Defeats of a knee joint belong to one of the most serious problems of modern orthopedics. In particular, a big inconvenience to people is given by the inflammation of a synovial membrane of a joint which is followed by formation of an exudate. This disease carries the name a synovitis. The problem can be shown after injuries of a knee joint, at hit of an infection in an organism, and also after arthritis, an allergy or hemophilia.
The most often meeting and therefore rather well studied synovitis form. It is shown in the form of reaction of an organism to certain types of intra joint damages.
In this case the synovitis of joints results from banal destruction of surrounding fabrics. At the same time at all patients formation of an exudate to the area of a joint is noted. Let's note that the traumatic synovitis of a knee joint can arise also without any visible injury, for example, as a result of insufficiency of the copular device.
The acute synovitis which symptoms are shown rather brightly already at the first stages of a disease needs to be distinguished from a hemarthrosis. Strong indications of an acute synovitis is a change of a shape of a joint, fervescence, severe pain at a palpation, formation of an exudate. Also in the presence to this form at patients strong restriction of mobility of a joint which leads to considerable deterioration of life is noted.
The chronic form of a disease meets rather seldom. At early stages its diagnosis is a serious problem as clinical manifestations are expressed very poorly. As the result, a chronic synovitis of a knee joint which treatment began too late leads to numerous complications. It is easier to prevent any disease, than to treat, and the synovitis did not become an exception to the rules. Originally inflammatory process is shown in the form of bystry fatigue when walking and the insignificant aching pains. Then in the joint plane the exudate leading to a so-called hydroarthrosis begins to accumulate. After that there is a sprain progressing to dislocations of a joint and a full immovability of the person. Small nuance: effects to which can lead a chronic synovitis of a knee joint are connected even not with bystry development of pathology, and disturbance of blood circulation and a lymphokinesis in the field of the struck fabrics. For this reason doctors pay much attention to questions of treatment of a synovitis and early diagnosis of a disease.
Treatment of an inflammation of joints is performed in a complex. First of all, doctors adjust anatomic and metabolic disturbances around the inflammation center. The issue of need of surgical intervention for each case is resolved separately taking into account weight of damages and the nature of the happened changes. For this purpose to the patient carry out a puncture – diagnostic manipulation which assumes a puncture of skin and capture of a sample of fabrics. The synovitis which symptoms are expressed too strongly demands rigid stabilization of a joint by means of imposing of tires and a hypothermia. But without serious indications it is impossible to resort to this measure as often it leads to unpleasant complications.
The recuring synovitis of joints frequent today is successfully treated by means of drugs which neutralize emergence of a recurrence – Brufenum, indometacin, heparin, Rumalonum and salicylates. Physiotherapeutic procedures are also shown to patients (an electrophoresis, UVCh, фонофорез). Their use demands the corresponding knowledge and therefore it is desirable to attend these procedures only after consultation with the experienced specialist.
If the synovitis which treatment was performed by exclusively conservative methods hitherto continues to progress, then specialists are forced to resort to surgical intervention. In this case to the patient with a synovitis the subtotal or total synovectomy at which the cavity of a knee joint with the subsequent audit and removal of foreign bodys is opened is carried out. After operation styptic and antiinflammatory therapy, and also the decrease in exercise stresses preventing emergence of a recurrence is shown to the patient.
Let's give the most effective, the recipes of national treatment of a synovitis which underwent testing time.
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