Isangqa esiphukileyo singadinga ukuhlinzwa
Xa uphula ithambo elingaphakathi le-ankle yakho, libizwa ngokuba yi-malleolus yangasese. I-malleolus ephakathi i-anatomiki esifundeni se-tibia bone, esona sikhulu samathambo omlenze omzantsi. Unokucinga ukuba lo mmandla ugosa kwicala elingaphakathi lomxhasi wakho. Izala iipesenti ezingama-90 zesisindo esithwala umthwalo, ngoko ke oku kuqhutyana ngokuqhelekileyo.
Iingxube ze-malleolar eziphakathi zibandakanya umphezulu wesigxina, apho amathambo ahlangana khona. Ikhefu lenzeke ngokwalo kodwa ngokuqhelekileyo lihamba kunye nokulimala ngaphandle kwesikhumba okanye ukuphulwa komlilo kwincinci yamathambo omlenze omzantsi. Ininzi yeentlobo zesikhumba zibangelwa yimikhosi yokujikeleza. Unyathelo eliphosakeleyo uze uphawule unyawo lwakho ngaphakathi okanye ngaphandle ukuze wenze ikhefu.
Ukuchonga ukuba utyando lwe-ankle lwento efunekayo ukwenzela ukuba i-malleolus ye-ankle fractures ixakeke ngokuqhelekileyo. Ingaba uya kufuna ukuhlinzwa okanye ukuphosa nje kuxhomekeke kwingozi yolwakalo lonke.
Izihlobo ezi-5 zeMalleolar Fractures
Kubalulekile ukuqonda i-anatomy ye-ankle ukwenzela ukuba uqonde indlela i-malleolar fractures echaphazelekayo eyenza ngayo ama-fracture.
- I-tibia bone kunye nesifuba se-fibula yenza i-ankle.
- I-tibia bone ithoxisa idolo kunye ne-ankle joint.
- I-fibula ivela nje ngaphantsi kweedolo kwaye ivulela kwinqanaba elingaphandle le-ankle. Ikwabonelela ngenkxaso yangaphandle ye-ankle joint.
- Isalathisi esinamandla esisigxina sigcina amathambo amabini omlenze ahlanganiswe. Ixhaswa ngxinano oluqinileyo lomlenze kwinqanaba le-ankle (elibizwa ngokuba yi-ankle syndesmosis).
Amaphule e-medile malleolus athatyathwa ngolu hlobo oluqhelekileyo lwe-fracture line. Iintlobo ezintlanu zeziqhekeza zi:
- Iifayili zeChip
- Izahlulo eziphambeneyo
- Iintlobo zenyama
- Iiflethi eziqhelekileyo
- Iingqungquthela eziphazamisayo
I-Chip Fractures ye-Medile Malleolus
I-Chip fractures ibonakaliso lokuphuka kwegamenti kwicala elingaphakathi le-ankle. Kunokuba amandla okwenzakalo okwenza ikhefu liphule, iigaments ikhupha ngqo apho idibanisa khona ithambo. I-ligament inokukrazula isincinane sethambo njengoko i-ligament iyaphuka.
Le frac fracture ikwaziwa nangokuthi i-fracture evalsion. Ngamanye amaxesha kubonakala ngeentsimbi ezilula. Nangona kunjalo, ubukho bentambo yokuvuvukala, nangona kunjalo, kunokubonisa ukulimala okungakumbi.
Xa i-chip ishiywe kwaye i-ligament iphuhliwe ngokupheleleyo, i-ankle inokuvula ivule.
Izahlulo ezingezantsi zoMalleolus ophakathi
Ukuqhekeka okutshintshileyo kwenzeka kwinqanaba elifanayo nomgca odibeneyo lwe-ankle kwaye ngokuqhelekileyo yincithakalo encinane yethambo. Nangona la maqhekeza ekhula kwi-joint joints, ayifaki kwinqanaba elithwala isisindo.
