Trong nhom benh nay, viem gan va bao gan vung khuyu tay, co ban tay, vai, goi va quanh mat ca thuong gap nhat. Co the ke ten mot so benh hay gap nhu viem gan gap (con goi la ngon tay lo xo vi ngon tay bi benh bat nhu lo xo) o ban tay; viem mom tram quay, tram tru, hoi chung DeQuervain o vung co tay; viem loi cau trong, loi cau ngoai xuong canh tay o vung khuyu tay; viem gan quanh khop vai; viem gan banh che, loi cau trong xuong chay, xuong dui o vung goi; o co chan hay gap viem gan got (gan Achille), viem can gan chan vung xuong got (con goi la gai xuong got).

Benh phan mem quanh khop khong nguy hiem nhung thuong gay dau, dan den han che cac hoat dong sinh hoat, lao dong thuong ngay cua benh nhan. Benh co the xay ra o moi lua tuoi, song gap chu yeu o nu, tuoi trung nien hoac cao tuoi. Nguyen nhan gay benh phan mem quanh khop thuong kho xac dinh, tuy nhien nguoi ta thay co mot so yeu to nguy co gay benh nhu chan thuong hoac cac vi chan thuong do cac hoat dong lap di lap lai k&eo dai o mot so nganh nghe nhu van dong vien choi the thao (choi tennis), noi tro, be tre em, lam nghe thu cong, tho co khi, di giay d&ep cao got... Tuoi cao, gioi nu cung la cac yeu to nguy co mac benh cao hon. Ngoai ra, benh con hay gap o nhung nguoi mac cac benh ly toan than nhu: viem khop dang thap, viem cot song dinh khop, dai thao duong...

Dieu tri benh ly phan mem quanh khop bao gom cac bien phap khong dung thuoc, cac bien phap dung thuoc.

- Giam hoac ngung van dong tai vung gan ton thuong toi khi het dau. Day la dieu kien quan trong boi neu khong benh se ton tai dai dang va du co khoi cung rat de tai phat. Vi du neu benh nhan choi cau long hay tennis gay dau khuyu tay (viem loi cau ngoai hoac loi cau trong xuong canh tay) thi phai nghi choi it nhat la trong thoi gian dang dau.

- Co dinh tam thoi vung gan ton thuong bang bang chun, tham chi dung nep hoac mang bot, dung cu chinh hinh...

- Dieu tri vat ly tri lieu tu don gian nhu chuom lanh tai cho (thuong dung trong giai doan cap tinh co sung, nong, do) den cac bien phap doi hoi co phuong tien nhu song sieu am, song ngan, hong ngoai.

- Luyen tap phuc hoi chuc nang co the duoc ap dung nhu tap k&eo gian gan chu dong, tang dan cuong do nham phuc hoi chuc nang cho gan ton thuong sau giai doan viem cap tinh. Thuong ap dung trong benh ly gan Achille, gan banh che nhung khong ap dung dai tra cho moi benh nhan vi co the tang dau.

Cac thuoc giam dau don thuan nhu paracetamol uong, hoac cac thuoc chong viem giam dau khong steroid nhu diclofenac uong hay boi tai cho, meloxicam uong... Tuyet doi khong dung thuoc duong toan than chua steroid uong hay tiem bap nhu prednisolon, dexamethason, K-cort... vi gay nhieu tac dung phu co hai. Hien nay co mot so nguoi lam dung cac thuoc tren dan den cac bien chung nhu hoi chung Cushing do thuoc, loang xuong, tang huyet ap, dai thao duong, teo co, de mac benh nhiem khuan... hoac suy thuong than cap neu dung thuoc dot ngot (co the gay tu vong nhanh chong).

Tiem corticoid tai cho la phuong phap dieu tri thong dung trong benh ly phan mem quanh khop. Hieu qua giam dau tot, tuy nhien can nhan manh la chi dung thuoc khi co bac sy chuyen khoa khop chi dinh, tiem dung ky thuat, dung lieu luong, dung lieu trinh, tai noi vo khuan tuyet doi. Hien nay co tinh trang lam dung thuoc dan den nhieu bien chung dang tiec. Cac che pham corticoid tiem khop thuong dung la dang dich treo nhu hydrocortison acetat, lieu moi lan tiem tu 5-50mg (0,2-2ml) tuy vi tri tiem, khong qua 3 lan cho moi dot dieu tri, moi mui cach nhau 3- 4 ngay; methylprednisolon acetat tac dung k&eo dai hon, lieu 10- 40mg (0,25-1 ml) moi lan tuy vi tri tiem, moi mui cach nhau 7-10 ngay, khong qua 2 lan trong mot dot. Voi ca hai thuoc, moi dot dieu tri cach nhau 3-6 thang, moi nam khong qua 3 dot. Ngoai ra, co the dung betamethasone dipropioate la loai tac dung k&eo dai hon ca depo medrol. Tuyet doi khong duoc tiem corticoid tai cho khi co nhiem khuan, nam hoac chua loai tru duoc nhiem khuan tai cho hoac gan vi tri tiem. Than trong khi dung thuoc o nhung benh nhan tang huyet ap, dai thao duong, viem lo&et da day ta trang, dang dung thuoc chong dong hay co roi loan dong mau. Cac kho chiu hay bien chung tai cho co the gap nhu dau tang len (thuong trong 24 gio dau), nhiem khuan (neu tiem trong dieu kien khong bao dam vo khuan), dut gan, roi loan sac to hay teo da - co tai cho.

Cac dieu tri khac bao gom phau thuat giai phong chen &ep trong hoi chung duong ham co tay, hoi chung ong got chan hay cat bo phan viem neu dieu tri noi khoa that bai (it khi co chi dinh). Dieu tri tot cac benh chinh kem theo neu co.

Tien luong benh lanh tinh, nhin chung da so benh nhan dap ung tot voi dieu tri noi khoa song ty le tai phat con cao, nhat la doi voi cac benh nhan khong loai bo duoc cac yeu to nguy co gay benh.