I-Ankle okanye i-Ankle
Umzimba we-anterior impingement syndrome yimeko eyenzekayo xa ithambo lihluma ifom phambi kwendibano ye-ankle. I-bone spurs ingaba ifom ekupheleni kwesifo se-shin (i-tibia), ngaphezulu kwethambo le-ankle (i talus), okanye zombini. Xa unyawo linyanyiselwa phezulu, ithambo lihluma i-pin, elibangela intlungu phambi kwe-ankle.
Ngubani osemngciphekweni we-Anterle Ankle Impingement Syndrome?
I-syndrome yangaphambili ye-british impingement syndrome yayivame ukubizwa ngokuba "yinqaba yomdlali" okanye "ibhola lebhola lebhola." Ukucatshiswa kwe-angi yangaphambili kubangelwa yinto yokuphindaphinda i-microtrauma ( ukulimala ngokweqile ) kwi-ankle, nangona kukho ezinye izizathu ezibangelwa yimeko, kubandakanywa ne-ankle sprain.
Kuqhelekileyo kwiimbaleki kunye nabaculi abanemisebenzi yabo efuna ukuphindaphindeka kwe-ankle ukukhwabanisa - ukuphakamisa unyawo ukuya phezulu kwi-ankle. Ezi zibandakanya abadlali bebhola, abagcina nokushaya amaninzi ebhola kunye nabanye abadlali kwi-ankle, abadlali bebhola, abadansa, abagijimi, kunye nabadlali be-gymnasts. I-Bone iyaphuma kwaye i-osteophyte ibonakala kwi-X-ray malunga nesiqingatha sabadlali kule midlalo, kodwa ininzi ayinayo impawu.
Iimpawu kunye noxilongo lwe-Anterior Ankle Impingement
Umqondiso oqhelekileyo wokufakelwa kwe-angle yangaphambili kwintlungu phezu kwe-joint joint, ikakhulukazi xa unyawo luqhutyelwa phezulu ukuya kwi-shin kwi-dorsiflexion. Le ndawo ihlala ithenda, kwaye ngamanye amaxesha i-bone spur iyakwazi ukuvalelwa phambi kwe-ankle. Iintlungu zihlala zikhululekile xa i-ankle ivunyelwe ukuba i-plantarflex. Ukuphindaphinda kwe-ankle sprains yenye impawu. Unokuthi uqaphele ukuba isangqa sakho sithukuthele emva komsebenzi.
Ukuxilongwa kwempembelelo yangaphambili ye-maqhubu kudlalwa nge-X-ray, nangona ezinye iimvavanyo, ezinjengeMRI, ultrasound okanye CT scan zingasetyenziselwa ukuqinisekisa ukuxilongwa nokuqinisekisa ukuba akukho ziingxaki kwi-joint joint. intlungu.
Ukunyangwa kwe-Ankle Impingement yangaphambili
Ukunyanga okuqhelekileyo kwe-ankle impingement syndrome ijoliswe ekunciphiseni ukuvuvukala kwisiza sokumiswa. Oku kungenziwa ngokuphumla, imithi yokulwa nokuvuvukala komlomo, izicelo zeqhwa , isithende esithende ezinqabeni, i-ankle bracing, mhlawumbi kunye ne- cortisone injection .
I-Ankle bracing inokuqwalaselwa ngokukodwa ukuba uye wafumana izibilini eziphindaphindiweyo. I-Orthotics inokumiselwa ukulungisa ukulungelelaniswa kwamanyathelo.
Ukuba ezi zonyango aziphumelelanga, inkqubo yokuhlinzwa ingacingwa ukuba isuse i-spurs bone. I-ankle arthroscopy isetyenziswa rhoqo xa unyango lwe-ankle impingement syndrome. Utyando luyakususa i-bone spurs (i-osteophytes) ebangela ukushicilelwa.
Kwii-osteophyte ezinkulu, ukuvulwa kwe-debridement evulekile kunokucetyiswa. Oku kutyunjwa kwenziwa ngokucokisekileyo ukuqinisekisa ukuba akukho monakalo emthonjeni okanye nasentongeni ephilileyo kwi-ankle.
Ukugqithiswa kwe-arthroscopic ye-bony kunye nokunyanzelisa izicubu ezincinci kuye kwaba nempumelelo emihle. Kukho ixesha elifutshane lokubuyisela kwaye ubuyele kwimidlalo yezemidlalo xa kuthelekiswa nokuhlinzwa okuvulekileyo. Uninzi lwezigulane zineentlungu ezintle kodwa kuphela malunga nekota kuzo zibuyela kumgangatho wazo wexesha elidlulileyo.
Emva kokuhlinzwa, uza kugqoka i-boot yokuhamba iiveki ezimbini, ulandelwe unyango lomzimba ukubuyisela uluhlu lwesinyanzelo kunye nokwakha amandla kunye nokunyamezela. Uya kuvunyelwa ukuba ubuyele kwimidlalo emva kweeveki ezintandathu ukuya kweebhozo.
Imithombo:
U-Niek van Dijk C kunye noVergen Bergen CJ "Uphuhliso kwi-Ankle Arthroscopy" J. Am. Acad. IOrn. Ugqirha, ngoNovemba 2008; 16: 635 - 646.
Tanawat Vaseenon noAnunziunzi Amendola. "Ukuhlaziywa kokungeniswa kweengxowa zangaphambili." Curr Rev Musculoskelet Med. 2012 uJuni; 5 (2): 145-150.