Synovitis of the shoulder joint: varieties, signs
Under synovitis of the shoulder joint is made to understand the inflammatory processes occurring in the region of the synovial membrane of the shoulder. During the development of the disease there is a change in the composition of the synovial fluid and the accumulation of effusion in the joint cavity. Synovitis of the shoulder joint occurs most often on one shoulder joint, rarely observed bilateral progression of the disease (process covers both the shoulder joint). When inflammation of the shoulder joint the treatment involves relief of synovitis and the development of procedures that help restore joint tissues.
The main external features that characterize synovitis of the shoulder are:
- swelling of the shoulder with the presence of smooth contours of the hinge joint;
- palpable pain;
- temperature rise;
- the limitation of the articular mobility.
Synovitis of the joint of the shoulder often occurs as a consequence of earlier injuries. The development of the disease may contribute to the obtaining of joint sprains, contusions and bone fractures. One of the reasons that cause synovitis, is a constant microtraumatism shoulder, which is caused by frequent elevated physical activity that occurs in the course of employment. After the injury increases the production of synovial fluid. It accumulates in the articular cavity and stretches the joint capsule, contributing to a significant increase in its volume.
Microtraumatism typical for people engaged in heavy physical labor. This type of injury is very common in athletes. To the damaged joint as a result of disease synovitis of the shoulder develops without visible damage to the cartilage of the joint and cartilage.
In the process of development of synovitis of the shoulder joint treatment consists in relieving the destructive factors and consequences of injury.
Varieties of the disease
There is an infectious kind of disease that is quite rare. Treatment of such a synovitis is to stop the infectious process develops in the tissues that are included in the shoulder joint. In addition to infectious, found synovitis with granulomatous nature of the inflammation. This type of disease develops as a result of allergic effects on the shoulder joint.
On the basis of the clinical picture of the disease, medical experts distinguish two forms of the disease — chronic and acute. With the development of acute varieties of the disease are marked painful sensation even when performing minor physical activity. For the relief occurring pain the hand with the damaged joint is held fixed on the weight. In the process of development of the disease is marked swelling of the joint and the rounded contours of the shoulder. In the process of palpation occurs enhancing the pain.
In the case of chronic synovitis required to carry out the normalization of blood circulation and lymph circulation.
Synovitis of the joint is primarily manifested by the occurrence of fatigue of the upper extremities and pain when lifting the arms. To exclude complications of synovitis of the shoulder joint and treatment should begin immediately. In chronic synovitis occurs the accumulation of excessive synovial fluid in the joint cavity, as evidenced by the almost complete absence of changes in the contours of the shoulder. By touching the surface of the joint can cause pain.
First and foremost when carrying out remedial measures need to be addressed arising from the development of disease anatomical abnormalities and to perform correction of metabolic processes in the body. If necessary, a surgical intervention. The question of surgical intervention is solved in each case individually, taking into consideration the degree of existing joint damage, their nature, and many other factors. Need to know what operation is the initial stage of the treatment process, followed by adjustment of the medicines and rehabilitation. The first therapeutic measures with synovitis of the shoulder:
- the articular puncture with removal of synovial fluid;
- immobilization of the joint tight bandage.
Sometimes in the most severe variants may require fixation by a splint for about a week by applying cold. If the indications for long-term immobilization tight fixation of the joint is undesirable.
What medicines are recommended in exacerbations of
Effective method to prevent recurrence of the manifestations of synovitis can be considered the purpose of medical treatment, which neutralizes most of the reasons leading to the occurrence of relapses. The most effective is the use of ibuprofen, heparin, glucocorticoids. After 3-4 days of treatment using UHF, electrophoresis with lazonia or heparin, magnetotherapy. The increased flow of blood into the joint cavity, the use of heparin is contraindicated.
In the period of exacerbation with for comprehensive treatment is the relief of development of the inflammatory process. In identifying significant infiltration of synovial fluid used inhibitors of proteolytic enzymes, which contribute to the stabilization of lysosomal storage film and the reduction of its transmittance. Drugs, contributing to the stabilization of lysosomal storage film and reduce its transmittance, are trasilol or contrical.
The decrease in permeability is affected by the corticosteroids, which are used in small quantities. A treatment using this type drugs affect the inflammatory process and helps to restore the normal function of synovial area of the joint. In the absence of effect of conservative treatment is surgery.