SU1178425A1 - Method of treatment of chronic traumatic bursitis - Google Patents

Abstract

A method for treating chronic traumatic bursitis by puncturing a joint bag, sucking the contents and filling the cavity with hydrocartisone, applying pressure bandage and plaster immobilization, characterized in that, in order to reduce the recurrence of the disease and shorten the treatment time, into the body of the unit, you can put the body into the cavity of the unit, in order to reduce the recurrence of the disease and shorten the treatment time, into the cavity of the unit, in order to reduce the recurrence of the disease and shorten the treatment , chymotrypsin and impose a vacuum system. (L 00 GS SP

Description

The invention relates to medicine, in particular to the sections of its traumatology and surgery.

The aim of the invention is to reduce the recurrence of the disease and reduce the duration of treatment.

FIG. 1 shows a scheme for implementing the method (general scheme); in fig. 2 - catheter; in fig. 3 - scheme of sealing the catheter.

Example. Sick Vorobyov V. Yu. 50 years old, worker, case history No. 723, was admitted to the casualty department on May 25, 1982 with a diagnosis of Chronic bursitis of the left elbow joint. Complaints on admission to the presence of a painless tumor formation in the area of the left elbow joint.

On examination, on the posterior surface of the left elbow joint, there was a formation of a size 3 x 3 cm of soft consistency, painless, without signs of inflammation. Blood test from 26 ma 82 g .: ESR - 5 mm / h, L - 8.8 10 U-1, p-2, s-75, L-18, M-4. Urinalysis from 26 ma 82 g .: Rh - sour, d - 1013, L - 1-2 in p / vision, pl. epit. unit. 26 ma 82 g. Treatment of the cavity of the bag with hormonal-enzyme preparations started. At 16 hours entered 5000 units. heparin. At 20 hours, 64 units were introduced. lidaza, diluted in 1 ml of a 0.5% solution of novocaine. At 24 hours, 10 mg of chymotrypsin diluted in 1 ml of a 0.5 / novocaine solution was administered.

22 ma 82 at 12 o'clock - the operation of vacuum drainage of the bursa. After processing the operative field twice with iodine tincture under local anesthesia with 1-5; 0 / novocaine solution, a puncture was made with a 2.5 mm diameter trocar in the lowest part of the transitional folds of the bag 1. Up to 10 ml of bloody fluid exuded. A vinyl chloride catheter 2 was inserted through the trocar tube (inner diameter 1.5 mm, outer 2.2 ml with holes applied to the entire submerged part (Fig. 2). The bursa is completely covered with a catheter along the diameter. 2 mm indent around the tube in place of the injection site four stitches of a purse string suture, which is tightened with reduced tension around the catheter (Fig. 3). The latter is fixed to the ends of the filaments from the string suture. The puncture site and suture is dried and smeared with alcohol twice

The catheter is connected through an adapter to a metal cannula 4 of the Boar apparatus inserted into the rubber tube 5. After the pouch suture dries, the puncture site with it and the adjacent part of the catheter (Fig. 3) is smeared with medical glue "Furaplast (for sealing).

Upon drying, the glue in the can 6 of the Hog apparatus, filled 1/4 with a 1: 5000 furatsilin solution, was created through a suction tube 7 using a vacuum suction pump (-0.3 mp). The discharge and suction tubes collapsed to almost complete contact of the walls. The end of the suction tube is pinched; a styptic clamp 8 is applied to the clamping point. The air leaks are not detected. Bag completely slept. Diligence walls tight. The location of the needle is re-lubricated with Furaplast. The transitional part of the discharge tube is fixed to the forearm by 5 three rounds of the bandage. Place vcol covered with a napkin. Superimposed rear gypsum laigeta with a hole of size 5 X 5 cm in the area of vcol in the bag.

5 29 ma 82 g. Condition satisfactory. Gypsum dressing is comfortable. A rubber tube having fallen off, a seam without inflammation.

31 ma 82. No complaints, vcol place without inflammation. There is no air leaks. A bag

0 spawning with.

June 2, 82. The plaster belt is intact, the bag is not palpable, the tubes (rubber) are collapsed.

June 4, 82 No complaints. There is no inflammation in the projection of the bag. Free fluid is not

 is determined. The catheter has been removed. An alcohol dressing is applied to the wound at the site of injection. Gypsum dressing bag.

June 5, 82 No complaints. Bursa is absent. The range of motion in the elbow is full. A wound measuring 3 X 3 mm under a scab. The eschar is smeared with an alcohol solution of brilliant green and glue “Furaplast. The package is not superimposed. The patient was discharged to work from 6 June 82.

The duration of treatment for this patient was

 12 days. On examination, July 8, 82, the patient does not make any complaints, works according to his specialty. Bursa is absent. The patient is satisfied with the result of the operation.

FIG. 2

Claims (1)

METHOD FOR TREATING CHRONIC INJURY BURSITIS by puncture of the joint bag, suctioning the contents and filling the cavity with hydrocartisone, applying a pressure dressing and gypsum immobilization, characterized in that, in order to reduce the recurrence of the disease and shorten the treatment time, they are introduced into the cavity of the joint bag in therapeutic doses of lidase, impose a vacuum system. FIG. 1