Traumatic arthritis
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Description:
The inflammatory process in a joint connected with its traumatizing is called traumatic arthritis.
Symptoms of Traumatic arthritis:
More often knee, elbow, humeral, talocrural joints are surprised. There is pain, a swelling, quite often there is a hemarthrosis.
At aspiration of the joint exudate having bloody coloring in such cases, clots are found seldom and only at very heavy damages of joint fabrics. If liquid collects throughout a long time (to 24 h), it usually does not contain visible blood. However at microscopy in it erythrocytes are defined. Viscosity of liquid is slightly reduced, a mutsinovy clot dense.
Reasons of Traumatic arthritis:
At a bruise, stretching and a rupture of ligaments of joint and other closed injuries in a cavity of a joint a small amount of blood streams that leads to development of an aseptic inflammation. Open injuries of joints are quite often involved by developing of acute purulent (septic) arthritis. Especially often such complication is observed at gunshot wounds of joints.
Treatment of Traumatic arthritis:
In order that it is correct to appoint therapy of traumatic arthritis the doctor has to estimate depth and extensiveness of damage of tissues of joint, participation in inflammatory process of soft circumarticular tissues, and also character of the joint of an exudate which is available in a cavity which can be serous, bloody, serous and fibrous or purulent. For specification of character of an exudate and exact establishment of an infestant, its sensitivity to antibiotics carry out a puncture of the affected joint with the subsequent bacteriological analysis of the received punctate.
If traumatic arthritis is aseptic and arises after the closed injury of a joint or an operative measure on it and is followed by accumulation in a joint cavity of liquid that is shown by a smoothness of a contour of the affected joint, balloting of a patella, etc., then the joint immobilization in physiological situation with the help plaster steaks or a figure-of-eight bandage is carried out. Daily or every other day carry out a puncture of the affected joint at which suck away the liquid which accumulated in his cavity. Use of physiotherapeutic methods of treatment is shown: inductothermy, paraffin applications, UVCh.
At purulent traumatic arthritis also immobilize a joint by means of plaster steaks in advantageous physiological position. Daily do a puncture of the affected joint during which make suction from a pus cavity, then wash out a cavity solutions of antiseptic agents or warm normal saline solution and enter vnutrisustavno antibiotics. It is shown a daily inductothermy or UVCh. If at similar treatment the condition of the patient does not improve, then resort to an operative measure (an arthrectomy, an arthrotomy).
At treatment of any kinds of traumatic arthritises, especially purulent, resulting gunshot wounds, it is very important to start right after subsiding of acute inflammatory reactions massage of the affected joint and performance of a special complex of physical exercises. Timely occupation of LFK significantly reduces a possibility of formation of a contracture of the affected joint.
