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November 29, 2016 00:12

Synovitis : causes, symptoms , diagnosis, treatment

Synovitis is the inflammation of the synovial membrane, which is limited to its borders, and is characterized by the accumulation of inflammatory exudate in the lining of the cavity shell.

as the synovial membrane lining the cavities, involved in the inflammatory process, may act bursa (small flattened form a cavity lined with synovial membrane, demarcated from the surrounding tissue capsule and filled with synovial fluid), synovial sheath tendon, joint cavity.Often occurs (knee, elbow, ankle, wrist).These processes are characterized by loss of joint, at least - at the same time a few.

ICD 10 code

There excluded: chronic inflammation krepitiruyuschie hand and wrist (M70.0) current injury - injured ligaments or tendons on areas of the body soft tissue disease associated with the load, overuse and pressure (M70.0)

  • This abbreviation M65.0 abscess of tendon sheath.If necessary, additional code (B95-B96) is used to identify bacterial agent.
  • M65.1 Indicates other infectious (Teno) inflammation.M65.2
    calcific tendonitis.At the same time completely excluded: shoulder tendinitis (M75.3) specified tendinitis and (M75-M77).
  • M65.3 Represents clicking finger.Lumpy tendon disease.Tenosynovitis M65.4 styloid process of the radius [de Quervain's syndrome]
  • M65.8 Other inflammation and tenosynovitis.M65.9 Synovitis and tenosynovitis, unspecified.These codes indicate the place of localization of the disease and its types.Synovitis is a serious disease that requires a full investigation.Due to the localization of the code can understand the seriousness of the phenomenon and appoint high quality treatment.

How dangerous synovitis?

Do you know what is dangerous synovitis?Reply to this question is uniquely difficult.Because much depends on the localization of the disease.So, suppuration of the knee is dangerous to their location.The fact that a person takes when moving the entire load on the knee.

In the event of any kind of injury, inflammation can occur.To find out what it is inflamed knee compound easy.The first symptoms manifest themselves on the second day.Initially, there is pain.He was not sharp, and like a nagging and long.When diagnosing important not to make mistakes and not to confuse it with another disorder.

Discomfort may be accompanied by fever and redness in the area of ​​inflammation.The diagnosis is made solely by the attending physician.In general, the disease is not dangerous if it immediately start to heal.Therefore, the main danger is the neglect of the disease.If the time of his diagnosis, and begin to eliminate, no problem.

reasons synovitis

reasons synovitis may depend on other diseases, or directly from diarthrosis injury.Most often it manifests itself in diseases, metabolic bearing nature or related to the autoimmune nature.If it occurs on a background of other diseases of the knee joint, it is secondary.In this case it can be defined as a reactive suppuration.

Inflammation connection with podoprevanii not usually accompanied by infection.Simply put, is the aseptic character.If there is infection of the bursa various harmful agents, the liquid changes its composition.In this case, the active site of the lesion is dominated by pathogens that cause inflammation of a different kind, leading to complications.

Synovitis after surgery

Synovitis after the "lead" operations normal.But it is advisable to monitor the condition of the patient.It is not excluded serious complications such as arthritis.Perhaps the reduction in range of motion due to irreversible changes in the synovial membrane and articular surfaces.There are also the spread of the neighboring areas of ligamentous apparatus.

most serious complication of the infectious form of inflammation is sepsis, which is life-threatening.Sepsis (the emergence of the pathogen in the blood disease) in infectious synovitis may develop in people with a weakened immune system (eg, HIV infection), or in the case of prolonged absence of treatment.

In any case, the person for a long time should be under the supervision of a specialist.Because relapses occur quite often, and avoid them is not so easy in many cases.

infectious synovitis

infectious synovitis usually provoked by pathogens that cause inflammation nonspecific type.This may include the following pathogens: staphylo-, streptococci and pneumococci.Is there a particular type.These include Mycobacterium tuberculosis.

Pathogenic microorganisms can penetrate into the joint with injuries and wounds (track path), or be recorded with the lymph and blood from internal foci of infection (lymphatic and hematogenous way).The mechanism of the disease is often found in people who suffer from arthritis and allergic diseases, as well as hemophilia.

