SYNDESMOZ is what? Rupture of interstice syndesmosis

Looking for information about various injuries of ligaments and joints, you can find the term "syndesmosis". This word denotes an inactive or immovable articulation of the bones of the human body. Injuries to this ligament are common, especially when it comes to athletes or people whose work involves intense physical activity. So what is syndesmosis and what are the results of his trauma? Is the gap of this junction dangerous and what methods of treatment can modern medicine offer?

SYNDESMOZ is what?

As is known, in the musculoskeletal apparatus of a person, the bones are interconnected both movably and motionless. For example, the joints connect the elements of the skeleton, providing the ability to move. If we are talking about fixed joints, then here it is necessary to call syndesmosis. This is the way of connecting by means of strands of dense connective tissue. Such structures do not provide for movement. For example, this is how the bones of the skull, the spinous processes of the vertebrae, the bones of the forearm and the shin are joined together.

Of course, there are several varieties of such a connection. Membrane syndesmosis - this is what you can see, examine the articulation of the fibular and tibia. But the skull bones are interconnected by different types of "seams".

Features of injuries syndesmozov

Alas, the trauma of syndesmosis can hardly be considered a rarity. Quite often there is a rupture of membranes between tibia. Injuries of the ankle are often recorded in athletes during jumping or running. To the same damage are inclined ballerinas, gymnasts circus acrobats.

In cases of craniocerebral trauma, as well as damage to the spine, there may be a violation of joints between the bones. In newborns, the rupture of syndesmosis between the structures of the skull sometimes occurs during passage through the birth canal. But with a compression fracture of the spine , the patient also exhibits partial damage or stretching of the fibers - ligaments between the vertebrae.

Distal interstice syndesmosis and its rupture

According to statistics, 10% of injuries of ankle sprains are due to the trauma of the structure called "intercostal syndesmosis". It should be said that no one is insured against this damage, as the membrane can stretch or become damaged with a strong turn of the foot outward while simultaneously turning the toe inward.

On the other hand, there are people who are more prone to this kind of trauma because of their profession - they are athletes, dancers, acrobats, etc. By the way, the constant wearing of high-heeled shoes, especially with unstable lifting, also increases the probability of stretching of the intercellular membrane.

Symptoms of an injury to the intercellular membrane

Damaged distal syndesmosis is a common problem, and it is accompanied by a rather pronounced clinical picture. As a rule, the first symptom is a sharp pain. Unpleasant sensations are greatly amplified during movement or when trying to change the position of the foot. Soreness increases with palpation.

Another symptom is swelling of the soft tissues around the injury - the swelling grows rapidly, increasing in a matter of minutes. The foot of the patient, as a rule, acquires a forced, unnatural position - in most cases it is turned outward. In addition, the skin in the area of injury reddens, it is often possible to notice small subcutaneous hemorrhage.

Of course, in order to diagnose the rupture of intercostal syndrome, some testing is necessary. During physical examination, the doctor may already suspect the presence of stretching or damage to the membrane, but for an accurate diagnosis and determination of the treatment regimen, it is necessary to undergo an X-ray examination. In the pictures, a specialist can clearly see the expansion of the gap between the bones, as well as determine the line of rupture and observe the presence of fractures.

Conservative treatment and its features

For the beginning conservative treatment is spent. In order to alleviate the patient's condition, the pain is stopped by a novocaine blockade. The main task of therapy during this period is to immobilize the limbs, compress the anteral crevice and allow the tissues to recover independently. That is why the obligatory element of treatment is a plaster bandage, which is applied in the form of a boot. You will need to wear gypsum for about 5-6 weeks.

After that, the bandage is removed and replaced with a removable tire - during this period, active movements are contraindicated, but the patient needs rehabilitation. For this purpose, people are usually assigned various physiotherapy procedures and regular massage sessions. A special therapeutic gymnastics is required, which is conducted under the supervision of a specialist, it is he who chooses a set of exercises, determines the time and the corresponding loads.

Often, the rupture of syndesmosis is associated with other trauma, including a violation of normal circulation. As an example of complications, you can lead to thrombosis of venous vessels, so the patient needs to be monitored very carefully and, if necessary, to introduce anticoagulants into the therapy regimen.

Immediately it is worth saying that conservative therapy is a long process. Often, in order to fully restore mobility and physical capabilities, the patient needs more than 6 months.

When is surgery necessary?

Unfortunately, conservative treatment is not effective in every case. In severe injuries, improper splicing of bones and in the absence of the effect of physiotherapeutic treatment, the physician can decide on a surgical procedure.

To date, there are many techniques for repairing ligaments. Quite often during the procedure, a new ligament is implanted. It is formed from a canned tendon, a wide fascia of the thigh and a tape from dolcano. In the tibia, special channels are made, to which a ligament is attached and attached. By the way, in 92% of cases the operation is successful, and mobility returns to the patient.

There is another way, namely the use of a compression screw made of a metal alloy. Such a screw is a reliable tightening mechanism - it fixes the bones of the shin at a certain distance, not allowing them to move or fuse.

In any case, it is worthwhile to understand that the damaged syndesmosis is a serious problem, and self-medication is inappropriate here. Immediately after getting the injury, you need to see a doctor.