Paratenonitis Crepitant

Crepitating paratenonitis is a disease that occurs due to inflammation of the tendon and is accompanied by crepitus (crunching). This is a fairly rare disease, but it can lead to serious consequences, such as limited joint mobility and even disability.

Paratenonitis can occur due to injury, infection, or other causes. Symptoms of the disease may include pain, swelling, redness of the skin and crepitus. In some cases, there may be an increase in body temperature and general malaise.

Anti-inflammatory drugs, antibiotics, physiotherapy and other treatment methods are used to treat crepitant paratenonitis. It is important to consult a doctor promptly to diagnose and treat the disease in order to avoid serious complications.

Crepey paratenonitis is an acute purulent inflammation of the tissue surrounding the tendons or aponeuroses. The occurrence of a process in the tendon is associated with the presence of microbes in it that enter the tissue through the wound surface during injuries or purulent processes in adjacent bones or joints. The main source of infection in the tendon is the paratenon, where inflammatory changes usually occur. The formation of pus is explained by the frequent flow of synovial fluid through the pores in the fibrous membrane of the tendon into the surrounding tissue. Hyperthermia up to 38–40°C, local swelling and severe pain in the area of ​​the affected tendon are noted. Hygroma often develops. The overall body temperature increases. The skin over the joint area is red and hot. It is possible to develop purulent bursitis due to the spread of the inflammatory process along the synovial tendon sheath to nearby bursae. Movements in the joint are sharply painful, almost impossible, its fluctuation quickly develops, then a characteristic sign of inflammation appears - a “crunch” on palpation, characterized by the fact that when you press on one side of the skin over the affected tendon, a crunching sensation occurs, and when it is slightly stretched, a cracking sound is heard . With the development of the pathological process, hyperemia of the skin occurs over the source of inflammation, upon palpation of which a subcutaneous soft tissue formation is determined. The skin over it is hot, swollen, tense, its mobility is limited, according to the immobility of the tendons in this area. With a pronounced process and intoxication, pain in the abdomen, muscles, liver, and heart is possible (with symptoms of phlebitis). Treatment: primary surgical treatment of the purulent focus followed by careful drainage. If there are no leaks and the effusion is reducible, the wound is extensively drained for more complete removal of pus. Antibiotic therapy is carried out according to general principles, taking into account the sensitivity of the wound microflora to antibiotics and a blood test to determine inflammatory indicators, physiotherapeutic procedures are used, including ultrasound. For local treatment, gel and other ointment-free products (Stellanin, Betadine) have proven themselves well.