It should be noted immediately that is not so easy to get rid of this disease varieties.After all, it occurs against the backdrop of falling into the inflamed area of ​​infection.This process is easier predovtratit, in time to see a doctor.It eliminates the medication, but it requires a high-quality treatment.It is not ruled out re-form of the disease.

Tuberculous synovitis

is capsular form of the disease.There he hematogenous route in the form of rashes on bumps sinovilnoy shell.Clinically such primary arthritis, regardless of their duration, occur in most cases benign.In most cases, it is formed with a thickening effusion capsules.But together they do not lead to the degeneration of the curd do not cause any destructive changes in cartilage or bone and often ends in conventional orthopedic treatment of health-restoring connection function with full mobility.During the period of the emergence and initial development of primary synovial lesions on the knee joint in its manifestations very similar to the observed in primary osteitis.With regard to non-specific reactive changes, they differ from them primarily to its persistence.In this respect, they are closer to the earliest manifestations of secondary synovitis characterized by a triad - pain, muscle atrophy and some restriction of function, but with a more pronounced effusion and thickening of the capsule in the absence of contractures and with a significant preservation movements.

Allergic Allergic

synovitis synovitis is a form of reactive form of the disease.Many of the patients in the formulation of such a diagnosis come in utter bewilderment.After all, not many people understand why they have formed this type of inflammation.

This form of disease develops as a result of toxic or mechanical impact.For the variety of inflammation characterized by the appearance of various allergic reactions.

Without specific morphological changes of this kind is characterized by a light, usually circular flow.There is often posleinfektsionno, in the period of recovery from the normally non-severe acute infection.The impetus can serve as a sore throat or termination of the period of acute dysentery.This type of inflammation is of particular interest in infectious disease.After all, in its manifestation he recalls a rare form.To date, the exact causes of the disease are not available.

Traumatic synovitis

Traumatic synovitis quite common, especially in athletes.In acute manifestations of the disease observed increase in compound for several hours.For this type of disease is characterized by a change diarthrosis forms, smoothness of its contours, and fever.It does not exclude tenderness.In addition, the joint cavity is formed effusion, which is particularly well revealed in the knee patella balloting.Movement in conjunction limited painful.Marked weakness, malaise, mild fever, accelerated ESR.

When purulent form of symptoms expressed more sharply than in the serous.Characteristically severe general condition of the patient.Contours diarthrosis considerably smoothed, there is redness of the skin in the area of ​​the joint, pain, limitation of movement, contracture.Often, the diagnosis of discovering the phenomenon of regional lymphadenitis.In some cases, the disease process is distributed on the fibrous joint capsule membrane purulent arthritis with the development and connection to the surrounding tissue.Area diarthrosis significantly increased tissue pasty skin on the knuckles sharply hyperemic, shines.If the inflammatory process involves the bones, cartilage and ligaments connection unit, develops panarthritis.Not dolechennoe sickness can recur.Often recurrent suppuration accompanied by chronic forms of dropsy.They are characterized by the further development of malnutrition and its fibrosis.A vicious circle, aggravating the phenomenon and the development of degenerative processes in the diarthrosis.

Posttraumatic synovitis

Posttraumatic synovitis is the most common.This reaction to the destruction diarthrosis or tissue damage.Synovium in this case forms a joint effusion.And it may occur without apparent injury outside connection.This happens in case of irritation resulting shell body movements of articular cartilage injury or meniscus.

Diagnosis of the disease is carried out as follows.To determine the exact cause of the problem and inflammation of the synovial membrane, it is necessary to find out whether a patient trauma inflammation preceded or any inflammatory disease.After all, it will allow to distinguish rheumatoid arthritis from post-traumatic stress.

acute form of the disease characterized by an increase in the volume of diarthrosis lasting from several hours to several days.There is a change in the shape, knee swelling, smoothed contours damaged and the temperature increase in the area of ​​the joint, pain on palpation.The mobility of the compound is significantly limited, and the slightest movement causes severe pain.At the same time there is a general weakness, fever, malaise, and a blood test shows the acceleration of the ESR.

symptoms of synovitis synovitis

Symptoms depend on the variety of the disease.In the acute form there is a serous non-specific changes in joint form, it outlines smoothed.There is an increase in body temperature, can be pain on palpation of the compound in the joint cavity begins to accumulate effusion.This phenomenon is especially visible in the knee diarthrosis, as manifested so-called symptom of balloting the patella.It is characterized by the following: when a straightened leg pressure on the kneecap causes it to dive into the joint cavity completely into the bone, but after the termination of pressing the kneecap as it "floats".It is possible the restriction of movement and pain in the mix, as well as general weakness, malaise.

