The relationship of the anatomical features of the structure of the main veins with clinical manifestations of venous pathology and osteoarticular system of the lower limbs

Abstract

A comprehensive survey of 293 patients with concomitant diseases HZV and SLM. Doppler ultrasound was performed and angioscanning on «Aloka 4" devices, «Logic 7» and «SonoScape». Clinical Analysis of movements performed on a hardware-software complex "MBN-Biomechanics" and included podometrics, goniometer and functional electromyography. Warp stop evaluated digital fotoplantografiey. A typical anatomy of the venous system was detected in 156 (53.2%) patients. In 147 (50.1%) found the relative failure of the valve common femoral (OBV), thigh (PCI) or tibial veins. In 23 (7.8%) patients showed a doubling of the superficial femoral vein (PBB) with a total diameter of WSP 16,3 ± 2,5 mm. Dilatation of deep vein recorded in 31 (10.6%) patients. WSP transposition was observed in 13 (4.4%) patients. The subcutaneous venous system most frequently detected in-shaped division of the great saphenous vein (GSV) at the mouth - 30 (10.2%) patients or doubling - 24 (8.2%). Vienna Leonardo was detected in 10 (3.4%) and Vienna Giacomini in 23 (7.8%) patients. Patients with C3 and C4 classes chronic venous insufficiency nontraumatic strain (CVI) were detected in 59 feet (68.6%) and 51 (79.6%), arthritic joints stop - 25 (29.1%) and 21 (32 ,8%). When classes C5-C6 foot deformities II-III degree in violation of the spring, balancing and jogging diagnosed in 65 (94.2%) cases. This greatly reduces the efficiency of the musculo-venous pump. Formed arthrogenic congestive syndrome. Anatomical features of the lower limbs and associated pathology of the musculoskeletal system contribute to worsening of clinical manifestations of chronic venous insufficiency. When choosing methods of diagnosis and treatment strategy requires an integrated interdisciplinary approach.