Iintlobo zeeNkalo zeMalleolus ephakathi
Ngokuqhelekileyo ukuphuka kwe-mallelar e-oblique kuyenzeka kunye kunye nokulimala okujikelezayo okuqala ngaphandle kwesikhumba. Idibene ne-oblique fracture fracture kwaye ihlala ikhona kwikhoneni lehlangene le-ankle.
Ubungqina benkomo ye-malleolar e-oblique edlalwa ngokuphindaphindiweyo lubonisa ukuba ukuphuka okungaqinisekiyo kunye nokuhlinzwa ngesikhumba kungaboniswa.
Amaqhekeza ahlukeneyo kaMalleolus ophakathi
Ukuqhekeza okuqhelekileyo kwenzeka ngokuphindaphindiweyo xa iqhosha lijoliswe ngakumbi kumathambo omlenze. Ezi ziqhekeza ziyakwandisa kwisahluko esithwala ubunzima besinye seenyawo.
Amaqhekeza ahlukumekileyo kaMalleolus ophakathi
Ukuhlukana okungaqhelekiyo kwe-malleolus ephakathi ngokuqhelekileyo kukulimala kwamandla okwenza ithambo libe ngamaqhekeza amaninzi.
Xa Kufuneka Uncedo Lwe-Ankle?
Ugqirha wakho uya kuqwalasela ukulimala kuzo zonke iinxalenye zeenyawo zakho xa ugqiba ukuba unokucebisa ukuhlinzwa. Oku kungenxa yokuba i-ankle fractures iyenzeka njengento yokwenyuka kokujikeleza kwaye mhlawumbi unokuphulwa kwe-fibular.
Akusiyo yonke into eyenziwa yi-malleolar fractures idinga ukuhlinzwa. Amathambo aya kuphulukisa okanye ngaphandle kokuhlinzwa kwaye kuthatha iiveki ezintandathu ukuya kweebhozo ukuze ithambo liphilise. Injongo yalo naluphina utyando ukuzinzisa ithambo kwindawo yalo efanelekileyo ngelixa ithambo liphilisa.
Ngokuqhelekileyo, i-malleolar fractures ephakathi nendawo efuna ukuhlinzwa yilabo abafudukayo, abaxhamlayo okanye abavulekileyo. Ukuba iqela eliqhekekileyo le-ankle lizinzile, lingabiza ukuhlinzwa.
Ukubaluleka okubalulekileyo kukuba ezi ziqhekeza zingabangela ukuba i-arthritis ithuthuke kuba ihamba kunye kunye nokudala ukungalungiswa komzimba. Uphando luvame ukwenziwa ukunciphisa lo mngcipheko.
Ingaba udokotela ogqirha uza kulungisa njani i-Ankle yakho
Ukulungiswa kocwangco lwe-malleolus ephazamisayo ngokuqhelekileyo kuthethwa ngokuqhelaniswa neprogram yefracture. Amathambo aphukile angagqitywa ngeencingo, iifrews, i-screws ne plate, okanye nayiphi na inhlanganisela yale.
- Izifucu ezizimeleyo ziboleka kwi-plate kunye nezilungiso zokurhoxisa.
- Iintlobo ze-Oblique zivame ukucwangciswa ngezikrini ezibamba amathambo ndawonye.
- Iintambo eziphambeneyo zingalungiswa kunye nezixhobo kunye / okanye iindlela zokulungiswa kocingo.
- Ezinye izizahluko zilungiswa nge- arthroscopic-help assisted fracture surgery .
Qiniseka ukuxoxa ngemibuzo yakho kunye nexhala malunga nokuhlinzwa kwe-ankle kunye nodokotela wakho.
> Umthombo:
> I-Ankle Fractures (i-Ankenle Broken). I-American Academy ye-Orthopedic Surgeons. https://orthoinfo.aaos.org/en/diseases-conditions/ankle-fractures-broken-ankle/.