In acute purulent inflammation observed significantly greater severity of symptoms than the serous form.For purulent species characteristic grave condition of the patient.It is expressed in a sharp general weakness, chills, high body temperature, sometimes - in the emergence of delirium.Often defined smoothed contours of the affected diarthrosis, redness of the skin over him, tenderness and limitation of movement in it.Sometimes it occurs contracture.Purulent podoprevanie able to be accompanied by regional lymphadenitis.If this malaise nedolechit not excluded a relapse.

for an initial period of chronic serous festering characterized by a weak symptoms.Patients complain of fatigue that occurs when walking fatigue.All this can be accompanied by a limitation of motion in the affected joint, the appearance of aching pain.Gradually, there is an accumulation in the joint cavity copious amounts of exudate.This phenomenon leads to the development hydrarthrosis (dropsy connection).If the edema on diartoze there is a long period, it is possible loosening it.

Synovitis of the knee

Synovitis of the knee joint can be varied.The reasons for this phenomenon is largely hidden.Synovial inflammation develops in the metabolic and autoimmune diseases, such as arthritis, bursitis, hemophilia.inflammation of the knee joint is also able to "form" with no visible external damage from cartilage injuries, meniscus or cohesive failure of the knee fluid connections.

Podoprevanie which symptoms usually appear gradually, carries protracted.Often the symptoms appear 2-3 days after infection.Accumulated in diarthrosis fluid leads to joint deformity and limitation of movement.Skin around the knee compound is not inflamed, normal temperature.The victim is in pain, is not very strong, but mostly pulling and lasting.

When inflammation of the knee diarthrosis very important to make the correct diagnosis, not only to determine the disorder itself, but also to find out the reason, as a result of which it happened.After all, in the event of any error, possible relapse.For accurate diagnosis proivzodyat puncture knee joint.The surgeon introduces special needle slowly into the cavity connections and accurately selects a little liquid, which is then sent for analysis.In the resulting "raw material" is determined by the level of blood cells, protein, and the presence of harmful micro-organisms.In bolshnistve cases used magnetic resonance method and arthroscopy, which allow you to define the appearance diarthrosis and diagnose the state of cartilage and synovitis.

Synovitis hip

Synovitis is an inflammation of the hip joint synovium him to form a so-called effusion.It should be noted that the inflammation and can develop in several joints.The disorder in this case is called the drives, and is much more common.

nonspecific form is often the cause of lameness in children, they often suffer from boys from 3 to 10 years.Malaise may appear after suffering a cold or any injuries, but the exact cause and effect relationship has not been proved.If the cause of infection is served by domestic hearths, it sviditelstvuet the presence of infection festering if through injury - traumatic.The most common ailment manifests itself spontaneously and develops quickly.Inflammation of the synovium leads to the accumulation of fluid, causing swelling compound occurs.

Symptoms of inflammation may resemble symptoms of tuberculosis.This is manifested in diarthrosis limited mobility, muscle spasms and pain.The feverish condition is observed in rare cases as the temperature increases.X-ray examination may show nothing in the early stages of the disease.The only thing that attracts attention, because it is an extension of the joint space.

Gradually night pains are an indication that the joint pathology began an active phase of development.The danger of this disease is that it causes unsharp pain, which can be safely endure sufficiently long time, the more it decreases at rest.Ultimately, patients seek help too late, and treatment in this case runs with difficulty, because the disease is eliminated is not so simple.

Synovitis ankle

Synovitis ankle in shape can be aseptic or infectious.Infectious variation develops as a result of penetration into the bursa infectious agent of any type.The main reasons for aseptic species include: trauma, hormonal disorders, allergic conditions, neurogenic factors,

Inflamed ankle, accompanied by increased tenderness to palpation in the projection connected.If you begin to develop the disease process in the affected area immediately appears swelling and effusion, and as a result there is congestion.