Under synovitis of the shoulder joint understandinginflammation, located on the inner side of the joint capsule, a thin layer of connective tissue, characterized by changes in the composition and accumulation of joint fluid effusion in the joint cavity. There is usually an inflammation in one joint, bilateral disease is extremely rare.
For an isolated synovitis in general and inflammationshoulder joint in particular, the absence of lesions typical of other joint membranes. As one of the signs of synovitis is present in arthritis, osteoarthritis secondary shoulder. Treatment of the disease in this case will imply only for relief of synovitis and recovery of other joint tissues.
Most often it develops as a result of synovitisacute or chronic shoulder injury. This may be injuries, joint sprains or broken bones that constitute it. As a result of the injury the synovium begins to produce a large number of synovial fluid, which in the cluster in the glenoid cavity causes stretching of the joint capsule and an increase in joint volume.
Chronic injury of the shoulder joint as the causesynovitis and, by the way, as well as secondary osteoarthritis, most often diagnosed in athletes and manual workers who are forced by virtue of their professional activities constantly perform repetitive hand movements, for example, painters, plasterers, tennis players, throwers. Traumatic usually chronic synovitis, there is no apparent joint damage in this case, but the injury of the articular cartilage, synovial membrane irritation "fragments" of cartilage, ligament apparatus failure. Treatment of synovitis of the shoulder joint in this case involves the elimination of the destructive effects of trauma.
Less common infectious synovitis of the shoulderjoint treatment is aimed primarily at fighting infection, can occur as a continuation of traumatic when the infection gets into the joint from the surrounding tissues. Sometimes the microorganisms are brought into the joint from distant foci.
Inflammation of the synovium isaseptic character and develops in neurogenic disorders, allergy or injury. By aseptic forms refers synovitis at such disease as primary or secondary osteoarthritis, rheumatoid arthritis, gout.
In its current synovitis may be acute andchronic. Acute inflammation is characterized by pain in the joint at the slightest movement. Because of the pain is limited to the range of motion in the joint, which causes the arm to keep the canopy in half-bent position. The shoulder joint is markedly swells, shoulder becomes rounded, smoothed all bony prominences. joint palpation causes increased pain.
In chronic synovitis caused by changesviolation of lymph and blood circulation in the area of the joint, during the treatment of chronic synovitis eliminated these violations. The main manifestation of the disease becomes a hand fatigue, heaviness and pain that occurs during attempts to raise his hand up.
Synovitis leads to complications in the absence oftreatment. Shoulder arthritis develops due to violations of exchange of the synovium and degenerative changes in the articular cartilage, when the patient is difficult to even raise his hand for a handshake.
Chronic synovitis is not accompanied by the accumulation of fluid in the joint cavity, so its contours remain virtually unchanged, there is only tenderness.
In acute synovitis of the shoulder joint treatment includes:
- joint puncture and removal of exudate;
- via joint immobilization tire dressings;
- drug therapy, in particular the appointment of nonsteroidal anti-inflammatory drugs;
- in infectious synovitis shows antibacterial therapy.
Treatment of chronic synovitis resembles treatmenthumeral osteoarthritis and includes the administration of non-steroidal anti-inflammatory drugs and physical therapy in the acute stage, massage, gym, as well as reducing drug therapy in remission.
In the absence of effect of conservative treatment of chronic synovitis is a shoulder operation.