area of ​​the lactic slope;

• drug therapy for medicinal products in the muscular and systemic diy;

• physiotherapy (magneto-and laser therapy, electrophoresis, DDT, kryolikuvannya, aplikatsii with ozokerite, paraffin and domestic mud);

• taping of a lіktyovy slope

• obov'yazkove zasosuvannya exercise therapy.

To reduce the pressure on the fired tendon and the need to attach it to the fixation of the additional dressings, or for the occasional orthopedic attachment (or the orthosis on the shape of a lob). In the case of a periodical period and before an hour of rehabilitation, it is possible to perform taping, so that special lines can be applied to leukoplastir for the singing scheme. In case of epіkondilіtіtіtіnіtіtіnіtіnіnіtіvnі for the robot mіazіv, I will reduce the microcirculation and reduce the risk of repeated microtraumas and overwhelming. Tape can be superimposed on the flooded areas of some suburban areas.

Non-steroidal anti-pyretic drugs (NSAP) are widely used. Tse can be used ointments, pills, or injections. At the refinery, the refinery does not chew on the good, and corticosteroids become stagnant. In addition, it is possible to prevent drug blockages, if at once with a zenoplomuyu drug is injected without prior to the point of burning.

In order to reduce the quality of food, inject exercise therapy into the therapy regimen on the basis of the instructor's certification. Tse can be used to select special programs for the step-by-step extensions of physical navantazhennya on the interface of the front and the brush or the method of Bubnovsky.

In case of persistent pain syndrome, low efficacy of drug treatment, and the manifestation of recurrent firing changes in the area of ​​supravrostatic lesions, shock therapy can be recommended. At the same time, microcirculation and regeneration processes are activated.

Increasing degeneration of tissue and recurrent interruption of the disease may be indicated for surgical treatment. At the same time, it is necessary to carry out the visualization of the scar tissue and calcifications, and if the tendon is overshadowed, it will grow to the fascia. The operation is healthy for mice anesthesia in outpatient minds. For such a treatment, rehabilitation is carried out, which includes a time-based immobilization and further treatment of exercise therapy.

Complexity and attention to the recommendations for physical options in a large number of types allow you to get rid of the epicondylite of the lithic loam. The triviality of therapy is to start as a doctor and to stay in the turn of the disease and the stage of illness.

Our slopes are located in post-ruin Russia. For a rakhunok stench and live: seemingly, rubbing the sloped surfaces one on one will make the cartilage harvested. It’s not like that with the slope, and it’s still dimmed. More in the slopes - the problem is broadened even further, behind the statistics, there is a reason in the light of the frequency of incidents behind the help and the head drive for the treatment of analgesics. So, how often do lykar people have to break their heads: how did it become the reason for the "coming out of harm" of that person?

Suglob - the design is not even more folding, but for all the reasons for the pain in any of them are not enough: there can be a suglob surface, soft fabrics close to it, there can be pain in the mouth or a brush. It is possible to ignite і zapalyuvatis citizens also і suglobova bag, as doctors call it bursoy. The bag will drain off, from the bottom to the top of the fabric and open to the empty, in the circle of the inner corner - the mast, which will make sure that the top of the basket is made one by one. The inflammation of the anatomical education is called bursitis.

Bursiti is most characteristic of the great, nauthentic members of the great amplitude of rukhiv - shoulder, colline, and lick. For the skin of the slopes of the vidomy, there are no situations, which provoke the development of bursitis. The ICD-10 has bursitis code 70-71.

Liktyovy slope in people is even more demanding. It is tied to the active vicars of the upper kintsivok in haunted life, Robots. Lіktyovy suglob is another letter of the shoulder for the obscuration of the viconuvanoi navantazhennya (as well as mova idde about the upper pictures).

cause

Naturally, let it go, bursitis of a lactic outgrowth is more often found in quiet people, a slope of re-entangling with a larger world. It is really, very likely that people become ill with singing professions, or take a singing kind. To them are admitted:

• professional athletes (most often - tennis, boxing, gymnastics, judo, wrestlers, sportsmen and athletes, as well as representatives of young schools of secondary combat);
• people, whose professional activity is tied to the promotion of new assignments for licenses: operators of pneumatic hammers, slyusars, gardeners, steelworkers. In the past, ailments often opposed bakers (the need to lay bread in a food on a shovel with a big hand-vazhel, nazyvuvalnoy lіktyovy slogan), students and clerks (I will rewrite the great messages in the text). Infection, if the computer typing the text is practically handy, the problem can be developed by the operators of the PC, software. As a rule, in a similar way, one hour at once fight and exchange the member, it may even be very strong;
• In the middle of the majority of the population, most often the ailments of the slopes are seen among people of the older groups. Bursitis of a littovoy slope is not a blame: the frequency of bursting from the drive of the tsiy mill is significantly growing from about 50 rocks.

best parts of the cause development of the bursitis of the lіktyovy joint (Table 1)

The folding of the Budov and the literal member of the field is in the fact that the wine is a construction, which can be characterized as “three in one”. For his sutta, the tse - three separate members, packed into one capsule:

• brachial elbow - between the brachial and lactic cysts;
• brachioradial slope - between the shoulder and promenade cysts;
• radial slope - between promenade and littovoy kistki.

The managers of a similar annex in the member can provide such rucks, which will make it impossible for them to find the mobility of the lower types of the upper list: in front of the brushes.

The capsule of a lіktyovy slope is stored in two balls, or sheets, like doctors seem to be. The internal ball will secure the vologue for the member, the call will be added to the capsule. The capsule will hunt all three slopes, making it look like a closed bear.

There is also the fact that, in the empty slope, the capsule fixes folds, partitions, as a result of which I can fold a multi-chamber Budova. For example, the front and rear ends of the slopes are connected one by one only through the high opening between the interchange and the licks. This particularity is important when carrying out the punctuation of the hillock: for a clear view of the country or blood, it is necessary to carry out the puncture in two places - front and back.

