Tendovaginitis is a disease that affects the middle part of the tendons located in the tendon sheaths. The latter serve to facilitate the sliding of the ligaments and are something like a bag. The disease affects nearby tissues - tendons and their sheaths, as well as ligamentous canals.
The most common tendovaginitis of the wrist and ankle. Difficulty sliding occurs because the tendons themselves and the synovial sheaths thicken. The disease is acute and chronic, as well as infectious, non-infectious and brucellosis.
Types of tendovaginitis
Acute infectious tendovaginitis is a disease that develops after damage to the vagina and infection. Due to the accumulation of pus, the blood supply to the tendon is disrupted and causes pain. Chronic infectious tendovaginitis is an ailment that develops due to the ingress of a specific microflora on the synovial membranes - it can be a tubercle bacillus or spirochetes. First, the membranes are affected, then the inflammation passes to the tendons. Brucellosis tendovaginitis is also found - this is a disease that, by the nature of the course, is similar to acuteinfectious. In this case, the extensor tendons are affected, which leads to a gradual restriction of the movement of the fingers. There is also non-infectious (aseptic) tendovaginitis, which develops due to constant microtrauma (typists, musicians, etc.) or due to bruises and sprains of the joint.
Causes of tendovaginitis
Infectious tendovaginitis occurs due to inflammation of the joints, due to infectious diseases (syphilis, tuberculosis, etc.), due to rheumatism, rheumatoid arthritis. The non-infectious form occurs due to constant monotonous movements in which a certain group of people takes part. The risk group includes skiers, skaters, typists, musicians, etc.
Symptomatics
In acute infectious tendovaginitis, body temperature rises, sharp pains appear in the area of the disease localization, swelling. As a rule, all this is observed on the back of the hands or feet, and in some cases on the fingers. In addition, limited movement may be of concern. Chronic tendovaginitis manifests itself in a slow increase in swelling in the affected area, minor pain, and limited mobility.
Also, when probing, fluctuations are detected (formations in the form of rice grains). Non-infectious tendovaginitis causes joint pain, crunching and swelling. You should know that this disease affects not only the wrists and ankle joints, tendovaginitis also occurs.forearms.
Treatment
Treatment requires hospitalization. Treatment involves surgery, during which the tendon sheath is opened to remove the inflammatory product, sanitize the cavity. In the event that it came to necrosis of the tendon, its resection is required. As an additional remedy, massage of the affected joints showed itself well. Take care of yourself and stay he althy!
