Система Orphus

Symptoms of disease - pain in arm

Forearm (antebachium) - part of the upper limbs, limited door and radiocarpal joints.

The skin of the back surface of the forearm thicker, than on the Palmar surface of flexible, easy to be taken in the fold, has hair. Own fascia of the forearm from all sides covers the muscles, bones, vascular nerve education, forming a 3 fascial space: front, front and outside back, which divided by a fascial partitions, attach to the bone.

Bone basis of the forearm are the radial and ulnar bones, mating in the proximal, distal radioulnar joints. Epiphysis of x-ray and elbow bones strengthened ties, and diaphysis connected interosseous membrane. The anatomical structure of the forearm gives the opportunity to make the movement of x-ray bone around the elbow outwards (supination) inwards (pronation).

In front fascial Lodge is located front the group of muscles that form a four layers: the first layer of the round pronator (muscle, the rotating brush inside), radiation bender wrist, a long palm muscle; the second layer is the surface bender fingers, flexing proximal and the middle phalanx of the II-V of the fingers and hands; the third layer is a deep bender fingers, long bender thumb brushes, flexing nail phalanxes of fingers and hands; the fourth layer - square pronator for rotating brush inside. In the outer fascial Lodge is located outside the group of muscles: brachioradialis muscle, the long and the short beam extensors wrists.

In the fascial bed in two layers is back group of muscles: the first layer - ulnar arm, elbow wrist extensor, unbend brush and discharge it in the ulnar side, extensor little finger extensor fingers, unbend II-V wrist and fingers; the second layer - instep-raiser (muscle, the rotating brush out), extensor index finger, short and long extensor of thumb brushes, long arm, gives the big finger of the hand.

The blood supply of the forearm provide radial and ulnar artery. Venous outflow is due to the superficial and deep veins, lymph drainage - on the surface; deep lymphatic vessels in the elbows and axillary lymph nodes. The front group of muscles Innervate the middle and partly ulnar nerves, rear - ray nerve.

The pain in arm - a common complaint treated patients to doctors of various specialties. Variety of reasons, causing the pain in arm, determines the complexity of their diagnostics and treatment.



Which diseases there is pain in arm

Causes of pain in the arm:

- Pain in the arm can cause traumatic injury of the elbow and ankle joint (dislocations, fractures), the muscles of the forearm.
Distinguish between closed and open damage to the forearm. In severe contusion, subcutaneous torn muscles and closed fractures of the forearm can develop subfascial hematomas (subfascial hypertensive syndrome), leading to compression of vessels, nerve trunks of muscles, which manifests itself in distal limbs with a violation of the functions and skin sensitivity in the area of the wrist.
Subcutaneous tendon rupture and forearm muscles are rare. The full and partial their injuries observed local pain in arm, hematoma, the functions of the hands and fingers.

- Chronic overstrain of the muscles of the forearm, for example in the process of professional activity, often leads to the development of dystrophic process. The disease manifests pain aching character in the forearm, increasing the compression of the fingers in his hand, movements in wrist joint. Muscle tone is raised, palpation painful.

- In severe monotonous work can occur aseptic tendovaginitis tendons of the forearm, often extensors of the fingers. They are pain in the arm movements of the fingers, sometimes determined by the crackling sound when (tenalgia crepitans).

- Purulent tendovaginitis are usually complication panaritium or phlegmon brush and can be accompanied by purulent meltdown tissues with a break of pus in the space of Pirogov (between square pronator, interosseous membrane and the two bones of the forearm). There are of high body temperature, swelling, hyperemia skin and sharp pain in his arm at a palpation, a restriction or lack of movements of the fingers of the hand.

- Carpal tunnel syndrome is characterized by the seal of the transverse ligament and narrowing of the channel of the wrist. Thus there is a compression of the median nerve, the flexor tendons and blood vessels of the brush. Typical night paresthesia and pain in his arm.

- Myositis, tenalgia crepitans (usually the left forearm) are found in polishers, grinders carpenters, farriers, etc. Proceed subacutely (2-3 weeks). The pain in his arm burning, compounded during the work, muscle and point its attachment are painful, there is swelling, crackling sound when. Посмотрите порно со взрослой , потому что взрослые умеют много чего в постели.

- Reflex neurodystrophic and neurovascular syndromes. When these syndromes source of pain impulses are receptors of the fibrous ring slipped disc, the posterior longitudinal ligaments, capsules joints and etc. The pain has several patterns: aching in nature, irradiation in the neck, shoulder, arm and hand, increased pain with movement of the neck or the long-term late voltage.

- Pain in the arm can be one of the manifestations of the syndrome of the front staircase muscles (scalenus - syndrome, Naffziger's symptom) or syndrome pectoralis minor muscle. In both cases, the clinical picture is conditioned reflex muscle-tonic violations in the staircase or the pectoralis minor muscle and related compression brachial plexus and subclavian arteries. The main manifestations of pain and swelling in his hand, later joined by hypalgesia and weakness in ulnar located muscles of the hand and forearm.

The defeat of the lower portion of the shoulder plexus (plexopathy) due to injury, tumor formation or radiation therapy, which leads to the development of Dejerine Klumpke's syndrome which is characterized by the palsy of the hand and fingers, hypoesthesia on the internal surface of the forearm.

- Compression of the median nerve in the field of round pronator is accompanied by a sharp pain in his arm, irradiate in his fingers, as well as sensitive disorders.

- Neuropathy to the radial nerve. The most characteristic is its defeat in the area of the elbow joint. Injury of the radial nerve in this area with the formation of epicondylitis ("tennis elbow") usually occurs as a result of surge extensor muscles of the hand and instep-raiser of the forearm. The first symptom is pain in the lateral epicondyle, which is acute. When re-traumatizing the pain is constant. In cases of destruction of a superficial branch of the radial nerve in the elbow joint pain occur in the elbow area and forearm, is characterized by aching pain rest. The parestesia and sensitive disorders are not available. This is the so-called algic form tunnel syndrome to the radial nerve.

- When syringomyelia neuro-osteoarthropathy found in 20% of patients, and there are painless form. In General, for syringomyelia is characterized by pain in including in the forearm, which arise already at the early stages of the disease, are of a spontaneous nature and are one-sided. The pain syndrome accompanied by sensitive disorders, which the syringomyelia are segmental-dissociated character.

Pain in the wrist and forearm often accompanies rheumatoid arthritis, osteoarthrosis, system red lupus red, dermatomiozit. Is characterized by pain in the distal upper limb and for psoriatic arthritis, chronic gout Reuter's syndrome. In all cases, for the exception of joint damage should as a clinical study of the joints (swelling, change the configuration, painful palpation, the local changes of temperature, clicks, while moving), and additional laboratory, x-ray research.

"The pain in his arm - complex poly etiological clinical phenomenon. Among the main causes of pain in his arm substantially prevail neurological disorders of different nature - injury, vertebrogenic diseases with different neural reflex and neurovascular disorders, metabolic and immune disorders, infectious and other factors.



Which doctor should I contact if there is a pain in arm

  • Traumatologist
  • Neurologist


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Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.