Articular mouse is a pathology, which is a bone or cartilaginous body. This is a kind of fragment that floats freely in the knee or elbow cavity and causes pain. Often the mouse gets stuck between other joints, which causes even more discomfort. Due to the nature of its formation and behavior, pathology was named after a nimble and mobile rodent.
A mouse can be of different sizes: from a tiny grain of rice to huge shapeless fragments. The most common disease affects the knee joint. But sometimes there are cases of diseases of the elbow, hip and shoulder parts of the body. Whatever the localization of the pathology, in any case, it requires competent and timely treatment.
Shaping mechanism
Most often, an articular mouse is formed as a result of an injury - a severe bruise. During the impact, a piece breaks off from the cartilage or bone tissue, which fidgets freely in the joint cavity and causes pain. In addition to this reason, pathology can be a consequence of the following ailments: osteochondritis, deformingarthrosis, arthritis, Koenig's disease and hemarthrosis.
As a result of these diseases, particles are rejected in the joint cavity. They form the so-called capsule, which is in constant motion. This formation is a small clot of high-molecular non-globular protein - fibrin. In the future, it becomes overgrown with connective tissue, forming a fragment that looks like a piece of bone.
Symptoms
The joint mouse has symptoms that will help distinguish the pathology from other diseases. The main signs of the disease are:
- Severe pain in the knee, accompanied by its partial immobilization. This happens when the fragment has blocked the entire joint. Pain sensations are intermittent. They appear when a person changes body position.
- Swelling and inflammation of the knee (elbow). This leads to permanent blockage of the joint. The most unpleasant consequences are cartilage damage and complete immobilization of the limb.
- Discomfort in the joint. Many people attribute discomfort to a bruise or injury, although they may be the first signal that a spalling process has begun.
Articular mouse of the knee joint may not appear. There are no characteristic symptoms of pathology if the fragment is hidden in the area of synovial torsion.
Diagnosis
If a person complains of sudden pain in the knee or elbow, he needs to be given first aid.help. To do this, the area of possible damage is tightly tightened with an elastic bandage. You can put on the patient and a special knee brace. After that, you can call an ambulance, which will take the patient to the clinic. Here, experienced doctors will be able to establish the correct diagnosis: a bruise, trauma, sprain or articular mouse of the knee joint.
X-ray will confirm the fears of doctors. With the help of medical technology, a specialist will be able to consider what size the mouse has, where it is located, and so on. In addition, the patient will undergo computed tomography. With its help, the doctor learns about the condition of cartilage, meniscus, bone tissue. Also, the patient needs to take blood tests: general and biochemical. Sometimes he is recommended to undergo various immunological studies.
Operation
Removal of the articular mouse will most likely be shown to the patient. Unfortunately, this pathology is not amenable to conservative treatment. The volume of surgical intervention is primarily influenced by such factors: the degree of neglect of the disease, its form, the size of the formation, and so on. The duration of the operation is determined individually. But if the articular mouse leads to partial or complete immobilization of the limb, then the intervention will be scheduled as soon as possible.
The operation during which the formation is removed is called an arthrotomy. First, the doctor opens the joint cavity, then removes the mouse and performs plastic surgery of bone and cartilage tissues. This will help in the future to avoid deformation of the joint. After this legimmobilize - fix it, thereby ensuring the immobility of the limb.
Treatment after surgery
After an articular mouse has been removed, the patient needs rehabilitative therapy:
- To improve blood circulation in the damaged area, Andecalin, Angiotrophin, Kallikrein Depot are prescribed.
- If there is an inflammatory process, prescribe "Gordox" or "Kontrykal".
- It is recommended to drink medicines that nourish the tissues in the joint area: Solcoseryl, Actovegin, B vitamins.
- The patient also needs medication to help restore the rest of the articular cartilage. This, for example, "Glycosamine" or "Chondroitin sulfate".
- Be sure to write out a new, but already positively recommended drug "Piaskledin". It is expensive, but it is very effective in protecting cartilage from further destruction.
- You need to take a course of hyaluronic acid injections. It acts as a natural lubrication for the joints, thus significantly reducing painful friction.
You can't do without warming medicines that increase blood flow to the operated site - compresses with "Dimexide" or "Bishofite".
Minimally invasive surgery
Articular mice are also removed by minimally invasive methods. Surgical treatment can be carried out with the help of arthroscopy. This method is less traumatic than the conventional one.surgical intervention. The doctor uses a special device - an arthroscope - to make two holes in the knee. In one he introduces optical technique, considering with its help the internal state of pathology. In this case, the image is displayed on the screen. The doctor inserts a manipulation tool into the second hole. Thus, the damage to the patient is minimal. After a week, you can start rehabilitation.
Physiotherapy treatments
After surgery, the patient must undergo a series of procedures so that the articular mouse of the knee joint no longer manifests itself. Treatment with physiotherapy methods involves the following manipulations:
- Joint massage.
- Ultrasound treatment.
- Mud therapy.
- Taking a van: radon and turpentine.
- Effect of dynamic current.
- Electrophoresis of sulfur, lithium and zinc to restore metabolic processes in the joint.
- Galvanization with enzymes that remove "bad" fabric.
- Phonophoresis with analgesics to relieve inflammation.
Such procedures can be performed in a polyclinic or hospital where appropriate equipment and highly qualified staff are available.
What do folk doctors offer?
Let us remind you once again: only through surgical intervention is the articular mouse of the knee joint removed. Treatment with folk remedies can only be offered as an auxiliaryelement or for postoperative recovery, but not as an alternative therapy. In this case, you can make compresses according to the following recipes:
- Mix a tablespoon of honey with 3 tbsp. l. apple cider vinegar. We lubricate the affected joint with a mixture, after which we apply a leaf of fresh cabbage to it. We wrap the leg with polyethylene and a warm scarf. Keep it until the leaf dries. Course - 1 month.
- We take one tablespoon of red and blue clay. Mix the powder with water so that a mass is formed, the consistency of which is similar to sour cream. We spread the clay on a clean cotton cloth in two layers, apply it to the joint. Insulate this area and hold for two hours.
Helps relieve pain and a special bath. To prepare it, you need to take one and a half kilograms of Jerusalem artichoke leaves. Finely chop them and pour 8 liters of boiling water. When the water has cooled and becomes acceptable for the procedure, we lower our foot into it so that the affected area is completely immersed in the decoction. We stand for half an hour. This bath is recommended to do once a day for 10 days. Thanks to these folk methods, recovery after surgery will be faster, and the rehabilitation itself will be painless and effective.
