SYNOVIORTHESIS WITH RIFOCIN IN HEMOPHILIC ARTHOPATY
Battistella, L.R.; Souza,N; Lourenco, C (USP - Sao Paulo, SP, Brazil)
Patients that undertook Synoviorthesis with Rifocin have shown very stimulating medium term results.
Ever since 1988 we have been using a protocol consisting on arthrocen thesis, injection mobilization of the arthiculation, and a splint for 24 hours. In the nestsix days the patient maintain the physiotherapy (ultra sound and the Kinesiotherapy). The procedure has to be repeated every week during 6 weeks or more.
The results over 21 knee arthiculation patients, 1 elbow and 2 ankles were:
- 10 patients (approximately 80%) has GOOD to EXCELENT results
- 2 patients presented FAIR results and were sent to surgery
- 2 patients presented REGULAR results
- 1 patient left off
The conclusion of these studies were that the Rifocin can be considered an efficient alternative treatment for Chronical Synovitis.
DEGENERATIVE BONE AND JOINT CHANGES AND FUNCTIONAL DISORDERS OF THE MOVEMENT SYSTEM
Miloslay Kadlec / Postgraduate Medical School, Prague, Czech Rep./
Functional disorders in the movement system are commonly caused by:
1/ muscular imbalance, 2/ overloading by pressure or tension, 3/ movement limitation or hypermobility, 4/ excessive disproportion between demands on motion and on fixation / stability /.
Muscular imbalance is transmitted to tendons and muscle insertions, performing permanent tension on joint capsule. Just as it occurs after an injury from the changed afferent signalisation, movement limitation and/or pain results and the following metabolic changes tends towards the degenerative bone changes development / osteophytes /.
In a case of overloading of a part of bearing joint surfaces / obesity, axial deviation, professional conditions /, the cartilagineous layer becomes thinner as a result of asbest degeneration, but irritates the joint capsula in marginal area. A new bone formation results again. These changes tends to reduction of overloading. The marginal bone sclerosis we can see on vertebral bodies often in cases of ligamental insufficiency or hypermobility. It is necessary to consider s.c. degenerative changes on X-ray as a result of a struggle for compensation of the work-load in movement system. Even the marked changes of this type are not connected with painful disorders, if the movement system as a whole is in fair functional conditions.