Tendons brushes: anatomical features of inflammation, damage and stretching
Inflammation of the tendon of the brush is very common among people. It is characterized by soreness and stiffness in the joint. Disease associated with inflammation of tendons is called tendonitis.
Anatomical features of the tendons of the brush
What is a tendon? This muscle, which has higher density and lack of elasticity. Thanks to the tendons, muscles are attached to bone. If the integrity of the tendon is disturbed, it drops any function.
To ensure movement of the fingers requires the tendons of the flexors and extensors of the fingers. Groups of flexors of fingers placed on the palm and extensor — on the back of the fingers. The damaging of tendons of flexors of fingers hard to cure.
Each finger has 2 tendons of flexor. One is superficial, the other in the deeper layers of the muscles. Deep is attached to the nail phalanges. He is responsible for the flexion of the finger. The superficial flexor attaches to the middle phalanx. It has 2 legs.
Between 2 legs is a deep flexor. Damage to the tendons of the flexors of the fingers leads to tightening of the tendon end, located proximally. Therefore, to find the ends of the rupture of the tendon is very difficult.
If damage to the extensor, the tendon is practically undisturbed. This is a huge plus during a surgical operation. This is the anatomy of the tendons.
The etiology of tendonitis: causes and symptoms
There are several reasons for the development of inflammatory processes of the tendon of the brush:
Big load on the articular surface for a long time. As a result of prolonged loading suffer greatly the places where muscles attached. In this regard, it is noted, the spread of this disease among people involved in sports and construction activities.
The inflammatory response from the body when tendinite is a proper response to irritation.
The symptoms depend on what area was injured tendons. It is important that the degree of contamination of the wound surface and the number of the affected tissues. If the wound is clean and smooth (such wounds are usually applied by a sharp instrument), no damage to major blood vessels, the doctor makes a primary suture on the tendon. Healing for damaged flexor tendons depends on early requests for assistance. Then there is a high probability that the function of the tendon will be restored. The best time for surgical intervention as the first 6 hours after injury of the tendons of the flexors or extensors. But primary closure can be performed during the first 24 hours.
The disease manifests with the following symptoms:
Classification of tendinitis: principal
Inflammation may involve any limb and arm and a leg. There are places in which tendonitis is most common. The localization of the disease gives the disease a new symptoms and features. Therapeutic measures directly depend on the localization of the inflammatory focus.
Tendonitis of the shoulder joints. Lesions of the tendons of the shoulder joint appears due to rupture of the muscular capsule. The reason for the gap is an external trauma or impact to the bones of the shoulder joint. The formation of tendonitis supraspinatus muscle. If it is damaged, the tendons start to shrink and tear. The range of motion in the joint is not violated. Restriction of movement can cause: capsulitis, synovitis, arthritis. Rupture of tendons of the shoulder joint requires immediate medical intervention.
There are other varieties of tendinitis, but they are rare:
- tendonitis of the hip joints;
- tendonitis of the knee.
Diagnostic measures and treatment
Tendonitis, or inflammation of the tendon can be diagnosed using the following methods:
The symptoms resemble tendinitis such diseases as sprains, tendons. Timely begun treatment events of the patient’s condition improved significantly after 3 days. The final recovery can be expected in 1-1.5 months.
The prognosis is favorable. Complications are rare. Therapeutic measures consist of conservative treatments. To surgical methods resorted to only in extreme cases.
Damage to the tendons, located on the brush — it is an injury that occurs as a result of open or closed hand injuries. The most common degloving injury of hand result:
- incised wounds;
- penetration of the hand moving mechanisms;
Damage to the tendons of the extensor brush is much rarer. The leading goal of surgeons for any damage to the tendons of the brush is the reestablishment of the fingers on the hand. To see a specialist you need within 24 hours. It is desirable that the wound was clean. If the wound is very dirty or the patient is not addressed in time for help, the seam on the tendon is applied after a certain period of time.
Surgery aimed at restoring the functioning of fingers, is considered very serious. Surgical intervention is the application of microsurgical techniques. The operation is performed «under the wires». Doctors try to minimize traumatic damage to surrounding tissue. The analgesia produced locally. General anesthesia is undesirable, as the surgeon asks the patient to compress, decompress fingers. It will be necessary for control of correctness of connections of the tendons of the flexor and extensor muscles. After the surgery, the doctor needs to fix the operated limb by using plaster splints.
If the patient’s wound multiplied nature, abundant contamination of the wound surface, the running and seek medical help, the doctor makes a delayed secondary suture on the tendon.
The types of injuries of the tendons of the brush:
Stretching: types and methods of treatment
In addition to the breaks, can be observed and the stretching of the tendons. Sprain there are 3 stages:
- Stage 1 — occurs in the tendons of micronation;
- Stage 2 — tension is replaced by a partial tear of the tendons;
- Stage 3 — rupture of the ligaments.
Stretching of the ligaments involves first aid:
A sprain is treated by 2 ways:
- gypsum Longuet.
At 1 and 2 stage stretching successfully treated at home.