Capsule і links in a lіktyovy loam even more rozvinenі: for example, nypotuzhnіsha z links - internal, - can be vitrimated for stretching up to 230 kg, and can be used up to 130-160 kg for roasting.

With the help of the slopes, I can find the reactivity at the bottom of the screen. The reason for this is the particularity of this blood flow and energy. On the right, in the head artery of the slope, there are three rooted fringes in the capsule: two - in the inner ball and one - in the outer one. In the folds of the thickened bag of the judges, they can fit the loops. This kind of budova was conceived by nature for a reduction in blood flow from a member, in order to grow in norm and return. If there is any injury to the bag, there is a decrease in the capacity for blood flow - and the slope is too big.

In addition, a mass of nerve ends is laid in all balls of the bag. Bil, like a supravodzhu, be it a trauma or fired up, take off with an organism like a signal that is not safe, і m'yazy, you feel a licky slope, and suddenly spasm - a vernacular immobilization of a person. In case of a wide spasm, it can be rotational in nature and also against the flow of blood - the bulge grows in an even short interval of an hour.

symptoms

If we are accurate, then in the member's member there is not one, but three bags. I want, by the very essence of your stench, all one to set up a single integral design, from anatomical and clinical points of view, it is more beautiful to look at an environment. To them are admitted:

• baby bag: wrapped around the perimeter;
• ray-brachial: I am hunting the head of the promenade and littovo cysts;
• interosseous lіktyova: roztashovana over the usіma of three knots of the hinge.

In addition, because of the bag itself to be repaired, the bursitis of the lithium can be manifestuvati different symptoms... But in general, as a rule, the pathological process spreads to all three bursies, and the evidence in the primary class is simply erased.

With bursitis, the following symptoms and syndromes may develop:

1. Nabreak is very clear earlier, less symptoms, and turbulent patient most. With microtraumas, autoimmune diseases to fix the problem if necessary, and it may take an hour for only one manifestation of bursitis. When the weather is out of the way, the wine progresses: the slope grows in size, the crumbling collapses, the signs of ailment appear.
2. Bursitis is characterized by napivzignute, vimushene hand position. From the outer side of the slope, the capsule vypinatsya. In the area of ​​the lactic outgrowth - the most prominent part of the suglob - there is a significant increase in the suglob bag, and the plum is nagadu for the size of the plum (in the rosette of the kintsivka).
3. Worrying of shkіri sposterіgaєs not to expect and to indicate not only about the destruction of the inner corner, or about the actively streaming fired - microbial, autoimmune.
4. Bіl zavdi supervodzhu zapalnya, that with bursitis in different options- as a result of discomfort to a swiveling pain syndrome, which can make you feel uncomfortable in a person. Intensity of pain without the need to linger in the form of swelling;
5. The headache symptoms are feverish, intoxication is not very typical for isolated bursitis, as long as there is no infection of the bursae.

All of them show characteristic not only for bursitis, but may develop in case of rheumatologic and traumatologic ailments - arthritis, epicondylitis, fractures and ears and in. Therefore, for the correct diagnosis of bursitis of great significance, it is necessary to use additional methods of diagnosis, as well as a correct anamnesis.

The residual clarification about the essence of the process of additional assistance to the classification, how to get stuck in CLINIC PRACTICE... Bursiti (code 70-71 according to ICD-10) one type of one is seen for the following signs:

• by the nature of the exudate: serous, gn_yny, hemorrhagic;
• by the type of leak: gostry, pidgostria, recurrent and chronic.

Inodi for the statement of diagnosis "bursitis of a littovoy slope" is not enough deprived of key tributes. You need to see more information about the member. In such cases, there may be victorian (at the decision of the doctor) advanced diagnostic procedures:

radiological dosage

The price is the gold standard in orthopedics, rheumatology and traumatology, which allows assessing the structure, contours of the cysts, the appearance or the appearance of fractures. On the roentgenogram, it is unfortunate to poke the structure of the mucus - mucus, ligaments, shkiru, albeit with bursitis, the method is extremely important, although it allows you to poke the visibility of the general, gross pathology, and by yourself to put the correct diagnosis.

For professional athletes, on the roentgenograms, there will be visible changes of the cysts, which were formed for a three-hour hour at the time of the adjustment: the increase of the cyst, the closing of the growth zones for a long time. In the case of the attachment of the connection from the cyst, it is possible to appear without spines (osteophytes), and in the empty slope - the inner joint, in the side of it is called “sloped mish”.

best characteristic familiar"Sportsman's Sugloba" є The appearance of a spur on the inner part of a member. Spur qia can reach great razmіrіv and sometimes you can find lamatis. In such a case, the bursitis of the littoral hillock protrudes even more, it is rotten to get involved in the treatment and surgery.

If bunions bursitis on aphids of rheumatologic disease, then you should be guided by a loss of cartilage tissue. On the roentgenogram, it is manifested by the jaggedness of the flattened surface (usuratsiya).

If the symptoms of illnesses are not bursitis, but a fracture, then it is easy to see the symptoms on the radiological image.

X-ray contrast is not available

Allowing to poke third-party objects in the empty slope, invisible on the special X-ray. The method is to carry out an X-ray by introducing a special contrasting speech into the corner at once, or without it. Withdrawing the mark also allows you to draw off information about the camp of the snow-covered surfaces, in order to find the optimal place for the point of the joint (if you need it), quilting the contours of the links and the snow-covered bags.

Radionuclide method

Prior to this, it is widely used in traumatology and rheumatology, allowing for high precision to identify chickens, assessing the mineral exchange and stages of development of cystic viruses - thorns. Chronic and recurrent bursitis of a littoral hillock is the most frequently indicated for radionuclide diagnostics, as long as it allows you to identify the cause of such a trivial interruption and to vibrate the correct tactics of abuse. Along with the appearance of more simple and not less informative methods, it is shown until the end of the day in the Danish hour.

