soft tissue swelling
Introduction
Introduction Human soft tissue injury is a common and frequently-occurring disease in the human motor system. Soft tissue swelling is one of the clinical manifestations of soft tissue injury. The joint capsule and its surrounding soft tissue are enlarged due to factors such as congestion, edema, hemorrhage and hyperplasia of inflammation. The X-ray film showed soft tissue bulging around the joint, the density increased, and the image of the muscle fat layer or fat pad around the joint disappeared. This change is often a common sign of various early arthritis, a non-characteristic manifestation.
Cause
Cause
A sprain, contusion, puncture or impact injury caused by bleeding or (and) inflammatory reaction in the soft tissue of the body.
Examine
an examination
Related inspection
CT examination of bone and joint and soft tissue X-ray lipiodol
1. Inquire about the time, cause and injury of the injury, whether it is a crush injury, whether there is urine closure, oliguria and hematuria after the injury; what kind of treatment has been treated, and how effective it is.
2. Pay attention to the presence or absence of shock or other parts of the body, with or without crush syndrome (acute renal failure characterized by limb or trunk swelling, myoglobinuria and hyperkalemia).
3. Investigate the injured part, pay attention to the size, shape, bleeding, degree of injury and extent of the wound, whether the skin has ecchymoses, blisters, whether the skin temperature changes, the circulation of the finger (toe), and whether the muscle is ischemic. Necrosis, whether the injured limb is swollen, the skin is tight and hard, can be active, and there is no sensory disturbance.
4. Severe trauma (including crush injury) or severe systemic symptoms should be checked daily for blood and urine routine, and urine volume should be recorded. If necessary, blood and urine biochemical tests (including myoglobin), electrocardiogram and renal function should be performed.
Diagnosis
Differential diagnosis
1. Soft tissue injury refers to the damage of muscles, ligaments, fascia, tendons, synovium, fat, joint capsule and other tissues outside the skin of the human body's motor system, as well as peripheral nerves and blood vessels. These tissues are affected by different internal traumatic factors, resulting in tissue damage and tissue dysfunction.
2, soft tissue contusion is generally affected by the external institutional stress, when a certain intensity is reached to induce damage, resulting in symptoms. Generally can be divided into two categories of acute injury and chronic accumulation damage. When soft tissue is damaged by blunt or sharp violence, it can cause contusion or (and) laceration of local soft tissues, including skin, subcutaneous tissue, muscle, which contains nerves, blood vessels, and lymphoid tissues.
