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Traumatology: diseases — симптомы, диагностика и лечение

56 заболеваний · 40 clinics · page 5 of 6

Achilles tendon rupture
The Achilles tendon is the most powerful tendon in the body; it connects the calf muscle to the heel bone and is responsible for propulsion when walking, running and jumping. The rupture most often occurs suddenly, with a sharp start or jump, in people 30–50 years old who returned to sports after a break. The person feels a blow or click from behind above the heel, as if someone had hit him with a stick, and cannot stand on his toes. The pain is sometimes moderate, so the injury is often mistaken for a sprain. The missed gap heals with elongation, and the leg forever loses its repulsion force, so an examination by a traumatologist is needed in the first days.
МКБ-10: S86.0 12 clinics
Rotator cuff tear
The rotator cuff is a group of four muscles and their tendons that surround the head of the humerus, hold it in place and allow the arm to lift and rotate. Its rupture can be acute, after a fall on the hand or a jerk while lifting a weight, but much more often it develops gradually: the tendon wears out over the years and breaks from habitual movement. Typical complaints are pain in the shoulder, radiating along the outer surface of the arm, the inability to sleep on the affected side, and weakness when raising the arm above the head. Small tears can be successfully treated without surgery; large and acute tears in active people often require surgical repair.
МКБ-10: S46.0 12 clinics
Biceps tendon rupture
The biceps brachii muscle is attached by two tendons above, at the shoulder joint, and one below, to the radius bone of the forearm. A rupture can occur in any of these places, but the consequences are different. A rupture of the long head at the top usually occurs in people over fifty due to long-standing wear and tear of the tendon: the muscle slides down and forms a characteristic roll on the shoulder, and strength is almost not affected. Severance of the tendon below, at the elbow, more often occurs in middle-aged men with a sharp lifting of weight and leads to a noticeable loss of flexion strength and especially rotation of the forearm. This option usually requires surgery, and in the early stages.
МКБ-10: S46.2 12 clinics
Back muscle strain
A back strain is damage to muscle fibers and ligaments, most often in the lower back, due to sudden or unusual force. Typical situation: lifting weights with a round back, jerking while turning, falling or working in a bent position for a long time. In response to micro-tears, a protective muscle spasm occurs, which gives the main pain and the “stuck” feeling. This is one of the most common causes of acute back pain, and in the vast majority of cases it is not associated with a herniated disc or fracture. The pain is frightening in its severity, but with the right behavior it goes away in a few days, and full recovery takes a couple of weeks.
МКБ-10: S33.5 12 clinics
Wrist sprain
A wrist sprain is an injury to the fibers of the ligaments that connect the bones of the forearm and the small bones of the hand. Most often it occurs when falling on an outstretched arm, sudden hyperextension of the hand, as well as during sports with emphasis on the palms. The ligaments are partially torn, swelling appears around the joint, movements become painful, but the integrity of the bones is preserved. The main difficulty is that, in appearance, a sprain can easily be confused with a fracture, especially with a fracture of the scaphoid, which often gives modest symptoms and does not heal well without treatment. Therefore, if there is noticeable pain and swelling, you need to be examined by a traumatologist and x-rayed.
МКБ-10: S63.5 12 clinics
Knee sprain
A knee sprain is damage to the fibers of one or more ligaments that hold the joint stable. Most often, the internal collateral ligament is affected when there is a blow to the outside of the knee and the cruciate ligaments when the body is sharply turned on a fixed foot. The severity of the injury is assessed by degrees: from micro-tears without loss of stability to a complete rupture, in which the joint becomes loose. Immediately after the injury, the knee swells, hurts and bends worse, and when the cruciate ligament is damaged, many people hear a click and feel that the knee has twisted. Correct tactics in the first days and subsequent rehabilitation determine whether the knee will return to its previous load.
МКБ-10: S83.6 12 clinics
Sudeck's syndrome (complex regional pain syndrome)
Sudeck's syndrome, or complex regional pain syndrome, is a condition in which, after injury or surgery, pain in a limb does not decrease, but becomes disproportionately severe and spreads beyond the damaged area. Along with pain, swelling, changes in skin color and temperature, sweating, joint stiffness, and later, thinning of the skin and thinning of bone tissue appear. The reason is a malfunction of the nervous system and local regulation of blood vessels, and not a poorly healed fracture. The key point is time: the sooner active rehabilitation and pain relief are started, the higher the chance of full recovery. Prolonged immobility, on the contrary, aggravates the process.
МКБ-10: M89.0 11 clinics
Tetanus
Tetanus is caused by a bacterium whose spores live in soil, dust and the intestines of animals. It enters the body through a wound, especially a deep one, a puncture wound or one contaminated with soil, and in conditions without access to air it begins to release a toxin. This toxin acts on the nervous system and removes inhibition from motor neurons, causing muscles to contract powerfully and continuously. The disease begins with difficulty opening the mouth, followed by tension in the muscles of the face, back and abdomen and painful cramps that can impair breathing. Tetanus is very dangerous and difficult to treat, but it is completely preventable with vaccinations and proper wound treatment, so any serious injury should see a doctor.
МКБ-10: A35 11 clinics
Trauma (contusion) of the eye
Contusion is damage to the eye due to a blunt blow: from a ball, fist, elbow, traffic jam, branch, fall or accident. At the moment of impact, the eyeball contracts from front to back and expands to the sides, so not only the eyelids are affected, but also the internal structures: the iris, lens, retina, optic nerve. That is why the external picture is deceptive: a bruise and redness may be the only thing visible, while inside there is already a hemorrhage, a tear in the retina or a displacement of the lens. Some complications, such as glaucoma, appear months and years later. Therefore, after any serious blow, an examination of the fundus is necessary.
МКБ-10: S05.1 14 clinics
Brain contusion
A brain contusion is a traumatic brain injury in which the very substance of the brain is damaged: crush areas, minor hemorrhages and swelling occur. Unlike a concussion, changes are visible on a CT scan and the effects may last longer. The causes are usually serious: a fall from a height, a hit on a hard surface, a road injury, a sports collision, and in the elderly, a fall at home. Severity is determined by the duration of loss of consciousness, the patient's condition and CT data. Even a mild bruise requires medical supervision, because an intracranial hematoma can appear hours after the injury, when the person is already feeling better.
МКБ-10: S06.3 12 clinics
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