Ultrasonic scanning of suglobiv

Ultrasonography is one of the most important non-traumatic methods of lingering, which allows you to poke in place of the bag and evaluate the mill of soft fabrics that have been poured around the slope. The most important thing is that the ultrasound scanners will show the cartilaginous and cyst surfaces.

In this hour, there are five accesses, in which you can take a look around the corner. In addition, there are five pathological conditions that can be detected during an ultrasound scan. To them are admitted:

• draining of the tendon;
• inflamed tendon (tendinitis);
• Stretching of the tendon sheath (paratenonitis);
• mіzhm'yazovі hematomas;
• lyktyovy bursitis.

Thus, the role of ultrasonic diagnostics of slopes is significantly growing when it is necessary to carry out differential diagnostics between the values ​​of the mills. This is even more relevant for sports medicine, as well as for the treatment of professional illnesses of suglob.

Computer and magnetic resonance tomography

In some patients, patients periodically appear to have swelling and swelling of ruffs in their discomfort, discomfort, or pain, in other words, the cause of these symptoms cannot be identified by means of significant methods. In such situations, CT or MRI is indicated. Methods of unequal value: Computer tomography allowing the life of hard tissue - cysts, cartilages, and magnetic resonance - soft: cartilages, bags and ties.

CT and MRI are helpful in the most advanced diagnostic situations. Necessity in їkh stasis to get sick in case of chronic or recurrent interruption of sickness, and also to allow the appearance of traces of bursitis of a syringe.

The method is unique in its own way: from one side, it allows you to clearly look around the empty slope, and from the other side - to carry out political manipulations at once, as it is necessary in the process. By the day, arthroscopy is a surgical operation.

Shown before arthroscopy:

• I have pain in the slopes with minor injuries;
• symptoms of recurrent bursitis;
• obmezhennya rukhiv in the slopes;
• bursitis of unclear etiology.

Prototype indications before arthroscopy:

• the manifestation of foreign abnormal infections;
• deformable arthrosis of the III or IV stage;
• zvuzhennya zvuzhennya of the slope, revealed on the roentgenogram;
• the importance of contracting a member's membership;
• Significance of a change in the obsyagu of the sunglobovoy empties.

The technique of arthroscopy is offensive: when performing an anterior shaping (div. Maliunok), anesthesia is performed on the area of ​​the puncture, and then - the puncture itself. At the connection with the anatomical features described by the viscera, in order to carry out a regular look at the empty slope of the litter, it is necessary to get out of three new accesses. An examination of the angled surfaces and the darkened bursa is carried out, for which pathology begins, the yak has become the cause of bursitis, and it goes to another part of the procedure - to lіkuvalnym dіyam... Arthroscopy allows for the development of new events:

• production of empty slopes and vividness from it aliens;
• arthrolysis (underwent growth in the empty connection and in the dark);
• visible osteophytes (growths);
• the visible part of the bag;
• vividness to necrosis.

Differential diagnosis of illnesses of a littovoy

There is a number of ailments, which are even more similar to bursitis of the lithogus - arthritis, epicondylitis and arthrosis.

1. Arthritis is an inflamed cartilaginous surface. There are also many common reasons - infectious, autoimmune, traumatic. Bursitis in the middle of the world, be it a kind of arthritis, the splinters from the head of the corner can easily spread to the naval pouch.
2. Epіkondilіt - fired, scho vinikє in the place of attachment of the tendon to the cysts. The reasons for epіkondіlіt - trivial repetitions of navantazhennya on the interface beforeplіchchya (robot at the computer, professional sports, music and in.), Injuries. In case of epicondylitis, it is also possible to develop a bursi fire, a rosette around the ring.
3. Arthrosis is a snake in a slope, tied with trivial damage to cartilage. Osteoarthritis can also be caused by pain, enlargement and inflammation of the globular bags.

Unimportant in the out-of-the-way classroom similarity, all of the principles of vision in the tactics of policy. At the table, a number of signs have been put in place, which allow you to separate one from one to the other.

Likuєt bursitis lіktya in a reasonable way, in the presence of the cause of the diagnosis. Tim is not mensh, є zagalny principle Providing additional help in case of pathology:

1. Immobilization of the slope. The fixation of a lіktyovy hinge behind an additional bandage or orthosis is carried out, which will prevent the organ from being slowed down, changing the inability to see if it is detected when russi, when it is used.
2. In yakosti inconvenient help in case of severe bursitis, you can vikoristovuvati a cold compress. In case of chronic bursitis, vikoristovuyu compress with honey, aloe, burdock, zombie or trees. V folk medicine vicoristoyt compresses from fresh vegetables - ochirks, cartoplas, cabbage leaves.
3. Protisapalny drugs - this is the name of the refinery. The basic group for the treatment of bursitis and all rheumatologic diseases. In principle, it can be stashed in three lykarsky forms: mice, all the middle and inner / inner.

Mistsevo anti-firing can become stagnant in every day of the purchase of a large quantity of origin in the loam, mild pain syndrome. Lykarska form- gel abo ointment ("Diclofenac", "Dolobene", "Indomethacin", "Voltaren").

At the gostru stadіyu the proof of ointments, which will make the rush of blood to the slope - Vishnevsky ointment "," Fіnalgon "," Fastum gel "and іn.

Oil refinery in tablets will be able to survive in case of any degree of severity of bursitis. It is also necessary to remove a shy effect, or є the slunk is caught, for which tablets are contraindicated, it is an ampouled cat. There is a great number of drugs from the whole group, but the most effective are those of them, as they give an overwhelmingly anti-firing effect. To them are admitted:

• analgin;
• indomethacin;
• diclofenac;
• ibuprofen;
• ketoprofen;
• Mefenamic acid;
• Nimesulid.

Paracetamol, coxibi, dexketoprofen, ketorolac, aspirin, xefocam are significantly less effective in terms of efficiency. Whether it is an oil refinery, it is impossible to be victorious.

