periostitis
Introduction
Introduction to periostitis Periostitis is an infective periosteal injury caused by periosteal and periosteal vasodilatation, hyperemia, edema or subperiosteal hemorrhage, hematoma, periosteal hyperplasia and inflammatory changes caused by stress periosteal injury or purulent bacterial invasion. basic knowledge The proportion of illness: 0.006% Susceptible people: no specific population Mode of infection: non-infectious Complications: valgus valgus meningitis cerebral edema osteomyelitis meningitis
Cause
Cause of periostitis
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.
Prevention
Periostitis prevention
It is very important to prevent the occurrence of this disease. It is necessary to pay attention to the waist exercise, and to avoid the wind, cold, wet, work and rest, and the diet structure should be reasonable. Prevention should start from school, family, work and pre-employment training. It is necessary to understand the correct labor posture, pay attention to labor protection, avoid acceleration of lumbar disc degeneration and damage on the basis of lumbar disc degeneration.
1. Adhere to health checkups: Adolescents or staff should perform regular health checks and should check for congenital or idiopathic deformities of the spine. For workers engaged in intense waist exercise, such as athletes and acrobats, the back and back should be strengthened to prevent repeated damage.
2. Correct bad labor posture. Avoid sedentary standing for a long time.
3. Strengthen muscle exercise: Strong back muscles can prevent soft tissue damage in the lower back, exercise on the abdominal muscles and intercostal muscles, increase intra-abdominal pressure and intrathoracic pressure, which can help reduce lumbar load. For example, you can often do sports such as swimming.
4. Sleeping is one of the most important parts of people's lives. The suitability of the bed directly affects the health of the person. A soft mattress cannot maintain the normal curvature of the spine, so it is best to add a 10 cm thick cushion to the board.
5. Avoid overweight.
6. Keep warm.
Complication
Periostitis complications Complications, valgus meningitis, cerebral edema, osteomyelitis, meningitis
1, humeral periostitis hazard: joint function damage, muscle atrophy, joint deformation, and may even lead to disability.
2, orbital periostitis hazard: orbital periostitis can be damaged in the late stage, pus outflow, or recurrent episodes of fistula, severe cases can be combined to form scar valgus valgus, can also spread to the brain can be complicated by meningitis or cerebral edema life.
3, repeated attacks, pain is unbearable, seriously affecting patients' daily life and work.
4, induced other diseases, such as osteomyelitis, dead bones, meningitis, brain edema.
Symptom
Symptoms of periostitis common symptoms bone pain edema congestion diffuse periosteal thickening lateral foot pain proliferative periostitis stretching arm handshake pain wrist joint nodular protrusion sacral depression edema bone gas sputum
The symptoms are: local congestion and edema, unbearable pain, inflammation, pus, muscle atrophy, limited mobility.
Orbital periostitis: visual impairment, ocular protrusion, painful pus, red eye, eye movement disorder.
Periostitis of the tibia: inflammation of the tendon attached to the surface of the tendon; pain in the calf of the calf; redness and swelling.
Examine
Examination of periostitis
1. Local pain.
2, local congestion and edema.
3. Diagnostic examination of activity disorders.
4, symptoms and signs.
5, bone X-ray film.
6, laboratory inspection.
Diagnosis
Diagnosis and diagnosis of periostitis
diagnosis
It can be diagnosed based on symptoms and signs, bone X-rays and laboratory tests.
Differential diagnosis
Cellulitis
Symptoms of systemic poisoning are mild, local inflammation is extensive, and the range of tenderness is also large.
2. Acute septic arthritis
Swelling and tenderness are in the joint space and not at the bone end, and the joint movement is almost completely disappeared. When in doubt, the joint cavity puncture can be clearly diagnosed.
3. Rheumatoid arthritis
Generally, the condition is mild, the fever is low, the local symptoms are also mild, the lesion is in the joint, and there are often multiple joints involved.
