stiff
Introduction
Introduction to zombie It is osteoarthritis of the first metatarsophalangeal joint. Extremely common, due to excessive internal rotation (pronation), toe outward deviation ( valgus), first humeral dorsiflexion (high tibia), or first tibia length increase or inward bias. Early treatment used passive exercise and toe traction to increase joint activity. Infusion of lidocaine around the joint relieves pain and reduces muscle spasms, thereby increasing joint activity. Intra-articular injections of insoluble steroids and local anesthetics are also effective on joint pain contacts. Stabilization of the early foot restores the normal position and function of the tibia. In cases where conservative treatment is ineffective, restricting exercise can reduce pain by using a special foot orthosis and footwear. Surgery may be required when the above treatment fails. basic knowledge The proportion of sickness: 0.1% - 0.5% Susceptible people: no special people Mode of infection: non-infectious Complications: synovitis
Cause
Zombie cause
Cause:
Often due to the variation of the position of the metatarsal, due to excessive internal rotation (pre-spin), toe outward deviation ( valgus), dorsiflexion of the tibia (high tibia), or increase in the length of the tibia or inward deviation, occasionally Trauma is also a cause.
Prevention
Zombie prevention
1. The patient takes the sitting position and presses the Kunlun point with the fingertip of the ipsilateral or healthy thumb or middle finger to press the lightly and heavy pressure for a minute to make the local acid swelling.
2, the patient's position as before using the thumb of the thumb in the Kunlun point to ring -minute to make the local feel comfortable.
3, the patient's position as before using the same side of the thumb and other fingers in the affected area to pinch and repeatedly pinch the position to feel comfortable.
4, usually pay attention to life, to avoid causing trauma, pay attention to protect yourself.
5, strengthen nutrition, choose foods that are easy to digest, contain enough calories, protein and vitamins. Such as porridge, milk, soft rice, soy milk, eggs, lean meat, fresh vegetables and fruits rich in vitamins A, B, C. These foods enhance the body's resistance and help repair damaged tissue.
Complication
Stale complications Complications Synovitis
The formation of exogenous osteophytes, joint activity begins to be limited, the patient can not bend the ankle joint secondary synovial membrane secondary injury when walking.
Symptom
Symptoms of zombie Common symptoms Joint swelling, bone spurs, joint pain
According to the enlargement of the first metatarsophalangeal joint, the movement is limited, the joint capsule has tenderness (especially the lateral side), and the increase of the dorsiflexion of the distal phalanx can be confirmed. X-ray examination of the lateral diseased dorsal hernia showed lateral spurs, and lateral X-ray examination showed exogenous osteophytes protruding from the humeral head. The medical history should include information about the onset of acute gout arthritis, as chronic conditions can cause pain and swelling in the first metatarsophalangeal joint.
Examine
Stiff test
According to the enlargement of the metatarsophalangeal joint, the movement is limited, the joint capsule has tenderness (especially the lateral side), and the increase of the dorsiflexion of the distal phalanx can confirm the lateral sacral position of the advanced diseased side. The X-ray examination shows the lateral spur, and the lateral X-ray examination can be seen. Exogenous epiphysis protrudes from the humeral head on the dorsal side.
Diagnosis
Zombie diagnosis
diagnosis
Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.
Differential diagnosis
Need to be differentiated from gout arthritis. It is difficult to be painful for paroxysmal soreness. For X-ray manifestations of paroxysmal gout arthritis: soft tissue swelling near the joints in the acute phase, worm-like appearance at the edge of the joint or the increase in bone density around the perforation-like defect. A typical arthritis image with severe bone destruction can cause a few deformities to be stiff.