Antibiotics in most cases contraindicated in bursitis.

1. Vinyatok to become gn_yny bursitis, with such a slope of r_dina, it is inflicted with bacteria. Gostry ginny bursitis is manifested by onset symptoms:

• bends and soreness;
• feverish woman, temporal temperature tila;
• signs of lymphadenitis in littovy and pakhvovy regions;
• otrimannya pus at punctuation of the suglob.

In a wide range of vikoristovuyut antibiotics from a group of penicilin, or cephalosporin, rіdshe - preparations of other groups ("Ampicilin", "Amoxiclav", "Augmentin", "Vilprafen", "Sumamed", " Cefepim "і ін.).

1. Physiotherapeutic procedures on the area of ​​the slope are indicated both in the state of the art phase, as well as in the period of remission of bursitis. The other has a viper of vikoristovuyut mud, massage, physiotherapy, golkoreflexotherapy. With a sharpened process, you can use magnetotherapy, UHF. Є Data on the effectiveness of hirudotherapy (treatment with p'yavki) in case of chronic and chronic bursitis. Warm compress is the easiest type of physiotherapy that can be used for chronic interruption bursitis. Such a compress can be put in the household mind.
2. Puncture of the slope is carried out with a swollen embryo, which causes damage, during the daytime of a positive effect from basic therapy, with diagnostics of bursitis. This technique, unaffected by its simplicity, is even more effective and efficiently assimilates an excess of rіdini in a member. Punctuation in the slopes can be overflowed with drainage, which will prevent the ignition from the ignition.
3. Surgical treatment (surgery) and arthroscopy are performed in case of ill-health of vilikuvati bursitis conservatively in patients with recurrent or chronic bursitis. In addition to seeing the outside world, it is possible to surgically see a part of the loam shell, the incision of the cyst growths, for the cause, which leads to the deterioration of the circulation of the inner lobe.

Yakiy fakhіvets lіku bursitis

In the event of sports injuries, I will also need a sports medicine, and in case of any day - a traumatologist. Likar-hirurg is engaged in accelerated forms of bursitis, and itself - in the form of bursitis. V great places for the reduction of accelerated forms of infectious diseases of loamy, specialization of diseases of the disease - diseases of orthopedics, tuberculosis of cysts and loafs and so on. Likar shvidkoy additional help is guilty to conduct an inadvertent visit in case of severe pain syndrome. Likuvati acceleration of bursitis is necessary only in the hospital.
Pidvodyachi pidsumki, it is possible to say that bursitis of a litter is not a common understanding. Inodi bursitis is a self-contained ailment, ininodi it can be deprived of one of the symptoms of ailment. Reading the intelligence of the mechanism of walking bursitis is the head of the mind of a successful yogo development. With regard to the development of the reasons for the development of a rheumatologist, it is the prerogative of a doctor-orthopedist or a doctor-rheumatologist.

dzherela:

1. Rheumatology. National credit. Moscow: 2013
2. Mironov S.P. Poshkodzhennya lіktyovy huglob when doing sports. Moscow: 2000

Hemarthrosis of the colony slope: scho tse take, lykuvannya colina

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Hemarthrosis is a disease, which appears to be blood-borne at the inner emptying of the darkened bag. Such a camp can be blamed as a result of a traumatic inflow, or if the patient is aware of the loss of blood.

Hemarthrosis of the colonic joint most often develops through trauma. As a result of the blooding, the grip of the snowy slope in the middle of the slope grows.

Ridiculously on the folding of Budov and the colony, litter and homilk foot of the blood, the purchase is swollen quickly. There is a pathology of medical involvement and special therapy.

Causes and symptoms of hemarthrosis, injured by trauma

The description of hemarthrosis of the colonic, lactic and homilkofostopny slope is included in the international guide to the classification of ailments. All diagnostics information is given to him. ICD 10 has hemarthrosis ma code M25.0.

Code is necessary for obtaining information and processing data. Diagnostic and clinical terminology, which can be found in the Russian version of a medical advisor, is based on current practice.

Hemarthrosis of the colonic, lactic, or homilkofossal slope can develop in the case of previous injuries:

1. When vivihu abo fractures suglobovyh k_stok moss when bleeding.
2. Hemarthrosis in the area of ​​the knee joint and its symptoms can be found through stretching or loosening of the ligaments.
3. Injury to the blisters of soft tissues can provoke bleeding and buying blood in the slopes and capsules.
4. Viclikati hemarthrosis can be reduced to menis or a swelling bag.

Symptoms of becoming ill are more evident in children. To that, immediately after the trauma, the child should be shown to the doctor. For traumatic hemarthrosis of the colonic, lactic, or homilkofossal slope, the manifestation of singularity is characteristic. classic paintings:

• Shelter in the slope appears, as a result of the rapt roaring of the sudins, and the initiative comes to the empty slope of the injured slope, which provokes swelling.
• More visibility in the loam and the decrease in the decay of the increase in the size of the loam capsule. Vaughn start embossing on navkolishnі fabrics.
• When a cob of bleeding arthrosis is swollen, it is especially damp on the sides.
• As soon as there is no bleeding, the pukhlina will start appearing beforehand. The contours of the member are smoothed out.
• When the great judgment is raised, the cyanosis of the curvatures is spared. Yakshho rozriv was placed in other and middle vessels, the shkira swelled chervoniy vidtinok, it means local hyperemia.
• A person who is ill with arthrosis sees weakness, before the hour of his palpation he will accept it.

Symptoms of post-traumatic hemarthrosis of homocytic, colonic and lactic hemarthrosis develop in 1.5-2 years.

Important! For the prevention of hemarthrosis, people are guilty by their ability to manage a unique traumatic situation, wear a bandage, and often get rid of chronic illness.

