What is synovitis?
Causes of synovitis, its symptoms
The synovites are divided into the following groups: infectious, aseptic and allergic. Infectious-inflammatory processes develop due to the ingress of pathogenic bacteria and viruses into the synovial membrane. They penetrate from the environment, with blood, lymph, from infectious foci inside the body. Aseptic synovitis develops with repeated mechanical injuries of the joint, with hemophilia, endocrine disorders, metabolic disorders. Allergic synovitis occurs as a result of exposure to the synovial membrane of allergens of an infectious and non-infectious nature with hypersensitivity to these allergens.
Synovites can be acute and chronic. Symptoms of acute synovitis are: changes in the shape of the joint, pain, restriction of movement in the joint, increased body temperature. Purulent synovitis, in addition to the above symptoms, is accompanied by an increase in lymph nodes.Chronic synovitis is manifested by fatigue, fatigue that occurs when walking, the appearance of aching pains, restriction of movements in the affected joint, an edema of the joint. Complications of the disease include: purulent arthritis, panarthritis, periarthritis, soft tissue phlegmon.
Diagnose the disease on the basis of symptoms and data obtained in clinical studies of blood, also perform joint puncture. Treatment of acute synovitis begins with immobilization of the limb with a plaster splint. UHF-therapy, UV-irradiation, warming compresses with Dimexidum solution (10-20%) are prescribed, electrophoresis with Novocain is used. In the case of a persistent course of the disease, electrophoresis is used with Lidasa, Potassium Iodide, phonophoresis with Hydrocortisone. In case of a light course of synovitis, they are limited to tight bandaging of the joint until the complete disappearance of inflammatory changes, and physiotherapeutic procedures are prescribed.
In cases of acute purulent synovitis, powerful local and general antibacterial therapy is performed. The pus is removed from the articular cavity using punctures, after which broad-spectrum antibiotics, Novocain and Hydrocortisone, are administered.Apply a long-term flow-aspiration lavage of the joint cavity with non-concentrated solutions of antibiotics through 2 thin drainage. In severe cases, resort to the opening and drainage of the joint cavity. Therapy of chronic synovitis provides for the rest of the patient's limb. Assign punctures, physiotherapy procedures (paraffin applications, electrification, mud therapy, and others). Identify and treat the underlying disease that caused the development of chronic synovitis.
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