Symptom >> Surgical >> Orthopedics

Proliferative periostitis

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction The periosteum is composed of dense connective tissue, which is coated on the surface of the bone other than the articular surface, and has a plurality of fiber bundles extending into the bone. In addition, the tendons and ligaments attached to the bone are woven together with the periosteum at the attachment site. Therefore, the periosteum is very strong in binding to bone. The periosteum is rich in blood vessels and nerves and is distributed in the bone and bone marrow through the nourishing pores of the bone. The medullary cavity and cancellous mesh are also lined with a thin connective tissue membrane called endosteum. The inner layer of the periosteum and the endosteal have the ability to differentiate into osteoblasts and osteoclasts to form new Bone and destruction, transformation of the generated bone, so it is of great significance for the occurrence, growth and repair of bone. In childhood, osteoblasts in the periosteum can continuously produce new bone tissue, thicken the surface of the bone, make the bone thick, and heal after the fracture - bone regeneration, also depends on the osteoblasts of the periosteum. If the periosteal peeling is too much during surgery, the nutrition and regeneration of the bone will cause obstacles, affecting the healing of the fracture end and even causing bone necrosis. In the elderly, the periosteal thinning, the differentiation ability of osteoblasts and osteoclasts is weakened, and the repair function of the bone is reduced.

Cause

Cause

1. There are few physical activities, poor coordination of the body, sudden increase in exercise, training and running, technical skills are not good, movements are not correct, and in the sports field, the activity time is too long. After exerting force, the long-term communication of the calf muscles is in a state of tension, and the muscles are continuously involved, causing tears in the calf and periosteum to damage the periosteum and periosteal vasodilatation, congestion and edema, or subperiosteal hemorrhage, mesenteric periosteal hyperplasia and inflammatory changes.

2. Causes purulent bacterial infection after trauma.

Examine

an examination

Related inspection

Joint examination of bone and joint soft tissue CT

1. The tendon attached to the surface of the tibia is inflamed.

2, calf pain.

3, sometimes some swelling.

4. The cheekbone is hit.

5. When flexing the toes and ankle joints, the calf shank is painful.

6. The surface of the tibia may appear red.

Diagnosis

Differential diagnosis

1. Orbital periostitis, visual impairment, red eye, eyeball protrusion, eye pain, eye movement disorder.

2. Tibial periostitis: Periostitis of the tibia is usually defined by the presence of pain in front of the tibia. There are many causes of periostitis of the tibia. The common cause is the inflammatory reaction of the periosteum of the tibia, mainly because the muscles on the tibia receive excessive traction.