Likuvannya of hemarthrosis of the colonic joint

For the recognition of an adequate treatment, the drug is guilty of being guilty of the correctness of the diagnosis. For others, I mean:

1. X-ray.
2. SPL

To mark the diagnosis of infectious inflammation, arthritis, and for the purpose of a sign of hemarthrosis, to carry out a puncture of an empty bag of sugars. The presence in the blood analysis is evidence of the presence of hemarthrosis of homilkofostopny, colonic or any other part.

Brutal respect! Hemarthrosis of a colonic slope in a chronic form - a disease is not without a problem. It’s unfortunate that pathology will be overwhelmed by many accelerated diseases.

Lіkuvannya zvoryuvannya polyagaє at the seen from the darkened empty space of the bloody eksudatu. When using the capsule, rinse it out with a physiological solution and inject it into the empty liquor, so that it will bleed and burn.

Hemarthrosis in the first stage is easy to reach. The personal procedure should be carried out on the basis of an offensive procedure:

1. From the inner empty slots of the slope with a syringe with a thin bare skin, one can see a bed and a roof.
2. Rinse the Suglob capsule physiological discernment, Then enter the leaks in it.
3. Apply a sterile bandage to the arthrosis.

The procedure can be given to a visonuvati kіlka razіv.

Visualization of blood from the number of people with injuries

By the punctuation method, hemarthrosis of the colonic joint can be done in three days. Iakshcho bloodied in the slopes of the empty space, it is repeated, degenerative snakes are found. Tom vilikuvati secondary hemarthrosis is significantly more foldable. If the ailment is reintroduced, the following method is selected for the operation:

1. Tie the spatula with a bandage. Tsey zahid is necessary for the establishment of a positive vice.
2. Then the aspirations of the main obsyagu rіdini be carried out.
3. On the offensive stage, introduce a rinse, as soon as you see it through a new puncture and a small one.
4. Introduce leaks through the first puncture.
5. Likuvannya will end with the attachment of a fixed bandage, as you can mobilize a corner.

If this technology is not safe, repeated bleeding will significantly decrease, so ailment can be resolved in one procedure. In case of slight bleeding, the suglobova ridina will swell spontaneously and does not require an operation. In such a situation, the symptoms of hemarthrosis of the colonic or homocystopia can be eliminated. folk zasob.

You can vikoristovuvati dehydrate compresses (herbs arnica and polina, clay), take anti-fiery infusions (sprinkles, trees), sun-free honey ointments. If there is a loss of injury, it is necessary to take care of it, the leg or the hand is guilty of being overwhelmed by the patient.

Apply cold to the area of ​​the injured slope for two days. The navantazhennya on the ailment of the member needs to be enclosed.

Nebezpeka hemophilic hemarthrosis

Also, the cause of hemarthrosis of the joint is hemophilia, pathology may be in latent form. The cartilaginous tissue on the downside of the blood clots to crumble, won’t be aware of the fibrous changes that lead to ignition processes. Hemarthrosis will step by step ruin the sound of the robot, but it will be the reason for the loss of functionality of the joint.

Hemophilia can provoke serious problems in the slopes with minor injuries. Hemarthrosis in ailments on hemophilia can be found in raptus. In order to reduce the blood loss of such patients, it is necessary to fix it safely.

Signs of a fallacy in writing are not known at once, but in a deed. To this, dartrosis is guilty of perebuvati in the camp of maximum calm.

To see hemophilic hemarthrosis only in the minds of the hospital. Rizik vyniknennya of degenerative changes in cartilage tissues - the axis of the head is not safe for the deterioration of blood circulation, and in case of injuries. Osteoarthritis, the cause of what is tied with tissue scars on the surface of the slope, will progress even faster.

If you do not try to correctly diagnose hemarthrosis of the slope, you can turn into a chronic form. Through the post-presence in the darkened empty blood, the ignited grows.

Visoka ymovіrnіst development of bursitis, arthritis or gnіyno synovitis. In case of an illness or chronic interruption of hemarthrosis, there may be a need for endoprosthetics, replacement of a colonic slope. During the whole period of renewal, the patient is guilty of perebuvati on a visual basis.

Even if the shutter is set to good health, it will allow the uniqueness of post-traumatic acceleration and quick change of the function of the slope.

• Relief from pain and embryos in nodules with arthritis and arthrosis
• Introduced slopes and tissue, effective in osteochondrosis

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Chronic synovitis of the colina (colonic slope): causes, classification, symptoms and treatment

A trivial ignition process, which is a synovial shell of a slope of a colin, and a chronic synovium of a colina of a colony. Zagvoryuvannya is characterized by purchases of rіdini in capsules, zbіlshennya obsyagu zchlenuvannya. Tse bring discomfort to a sick person, I will ruin the ruch function in the slopes, wiklikak bil.

For the sake of hospitality symptomatology, to carry out the synovium of the colony slope in the home minds. For many people to see the recommendations of the doctor, change the number of times, exercise, unique injuries. Pathology is often hostile to the slopes of the colin. The price has been poured over by post-gradual advances on the basis of great memberships. Synovitis can be diagnosed in a child. The most common reason for this is trauma, or the transfer of long-term infectious diseases.

ICD-10

For the international classifier of ailments of pathology, the code M65 was assigned and interpreted as synovitis and tenosinovita. If a bacterial agent is supplied, add the code B95, B96. The code for ICD M65.9 is suitable for the classification of synovites of an unspecified ethology.

cause

Chronic synovitis is often a hereditary pathology and a poorly similar character is interrupted, so that the period of remission changes. factors scho wiklikyut zhvoryuvannya vvazayut:

• osteoarthritis;
• juvenile arthritis;
• inheritance of injuries;
• hit;
• vivihi;
• fight against infection;
• hemophilia.

Among the reasons for the development of synovitis, the number can be allergy, endocrine pathology, disruption of metabolic processes in the body. Filling the vine through the expansion of pathogenic microorganisms with the flow of blood or lymph. To allow for the overcoming of the degenerative worms of the cartilaginous tissue, which can be found in the colony slopes.

dear

There is a basic classification of synovites, which can be traced back to the reasons and the most important picture.

