SURGICAL DISEASES, TRAUMATOLOGY, ORTHOPEDICS, UROLOGY : THE BREAKS AND RUPTURES OF TENDONS (RUPTURAE TENDINUM) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Tendon injuries occur in open and in closed injuries to the tendon attachment or length (cut, cut, lacerated and contused wounds). Often these injuries are on the fingers, wrist, forearm and in the Achilles tendon due to a sharp sudden contraction of the muscles. Common sports injuries (breaks and ruptures of the biceps shoulder, quadriceps femoris, the Achilles tendon). When vaticanii fingers on any subject usually break the back of the extensor aponeurosis of the fingers near their attachment to the nail phalanx.
Symptoms. When rupture of the tendons of the extensor - flexor contracture violation of active extension. If damaged flexor - extensor contracture; lack of active flexion of the leg. At break and tear tendons powerful muscles (biceps shoulder, quadriceps hip, Achilles tendon) found a depression at the site of the tendon, increasing in volume, subcutaneous swelling diminished muscle.
For. Active movement in the respective joints are missing, is maintained by a forced position of the limb develops stiffness, muscle atrophy.
Recognition on the basis of anamnestic data, conditions and disorders of function of the leg.
To avoid the development of persistent changes (contractures) - early operative intervention.
With open injury - debridement and suturing the damaged tendon; contraindication to the tendon suture is sharp contamination of the wound and the tendons, the presence of simultaneous injuries of bones and joints. Fracture treatment requires a lasting peace, which delays the application of the early movements which are necessary for the treatment of injuries to the tendons. In these cases, the restoration of the tendon is made after complete wound healing. In subcutaneous rupture appropriate early operative intervention (stapling or plastic tendon).