Hygroma - cystic benign, is a capsule filled with a clear jelly-like contents.Clinically it is sedentary rounded dense tumor, covered with normal skin from 5 to 30 millimeters or more in diameter
The cause of education today is not fully understood.Often can be traced due to excessive exercise or trauma, but often hygroma occurs for no apparent reason.In some cases, this cystic formation may be caused by chronic inflammatory lesions of synovial bags that surround the joint (bursitis), or attached to the joint tendon (tenosynovitis).Most often hygroma develops in places that are exposed to prolonged pressure or constant trauma (professional activity, badly matched shoes and so on.).Most susceptible to mechanical stress superficial bursa (rear side of the foot, the back surface of the wrist joint), so the risk of hygroma in these areas is greatest.Men are more likely to develop hygroma.Due to the fact that the hygroma is directly related to the joint, ther
Hygroma can exist in the human body long enough period of time without causing it any discomfort.Often, people live their entire life with this cystic formation, without paying any attention to him completely.On the surgical removal hygroma should think only when it begins to cause discomfort, causing pain during movement, is unsightly, or in the case of an active increase in size
occurring at hygroma changes in tissues
Most often hygromaproceeds as dropsy of the bursa with slightly pronounced inflammation.To the liquid inside hygroma can sometimes mingled blood.The walls of the education usually thickened, fused with the surrounding tissue and cartilage are often density.
in the inflammatory stage of the inner surface of the bag is covered by cellular growths, thereby forming a jumper, pockets and cords, which are divided into separate chambers cavity bag.Small hygroma usually filled with a dense mass, while large - with a mixture of serous fluid crystals cholesterol and blood
If the formation of relatively small size, usually from the patient does not receive complaints.As the hygroma in size, in the area of the stretched bursa appears dull pain that increases with exercise.Due to the compression of the tumor blood vessels and nerves, developing sensory disturbances, stagnation of blood in the veins and pain along the nerves.
Skin over hygroma in some cases, rough and thickened, and in others still and smooth.In the absence of inflammation in the walls of the bursa, palpation hygroma looks like slips when probing, soft-elastic round a bit painful education.
a result of injury, or in the case of spontaneous dissection hygroma, formed through the outlet starts to separate its contents.Upon accession of infection appear local and general signs of inflammation: swelling, redness, and so on. In spite of the fact that quite a long time hygroma may not cause any discomfort, over time, often still appear pain, forcing patients to see a doctor.
In the case of the typical superficial, hygroma diagnosis presents no difficulties.In some cases, necessary to carry out differential diagnosis aneurysm artery, abscess, some malignant and benign tumors.To eliminate these diseases is shown holding x-ray
At the initial stage of the disease, treatments to reduce the use of paraffin and mud applications, thermal and physical therapy (ultraviolet irradiation, electrophoresis with iodine).Effectively proven repeated puncture (puncture) hygromas followed by aspiration of content and the introduction in the cavity of glucocorticoid hormones.This is followed by tight bandaging.This treatment is effective only in case of a possible long-term leave from work, which is associated with a continuous trauma to the affected bursa.In most cases, the cavity at a time decreases, but sincesheath hygroma remains in place, with the time fluid begins to accumulate in it again.
If festering hygroma, held its puncture with aspiration of pus and the introduction of antibiotics in the cavity.If necessary, the tumor is opened, and the bursa scrape sharp spoon, and then drain the wound.
In the case of the fugitive, or unsuccessful results of conservative treatment (hygroma motion causes pain, is unsightly, is growing rapidly), shows the total excision of the bursa (bursectomy).How to prevent possible recurrence of the disease (to limit movement in the joint) after surgery for 15-20 days imposed gypsum.
hygromas Prevention is carrying out activities excluding continuous trauma during certain parts of the body, wearing a well-matched prostheses and comfortable shoes, as well as in the treatment of contributing to the emergence of diseases hygromas.