1. Infectious species. To report on pathology. To get caught up in the empty slopes of pathogenic microorganisms. Informations of lymph, hemorrhagic or low-angle paths. lykuvannya hirurgic path draining the bag of the snow is more or less vivid. During the period of operation, the sick person is assigned medication therapy, which is directed towards the ignition process and the reduction of pathogenic microbes.
2. Aseptic. It develops without the participation of the infectious factor and the inherited internal ignition processes, which occur in the support-arm system. Often sposterіgaєt on the other chronic injuries of the colin. Before the group, athletes and people are included, the profession of which is tied to permanent jobs on the slopes. Development of the formation of synovitis with chronic arthritis.
3. Allergic. The Danish view of the disease is not due to the presence of bacteria and vines on aphids and diseases of robotic endocrine vines. It’s a great time to get sick, how to supervise one’s wicked visibility, the serpentine structure of the synovial age. The main cause of pathological changes is autoimmune damage, leading to the development of important allergic reactions, reducing immunity.
4. Reactive form. Such a synovitis є allergic form... Grow up with severely swiveling symptomatology. Ignore the destructiveness it is unfortunate, the splinters will get overwhelmed, overwhelmed, overwhelmed by the ruined function of the suglob. Often є bursitis.
5. Pomirniy. The name of the given form is the starting point of the turn of the clinical picture. In general, the symptoms appear through a few days after the cob is hot, the changes in the cob are small, but not strong. Nebezpeka is given to the form of ailments in the fact that patients underestimate the foldability of ailments. Navigate with unaffected symptomatology, the ignition process is observed and with the help of the acceleration. It is not important for that, what kind of intensity is, it is necessary to carry out the treatment in a way.
6. Post-traumatic. Tsey kind of synovitis of dressings with the transferred trauma. It can be a blunt blow, vivi, internal corrugation of the integrity of the joints, menis, capsules, squeeze fracture. To see the accumulation of synovial origin in the sum and increase of the snow in the volume. Bil pomirna, shkira without hyperemia. Discomfort in the slopes is determined only before the hour of the maximum time of the day.
7. Minimal synovitis. tse pochatkova stage sickness, which is characterized by insignificant destructive changes of the synovial membrane. Pathologists pass asymptomatically, do not let the nobility about themselves. Over the course of an hour, the synovial shell is puffed up and accumulated a suglobian birth for it. Diagnosis is based on the results of ultrasound, de facto not equal to the structure of the shell.
8. Secondary. Є a heritage of pathological processes that occur in the body. Growing up on aphids: autoimmune poroshen; chronic ignition processes; injuries. Often a given type of vinikє with arthrosis and arthritis. The ignition process expands along the organism and the structure of the loam, as a result of which the change of the loam capsule and the structure of the synovial ridin occurs.
9. Gn_yny. Pathology is very rare and gets caught in the synovial bag of bacteria through microscopic problems due to injury or injury. Zvvychay microorganisms to fit into the bag through the bag Viclikati suppuration may be chronic arthrosis, which leads to the womb of synovial origin.
10. The nap of the parts. The growth of the villi of the inner shell of the synovial bag is observed. Fibrous fibers create normal blood circulation in the area of ​​a small colonic slope.
11. Recurrent. It is a chronic form of illness, which is characterized by frequent repetitions of the ignition process. Chronic recurrent synovitis of the colonic slope of the disease should be carried out under the control of the patient conservative methods do not give a positive effect, then carry out the operation.
12. Suprapatellar. With such a pathology, the upper part of the knee slope grows, the embankment is set over the knee-pads, and the synovial membrane is fired up.
13. Bilateral. chronically fired synovial bags, which develop in cases of autoimmune damage, if there is a decrease in the synovial membrane with antibodies.
14. Exudative. Tse zhvoryuvannya, scho grows up with injuries or trivial zapalennya. In the empty suglobovy bag, there is a purchase of eksudat (ridini), of a kind character (serous, gnarous, with home blood). Mainly lіkuvannya - surgical involvement.
15. Hypertrophic. A chronic form of synovitis, which is characterized by an increase and growth of the villi of the synovial membrane, as a result of trivial heat.
16. Transient. The pathological process is spontaneous in children from 1.5 to 15 years. be characterized we will host a reboot... Bil z'avayetsya vrantsi, rukhov's function is interrupted. Zazvychay the ailment to pass through two lengths. Imovіrno such a kind of synovitis є inherited transference vyrusnyh zhvoryuvan, Trivial walking, injuries.

key picture

Symptoms of chronic synovitis establish a syndrome characteristic of those who become ill with:

The nobility, as it is correct to get sick, needs to be carried out to the diagnostics and ailments and ailments.

Diagnostics of chronic synovitis

In order to be able to get a better diagnosis, an accurate diagnosis is required. Just look around at that palpation of a bitter slope, the ailing person will pass the diagnostic procedures.

The technique is given, including instrumental and laboratory data.

1. A person who is sick is to carry out a punctuation, for the help of which he can take away the exudate from the affected colony. The procedure is painless and without anesthesia. Ridina until after the nature of the houses and begin to cause the synovium.
2. X-ray sign of the colin. On the roentgen, you can see the darkening of the hillock in the zone of pockets.
3. MRI and ultrasound are the most informative methods of diagnostics, which show the process of enhancing the synovial membrane, as well as the purchase of ridini.

іnshі analysis

The ailing one must carry out zagalny analiz blood value:

• leukocytes;
• batoni;
• neutrophils.

When susceptible to contaminated blood, take back-seeding.

Whom to turn up to?

If symptoms appear in synovium, it is necessary to turn to an orthopedist. Winning an examination of the sick person, taking an anamnesis and identifying additional diagnostic methods. The idea of ​​rejecting the results until the end of the day is recognized as being lukuvannya. Yaksho є ailments That is, the consultation of the higher education institutions is recognized.

