I-acetabulum iyisiseko se-ball-and-socket joint joint. I-top of the bone thim (femur) yakha ibhola, kwaye isiseko (i-acetabulum) inxalenye yesono se-pelvic. Amathambo amaningana adibanisa ukuze enze i-pelvic: I-ilium, i-ischium kunye ne-pubis. Kwimqolo ye-pelvis, i-sacrum kunye ne-coccyx bahlangene kunye. Ngalinye icala kwicala le-pelvis, enye yesikhokelo se-hip.
Le-acetabulum ijikelezile kwaye ihlanganiswe ngaphakathi ngaphakathi kunye ne- cartilage ephathekayo. Le ngqungquthela ibonisa ubuso obusisigxina somxube we-hip.
Ukuphulwa kwe-acetabular kwenzeka xa isalathisi sendibano ye-hip sephukile. Oku kuncinci kakhulu kunezinto ezininzi ezinokuqhaqhaqhaza , apho isalathanga sethanga lonakaliswe khona, kungekhona isiseko. Inqabile kakhulu kumacala omabini edibeneyo kunye nokulimala; ngokuqhelekileyo ukuphuka kwenzeka kwiba ibhola okanye isiseko, kodwa kungabikho bobabini.
I-Acetabular fractures iyenzeka nge-high-energy trauma (umz. I-auto collisions, iyawa, njl.) Okanye nje ukungafihli . Kwizigulane ezincinci, kukho phantse kunzima ukuphazamiseka, kwaye ngokuqhelekileyo kukunye ukulimala okunxulumene, xa kuvela i-acetabular fracture. Kwizigulane ezisebekhulile, i-acetabular fractures iyenzeka ngenxa yethambo eluthathaka kwi-osteoporosis. Kule meko, i-acetabular fracture ingenzeka emva kokuwa okulula.
Izinyango Zonyango
Kukho iinkalo ezininzi ezifuneka ziqwalaselwe ukuba zichongiwe unyango olungakumbi lwe-acetabular fracture.
Ngenxa yokuba ukulimala kubandakanya ukuhlanganiswa kwe-hip, kungakhathaliseki ukuba yintoni unyango, kukho amathuba okwandisa izigulane ukuze zihlakulele i-arthritis ye-joint hip. Isizathu sokuthi i-arthritis ye-hip inokuthi yenzeke kukuba i-socket ye-hip ihlanganiswe kwi-cartilage ephosakeleyo eyonakaliswe ngexesha lokuphuka.
Ukubuyiselwa ngokuqhelekileyo ukulungelelaniswa ngokuqhelekileyo kokubambisana kwe-hip kunokunceda ukucotha ukunyuka kwe-arthritis.
Ngako oko, unyango luxhomekeke kumlinganiselo wokufuduka kwe-cartilage, kunye nokuzinza kwe-joint hip. Umxube we-hip kufuneka uzinzile (ibhola egcinwe ngokukhawuleza ngaphakathi kwesikhokelo) kwaye i-cartilage ifanele idibene. Uphando luvame ukucetyiswa ukuba:
- Ukulungelelanisa indawo yomhlaba
- Ukususa i-debris (ithambo) ukusuka ngaphakathi kwendibano ehlangene
- Ukubuyisela ukuzinza kwe-hip
Ionyango zonyango ngokuqhelekileyo zigcinwe iziqhekeza ezingekho phantsi kwesimo okanye izigulane ezingenempilo ngokwaneleyo yokunyamezela ukuhlinzwa okukhulu. Ngamanye amaxesha, unyango olungapheliyo luqhutywa ngeplani yokwenza indawo yokutshintsha i-hip xa i-arthritis ikhula ngaphakathi.
Ingaba utyando okanye utyando lwenziwa, izigulane kufuneka ziphephe ukubeka isisindo kwisigxina esichaphazelekayo, rhoqo ngeenyanga ezimbalwa emva kokulimala. Izigulane zivame ukuvunyelwa ukuba zibeke unyawo lwawo emhlabathini (ukuthwala ukunyuka kwesisindo), kodwa akukho mandla avunyelwe emlenzeni. Ukuhamba ekupheleni kwangoko kufaka ingozi yokufuduka kweengcezu eziphukileyo zethambo.
Iingxaki ze-Hip Socket Fractures
Ngelishwa, ukuxela kwexesha elide le-acetabular fractures kunemiba eninzi enokubangela iingxaki.
Ngexesha elidlulileyo, izigulane ezinama-acetabular fractures zihlala zonakalise ukulimala kuquka ukulimala kwentloko, ukulimala esiswini, ukulimala kwe-urologic, kunye nokulimala kwamanye ama-musculoskelet (umqolo kunye namadolo aqhelekileyo). Ezi zi gulane zisengozini enkulu yokuphuhlisa iipiliti zegazi emilenzeni nasepilvis. Izigulane ezineentsholongwane zengozi, unyango kunye nokulimala kweempahla zegazi, kunye neengxaki zokuphilisa.
Kwixesha elide, ingxaki eqhelekileyo kukuphuhliswa kwe- arthritis ye- hip . Izigulane ekugqibeleni zidinga ukutyunjwa kwe- hip . Ezinye iingxaki ezinokuthi zibandakanya i- hip osteonecrosis kunye nethambo le-heterotopic (i-bone excess).
Imithombo:
I-Baumgaertner MR, "Iziqhekeza zomdaka ophezulu emva kwe-acetabulum" J. Am. Acad. IOrn. Ukugula, uJan 1999; 7: 54 - 65.