Tendinopathy

Introduction to rickets The rickets were first proposed by German scholars in the 1940s. In 1986, Perugia pointed out in his book: "The term "inflammation" is used as a suffix to describe the degenerative changes of sputum tissue. Therefore, when doctors use treatment, the main goal should block collagen decomposition, rather than anti-inflammatory, which requires a considerable period of rest and treatment to block the cycle of rickets, promote collagen production and maturation, and restore tendon tension. And functional strength. basic knowledge The proportion of illness: 0.02% Susceptible people: no special people Mode of infection: non-infectious Complications: osteoarthritis

Cause of rickets

(1) Causes of the disease

Due to the high-intensity military training and physical exercise, the degenerative lesions of the tendon collagen fibers caused by repeated intense pulling are caused.

(two) pathogenesis

According to the observation of pathological specimens of surgical tendons, whether in the Achilles tendon, ankle, rotator cuff, or in the iliac crest, the pathological results of the naked eye are quite consistent. The appearance of the "caries" specimen is gray, slightly brownish yellow, degenerate. Fish-like degeneration, soft, and normal sputum tissue is white, shiny, solid, under the light microscope, collagen continuity of rickets is interrupted, collagen structure is loose, glassy change occurs, tidal scale up or calcification, under polarized light microscope Normal collagen is yellow reflective, the diseased collagen becomes green and dull, and the structure is disordered (Fig. 1). The sputum matrix, blood vessels and cellular components in the diseased tissue increase, and these cells are mainly derived from fibroblasts and myofibroblasts. Inflammatory cells.

Rickets prevention

Reducing high-intensity military training and sports can reduce the incidence of this disease.

1. Eliminate and reduce or avoid the disease factors, improve the living environment, improve the development of good habits, prevent infection, pay attention to food hygiene, and rational diet.

2. Pay attention to exercise, increase the body's ability to resist disease, do not fatigue, excessive consumption, quit smoking and alcohol. Maintain a balance of mind and overcome anxiety and tension.

3. Early detection and early diagnosis of the primary disease, establish confidence in the fight against disease, adhere to treatment.

Complications of rickets Complications osteoarthritis

Concurrent osteoarthritis, some immune diseases, and even infections may also be caused.

Some occupations that require long-term repeated strained joints, such as typists, instrumentalists, cargo handling, or industries that require long periods of computer operation, can cause or exacerbate the disease. Common affected areas include wrists, fingers, shoulders and other positions.

Women and diabetics are more susceptible to this disease. The patient will feel joint pain, morning stiffness, and usually the feeling of morning stiffness of the joint is most obvious after getting up, and the symptoms will not be relieved obviously with frequent activities. The affected joints are swollen and even bounced, and joint movement is impaired.

Symptoms of rickets Common symptoms or ......

Rickets are mainly characterized by local pain, tenderness, thickening of tendons or tendons, dysfunction due to exercise pain, and X-ray manifestations of thickening or calcification at the sputum or sputum (Fig. 2). MRI is helpful in diagnosis. In the T2-weighted image, the lesion tissue at the junction of the iliac crest and the bone is shown as a high-density signal, and the ultrasound can show a low echogenic region change in the lesion sputum tissue.

Rickets check

The X-ray showed thickening or calcification at the sputum or sputum. MRI was helpful for diagnosis. In the T2-weighted image, the lesion tissue at the junction of the iliac crest and the bone showed a high-density signal, and the ultrasound showed a low echo in the lesion. District changes.

Diagnosis of rickets

Rickets need to be distinguished from tendonitis. Tendinitis is quite rare. It often occurs in combination with rickets in Achilles tendon or sputum. It is inflammation of the outer layer of sputum. Whether it is synovial or not, it usually has intraorbital lesions. Relatedly, in some cases, it is often possible to touch friction sounds. It is clinically difficult to distinguish rickets from rare tendonitis. Since there are quite a few rickets, the author suggests that they should be treated as rickets.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.