Likuvannya chronic synovitis

Therapeutic procedures are aimed at reducing inflammation, signs of swelling, pain syndrome, and also the treatment of the main illness, which provokes synovitis (yaksho taka є). Іsnuyut pevnі Etap lіkuvannya danogo zahvoryuvannya.

Puncture of the slope is carried out, when exudate is collected in the capsules. The procedure is not vimag zebolyuvannya. At the empty slope, inject a thin head and winder. Pislya inject antibiotic into the bag. It is important to introduce navit, as an infectious official is on a day-to-day basis. Cheating tse in pro_laktichny purposes.

Immobilization of the slope. Manipulation should be carried out for the nobility to apply a tight bandage, a knuckle or special collars. It is not necessary to increase the amount of looseness of the slope, the splinters of the process of immobilization of the slope and to lead to the development of contractures. Apply a bandage for no more than one day.

Medication

For zyattya zapalennya priznachayut drugs group refinery. tse non-steroids, I will make a good idea: know the heat, the zeal, the heat of the heat. Widely stagnate for the treatment of pathologies of the musculoskeletal system. Vibor preparations є Diclofenac, Movalis, Naklofen. The tsiy lykarskiy group has a great minus - the stench is negatively infused into the shlunkovo-intestinal tract. To this, it is possible to fix it in the viglyadi ін'єкцій abo ointment (Voltaren).

Chronically zapalennya to produce up to the level of lumpy balls of the shell of the suglobovy bag. With such pathology, anti-volitic enzymes (counterbalance, gordox) are indicated.

To improve blood circulation in the earlobe, prescribe a lean one nicotinic acid, Trental, ATF.

In case of an important step, the removal of ailments should be carried out by injecting corticosteroids without a median into the corner capsule (Dexamethasone). If laboratory analyzes have confirmed the presence of an infectious factor, then antibiotic therapy should be prescribed.

visibility of efficiency conservative politicsє by the drive until surgical engagement.

fizprocedure

Physiotherapy with synovitis is a healthy change in the ignition process, the reduction of energy, additional help to change the amount of exudate, and the development of the synovial membrane. Before such procedures are introduced:

These procedures will help you to identify the looseness of the slope, change the slope and the embryo.

operation

yaksho drug treatment do not help, then carry out arthroscopy (obroblyayut internal surface capsules with likami). In case of bends of the deformation of the angular capsule, carry out an external view.

Інші methods of treatment

Physical culture with synovitis is aimed at preventing relapses of illnesses. The complex is developed as a remedy for physical therapy and we are sick at home. Correct the problem only when there is evidence of hostile symptomatology. The complex has the right to recline for the renewal of decay in the slopes.

Mazi. Likuvannya chronic synovitis of a colonic swelling in the home is carried out with ointments Diclofenac, Voltaren, Indometacin. You can prepare it yourself with dry hot water, paraffin and salt. Ingredієnti heat and warm ointment from them.

P'avki. The method of additional help to get rid of it, heat up, promote the immune system, before relapsing.

Folk methods. lykuvannya folk methods can not be carried out independently. Then you should go into the recipes of the customers only after consulting with the doctor. Positive messages about ointments based on larkspur. For the preparation, take the roots of the growing line and not salty lard in equal proportions, and it’s ready to eat.

Likuvannya at home. At home minds, carry out roztirannya ointments, storing folk methods (compresses, vidvari, infusions), vikonannya charging, vagi correction (with obesity).

Terms of treatment: the exact period of therapy is dumb. All to lay down on the step of the severity of ailment, I will become ailing, to cover the pathologies, the reasons that provoked ailments.

Likuvannya at children

Show synovitis in children as well as in grown-ups. To that the methods of treatment are analogous.

It means that it’s not a good idea to go for babies, so the doctor chooses drugs that are allowed by pediatricians. surgical method lykuvannya carried out in extreme vypad.

Qi to take to the army with such a diagnosis?

For a zealous service in the army, it is necessary that a colony slope is disgustingly functional. If the pathology is chronic in nature, then the comic review of nutrition is about adding a line for carrying out the analysis of the suglob.

Prevention and forecast

Do not allow the development of ailments, you need to follow your own camp, do not ignore the first symptoms and carry out the qualifications. In general, the risk of development will decrease as much as possible, and the forecast will be friendly.

dumka likarya

Chronic synovitis NOT not uncomfortably ill, Ale not correct love, ignore lykarsky recommendations, Wono zdatne viclicati pathological changes in the slopes, which is reduced to the degree of decay, invalidity.

Vilikuvati arthrosis without leaks? It's great!

Rip off the book without koshtovaya " interim plan renewal of collapse of colonic and tazostegnous loams in case of arthrosis "and fix the ooze without expensive treatment and operation!

rip off the book

The deyakis of the skeleton, zokrem, shoulder and stegnov, in the shoulder joint May be virostkіv and specific kіstkovі adoption, as take the fate of the formed slope. On the surface of the viral growths of the infancy cysts are supernatants, in Latin - epikondilusi. Nadvorostki do not take part in the shape of the slope, but rather serve as a place for the attachment of the numb mouths. Epіkondilіt - firing of supra-growths and adjoining tendon and tissue tissues.

cause

The most common practice is to promote shoulder epicondylitis. On the day of the epicondylitis of the littovoy slope. Adzhe humeral mydriasis and epiphysial growths in the epiphysis zone ( kintsevoy viddilu) Shoulder case, which is the order with the leading view of the copy of the copy of the copy of the copy. In the shoulder brush, there are two supraminiaries - internal (medial) and external (lateral). As a matter of fact, epicondylitis can be medial and lateral.

