Tendovaginitis - what is it? Tendovaginitis of the tendon. Tendovaginitis treatment - treatment

Tendovaginitis - what is it? The answer to this question can be found in the materials of the article. In addition, we will tell you what the cause of this deviation is, and describe in detail its clinical picture.

Tendovaginitis - what is it?

The medical term "tendovaginitis" came to us from the Latin language from the word tendovaginitis. In a literal translation this expression means the following: tendo is a "tendon", and vagina is a "vagina". As for the suffix -itis, it gives us an idea of the ongoing inflammatory process.

Thus, the question of whether the tendoaginitis - what it is, you can easily answer that this is an internal inflammation of the synovial membrane of the vagina (fibrous) muscle tendon.

Causes

Tendovaginitis tendons, or the so-called professional tendovaginitis, usually arises from prolonged overstrain of the muscles or their microtraumatism in workers of certain professions (for example, loaders, typists, pianists, workers in heavy industry, etc.) who for a long time perform alone And the same movements involving only a limited group of muscle tissues. In addition, this deviation is often observed in some athletes during overtraining (for example, skaters, skiers, etc.).

The cause of the appearance of nonspecific tendovaginitis may be the spread of an inflammatory reaction from a purulent focus to the synovial vagina of the tendon. This is how purulent arthritis develops, osteomyelitis and panaritium.

It should be specially noted that tendovaginitis quite often makes itself felt after some infectious diseases (for example, brucellosis, gonorrhea, tuberculosis, etc.). In this case, hematogenous spread of any pathogens is often observed.

Among other things, tendovaginitis of the foot, forearm and other joints are observed in such rheumatic diseases as systemic scleroderma, rheumatoid arthritis, rheumatism, Reiter's syndrome, Bechterew's disease , etc. Also, this deviation can develop against a background of reactive inflammation that is toxic.

Classification of the disease

Now you know the information about what tendovaginitis is - what is it. It should be noted that this deviation is classified by:

1. Reason of occurrence:

• Infectious tendovaginitis (specific and nonspecific);
• Aseptic (reactive and professional).

2. Clinical features:

• chronic;
• acute.

3. The nature of the inflammatory reaction:

• Serous-fibrinous;
• serous;
• purulent.

Clinical picture

These or other symptoms of this disease depend on the form in which it occurs. It should be specially noted that it is extremely important to recognize these signs on time and immediately consult a doctor.

So, let us consider in more detail which symptoms are characteristic for a given deviation.

Nonspecific tendovaginitis occurring in acute form

For such a pathological condition is characterized by an acute onset, as well as the rapid appearance of a rather painful swelling in the place where the affected vagina of the tendons are located.

Most often, patients experience acute tendovaginitis of the hand. Treatment of such a deviation is reduced to taking anti-inflammatory oral drugs, as well as using various systems and injections. If you do not go to the doctor in time, then the painful swelling and swelling will move fairly quickly from the wrist to the forearm, which will significantly restrict the patient's movement.

Crepensive tendovaginitis (or aseptic acute)

This deviation is typical for synovial vaginas, which are located on the feet, the back surface of the hand, and the biceps arm muscle. This disease begins rather sharply. In the area of lesions, swelling appears very quickly, and when palpation, crepitation is felt. If the wrinkled tendovaginitis develops, then almost immediately the patient has limitations of wrist and finger movements, as well as their severe soreness. It should be noted that such an aseptic acute disease can easily go into a chronic form.

Tendovaginitis chronic

This deviation most often develops in the vagina of the tendon of the extensor and flexor of the fingers, that is, in the area of their retainers. The clinical picture of this condition is carpal tunnel syndrome. With it, a tumor-like and rather painful formation is observed, which has an elongated shape (more often in the form of an hourglass), an elastic consistency and is located in the region of the carpal tunnel. It should also be noted that such a deviation can be easily felt during palpation.

A particularly prominent form of the disease, which is chronic, is the tendovaginitis de Kervena (or stenosing tendovaginitis).

Tuberculous tenosynovitis

The clinical picture of this disease is characterized by the formation of so-called "rice bodies", which are located along the course of extensions of tendon sheaths. They can be detected palpable.

Where can it develop?

Tendovaginitis is an inflammatory disease that can affect absolutely any joint. Consider where this pathological condition develops most often.

Tendovaginitis of the hands . This deviation is the most common. This fact is due to the fact that it is on the upper limbs that the greatest load is assigned. Moreover, the hands are most often subjected to various injuries and hypothermia.

• Tendovaginitis of the brush . As mentioned above, the hands represent the most vulnerable part of the body. Minor injuries, frequent hypothermia and excessive loads often lead to inflammatory reactions in the tendon sheaths. In most cases, this disease is not infectious in nature, but is associated only with the professional activity of a person.
• Tendovaginitis of the forearm . This disease progresses quite rapidly. As a rule, this part of the body affects the creping tendovaginitis. The disease begins with increased fatigue of the hands, aches, as well as burning, tingling and numbness.
• Tendovaginitis of the finger . At the initial stage of development, this deviation is difficult to recognize. Typically, this requires a referral to a specialist who must examine the patient and conduct a palpation of the affected area. If such inflammation is purulent, the patient may complain of pain and a noticeable swelling.
• Tendovaginitis of the wrist . This disease most often develops on the back ligament. As a rule, this deviation affects the tendon, which is responsible for the straightening of the thumb. Clear signs of a pathological condition are pains above the wrist, which eventually increase with movement, and with rest and relaxation, the hands sometimes calm down.
• Tendovaginitis of the wrist joint . With this deviation, the tendon that is responsible for the thumb is affected. Often, it thickens, and the pain that arises in the wrist, is given to the shoulder or forearm.
• Tendovaginitis of the shoulder joint . Most often this deviation occurs in ironers, carpenters, grinders, smiths, etc. Such a disease can last 2-3 weeks, and then proceed in subacute phase.
• Tendovaginitis of the elbow joint . The presented type of disease is rare. As a rule, it develops as a result of any injuries or damage.
• Tendovaginitis of the flexor of the fingers . Most often, this disease is observed in women who are related to manual labor.

Tendovaginitis of the Achilles tendon . This deviation starts to develop because of excessively increased loads on the muscles of the lower leg or Achilles tendon.

Tendovaginitis of the knee joint . This disease also develops as a result of prolonged physical exertion on the joint. In addition, it can arise due to a violation of posture, an incorrect structure of the body, an infection, etc.

Tendovaginitis of the thigh . This pathological condition is caused by overloads of muscle tissue and tendons, as well as various injuries. It should be specially noted that the fairer sex is more susceptible to this disease than the strong half of humanity.

Among other things, tendovaginitis can occur in the tendons of the feet, ankle and shin.