Izahlulo kwi-Proximal Fifth Metatarsal Bone yeLinyawo
I-metatarsal yesihlanu yithambo ngaphandle kwe-midfoot kwisiseko senzwane encinci. Ukuphela kokuphela kwe-five metatarsal (ukuxhomekeka kwendlela esondeleyo kwinqanaba lomzimba) kulula ukuva nje njengento yokuphuca ngaphandle kwendawo yangaphandle ye-midfoot. Le nxalenye yesihlanu ithambo leetatarsal lilungele ukulimala. I-metatarsal yesihlanu iyona nto ixhaphake ngayo onke amathambo e-metatarsal.
Iintlobo zintathu zeprayimari zentsimbi zenzeke kwi-metatarsal yesihlanu, kwaye zonke zineempembelelo ezahlukeneyo zonyango. Njengazo zonke iimeko zonyango, akuyiyo yonke into eyenza ukuwa iwa phantsi ngokupheleleyo kwezi zintathu zentlobo , kodwa ezi zidibeneyo zinceda unyango lweziko.
- Ukuhlukunyezwa kwamaFractures:
Ukuphuka kwamathambo, ngamanye amaxesha kuthiwa i-pseudo-Jones i-break break, xa isalathiso sesithambo sithathwa kwi-five metatarsal yi-tendon edibanisa kule ndawo. Ezi ziqhekeza zivame ukuphilisa ngokulula, kwaye azifuneki unyango. Ngokuqhelekileyo ukuxhatshazwa kungaphathwa ngendlela efanayo nokulimala kwegigament okanye itekon. Ngokuqhelekileyo, isihlangu esikhuniweyo, njengesihlangu esikhonkxwe, sithwele iiveki ezimbalwa kude kube intlungu kunye nokuvuvukala. Ukuphilisa ngokupheleleyo kuthatha iiveki ezi-6-8. - Jones Fractures:
Izahluko zikaJones zenzeka kwi-bone metatarsal ngaphaya kwexesha lokukhupha . Ezi zintluko zinzima kakhulu ukuphilisa, kwaye zifuna ukunyanzeliswa ( unyango olukhutshwayo ), ukukhuselwa kwisisindo (iinqonga), kwaye zifuna ukuhlinzwa. Ukuba ukulimala kunzima, oku kuthetha ukuba ukuxilongwa kwenziwa ngokukhawuleza emva kokulimala, ngoko unyango ongaphangeliyo lunokuthi lube luncedo. Ukuxilongwa kokulibaziseka kwandisa amathuba okungahlanganyelwanga , kunye nesimo esinokwenzeka sokonyango. Kwiimbaleki, ngamanye amaxesha unyango olujongene nokunyangwa luqwalaselwa nakwiimeko ezisemgangathweni, ukuze kuqinisekiswe ukuba inkqubo yokuphulukisa iyaqikelelwa. Ukuphulukiswa kwexesha likaJonas fracture ngokuqhelekileyo iiveki ezili-12.
- Uxinzelelo lweengxaki:
Ukuphazamiseka kwengcinezelo ye-five metatarsal yinto enzima kakhulu yokuphilisa kwaye banokufuna ukuhlinzwa. Ezi ziqhekeza zidla ngokuqala ngentlungu engacacanga ngaphandle kweenyawo, edlalwa ukuba yi-tendonitis. Ngexesha elidlulileyo, ukuphazamiseka kwengcinezelo kunokuba yiphulo elipheleleyo. Ngenxa yokuba umzimba unzima ukuphulukisa ezi zintluko, zifuna unyango olungakumbi ngokuqhelekileyo. Ukuphulukana nexesha lokuphazamiseka kwengcinezelo kwakhona kubanzi ubuncinane kwiinyanga ezintathu.
Njengoko kuthethwe ngaphambili, akuyiyo yonke into eyenziwa yintlupheko ekwahlukileyo ngokucacileyo kwenye yezo ntlobo zezahluko. Ukuqwalasela unyango olungcono kuncike kuphela kwipateni ethile yokuphulwa komzimba kodwa kwakhona nokulindeleke kwesigulane kunyango.
Kwaziwa nangokuthi: I- Jones Fracture , i- Avulsion Fracture , iDracer's Fracture, i-Metatarsal Stress Fracture
Imithombo:
I-Dameron, i-TB "Iingqungquthela zeMatatarsal e-Proximimal Fifth Metatarsal: Ukukhetha indlela enhle yokwelapha" J. Am. Acad. IOrn. Ugqirha, ngoMatshi 1995; 3: 110 - 114.