Before the medial epicondylus, the tendon of the ligaments-zygins of the lactic, wrist and fingers of the hand is attached. The whole thing is wrapped in the middle (pronation) of the brush and in front of it. The name, the lateral group of mucous membranes in front of the ligament and the hand behind the auxiliary tendon is attached to the lateral supramiscle. Tsі m'yazi, navpaki, wrap the dick, brush і ії fingers, avoid wrapping the name (supіnation) of the brush and in front of it.

The causes of epicondylitis of the lithic slope are in the post-traumatization of the tendons with weak, but often repeated insertions on the slope. Mechanism of the whole process until the end of the vaccination. Vvazhaєte, so that continuously navantazhennya on the mucosa, how to supervise the tendon rubbing about the cysts of the supravies, to cause microtraumas in the vigels around the tendon fibers. Zgodom razrivi change with scars. In the vicinity of the epicondylus and in the adjoining dilation of the tendon, degenerative changes develop. Years of degeneration change to heat.

To explore a group of risky - categories of people, like the genus of power in the greatest world of scholarship to the epicondilita.

Massage of all the upper teeth of the muscle of the tendon, to the strengthening of the muscular blood circulation. It is not possible to get rid of epicondilitis, as in any chronic degenerative ignition process. A little bit of a trivial quietening (remisії) firing process і prodovzhuvati engage in a rocking robot - a whole lot.

Lіkuvannya epіkondіlіta go outpatiently as a doctor traumatologist or orthopedist. Scheme and methods of epicondylitis therapy begin with urachuvans functional breakdowns, Triviality, congestion, as well as a change from the side of the muscle and tendon. The main goals of the policy:
Usunennya pain syndrome.
Renovation of blood circulation in the zone of battle (for the protection of friendly minds, renewal of small children).
Renovation of the general obligation of the rukhiv.
Renewal of the strength of the communication before the preparation, the improvement of the atrophy.
Also, the pain syndrome in case of epicondylitis of bends is not sudden, and the ailments develop to a lykar in the main in order to determine the cause of the appearance uncommon views in a lіktyovy hulled area, if you recommend the patient to see the guard mode, you respectfully follow the power of the sight and wipe out the ruins, if there is a bіl.
Yakshho ailments epikondilita go in for sports or a robot is tied with the great physical options on the connection before the start, it is necessary for an hour to secure the calm area. see the patient licorice leaf Or recommend a team hour to pin the training. If you know the pain, you can change it, fix it from the smallest and step by step. In addition, to the ailing one should recommend z'yasuvati and suspect the reason for being overwhelmed: look over the sports mode, vikoristovuvati more manual tools, change the technique of vikonannye rukhiv.
In case of severe pain syndrome in the hospital stage of epicondylitis, short-hour immobilization is required. Apply a light gypsum or plastic splint on the lіktyovy slope in a row for 7-10 days; In case of a chronic interruption of the epicondylitis, the patient is recommended to use a lactic slope in the daytime in front of an elastic bandage. On the bottom of the bandage, it is necessary to know about it.
Also, the symptoms of epicondylitis were caused by injuries, after the first few days, apply cold to the affected area (mikhur with ice, zagorny at the towel). Patients who are suffering from epicondylitis, in the form of a period of time, recognize physiology: ultrasound, phonophoresis (ultrasound with hydrocortisone), paraffin, ozokerite and Bernard's strumi.
Pain syndrome in case of epicondylitis of fumes by an ignition process in soft tissues, which, in addition, gives rise to non-steroidal anti-fatigue effects. Oil refineries are stagnant, in case of ointments and gels, ointments in case of epicondylitis have a local character. Appointment of non-steroidal anti-inflammatory drugs orally or internally in specific traumatology in case of epicondylitis is not to practice due to lack of performance and unjustified risk of development of side effects.
In case of lax pain, which is not weak with a stretch of 1-2 tension, vikonuyut blockade with glucocorticosteroids: betamethasone, methylprednizolone or hydrocortisone. Slid vrahovuvati, when with vicorian methylprendizolone and hydrocortisone with a stretch of the first one, it is possible to make more pain relief, due to the reaction of tissue on the drug.
Glucocorticosteroid drug should be used for anesthetics (add lidocaine) and injected into the area of ​​maximum ailment. With a callous epicondylitis, the vibration is not difficult, the blockade can be carried out in the position of the patient, whether sitting or lying down. In case of internal epіkondilіtі for the blockade of the patient, lay down on the couch with his hands tied down with bridles. This is also the provision for ensuring the availability of the zone and the internal supernatant і, on the basis of the sedentary position, during the period of the procedure.
The end of the state of the phase of the epicondylitis of the patient indicates electrophoresis with iodine caliber, novokain or acetylcholine, UHF and cold compress on the area of ​​the battle. In addition, at the moment the patient is repaired from the epicondylitis, the gymnastics is shown - repeated short-term overextension of the hand. Such ruffs take advantage of the elasticity of tissue structures and change the quality of microtraumas. In the new period for renewal of clothes of clothes and improvement of myazovaya atrophy, massage and mud baths are designated.
With conservative therapy without glucocorticosteroids stagnation, the pain syndrome in case of epicondylitis will develop more often for 2-3 days, with blockades - for 1-3 days. In small children, they are more likely to suffer from pain, but they do not know how to use glucocorticosteroid drugs. The immaturity of such an abnormality grows in chronic epicondylitis with frequent relapses, hypermobility syndromes and bilateral epicondylitis.
In case of a chronic interruption of epicondylitis with frequent sharpened patients, it is recommended to pinpoint the busyness of sports, or switch to the іnsha robot, enclosing it on the connection before the start. Even the pain syndrome is observed to last for 3-4 months, it is shown that there is a surgical treatment - a visible lesion of the tendon in the area of ​​its attachment to the cyst.
The operation is carried out in a planned manner with a general anesthesia or provincial anesthesia. In the period of operation, a splint will be applied, the sewing will be known in 10 days. In general, there is an important therapy, which includes physiotherapy, massage and physiotherapy procedures.