Osteitis Rheumatic

A. Rheumaticum (rheumatic osteitis) is an acute infectious and inflammatory disease that occurs in the synovium and subchondral bone. Penetration of the microorganism into the joint tissue occurs more often through the skin at the site of foreign body penetration or after traumatic effects as a result of overstretching of the joint capsule. The most common manifestation of the disease is acute or chronic pain of varying intensity in the knee and ankle joints; other joints are less commonly affected, most often the knees. The development of the disease is associated with previous trauma. The disease begins acutely or subacutely. On examination, lameness is determined. The pain syndrome, as a rule, is moderate and is of a mixed nature: aching or aching pain in the evening or at night in the affected joint. Palpation of the most painful areas is sometimes painful. O.Ruminativus can also occur sporadically; the epidemic course is observed in rheumatic fever and accompanies attacks of rheumatism. In the clinical course of the disease, three degrees of severity of clinical manifestations and complaints of patients can be distinguished: the first differs in minimal