Imfucuza yamaqanda amakhulu afuna ukuhlinzwa
Umxhasi we-ankle yilapho amathambo omlenze (i-tibia kunye ne-fibula) adibana namathambo kwi-hindfoot (talus) ukwenza iqhagamshelo evumela ukuba unyawo luguqe kwaye luhla. Umxhasi we-ankle unobungozi bokulimala kwaye uhlobo oluqhelekileyo lokulimala lubizwa ngokuba yi- fracture . I-Ankle fractures inokuvela kwiintlobo ezininzi zeentlungu ezibandakanya izihlwitha kwiqhwa, ukuwa kwezitepsi, ukulimala kwezemidlalo kunye nokuphazamiseka kwemoto.
Xa abantu bethetha ngamaqhekeza angamaqabunga, bahlala bebhekisela kwenzakalo kumathambo e-tibia kunye ne-fibula. Iziphelo zamathambo ezibizwa ngokuba yi-malleolus (ekupheleni kwe-tibia) kunye ne-lateral malleolus (ekupheleni kwe-fibula), ziyi-bumps bumps you feel in the side and outer side of the ankle. Nangona amanye amathambo azungeze umxube we-ankle angalimaza kwakhona, ukuqhuma kwesangqa okuqhelekileyo kuvela ekupheleni kwe-tibia kunye / okanye ekupheleni kwe-fibula.
Kukho iintlobo ezahlukeneyo zeengqumbo ezingamaqhekeza ezinokuthi zenzeke, kwaye enye yeentlobo ezinzulu zibizwa ngokuba yi-bimalleolar angle fracture-ukulimala kumbindi wangaphakathi nangaphandle. I-Bimalleolar i-ankle fractures iphantse ifuna ukunyangwa. Kuphela kwiimeko ezinqabileyo, ngokuqhelekileyo ngenxa yempilo yesigulane okanye imingcipheko yomsebenzi, ngaba i-bimalleolar angle fracture ingaphathwa ngaphandle kokuhlinzwa.
Bimalleolar Ankle Fractures
Xa i-bimalleolar yangasese ivulekile, kukho ukulimala kumabini angama -malleolus ( engxenyeni yangaphakathi ye-ankle) kunye ne -malleolus yangasemva (ecaleni langaphandle kwe-ankle).
Ngenxa yokuba amabini omabini akhatywe, umxhasi we-ankle uyaqina. Ukulimala okungaqinisekiyo kwenzeka xa ukuphazamiseka kukuphazamisa intembeko yesakhiwo se-ankle (kunye). Ngenxa yokuba idibeneyo ayizinzile, iyakwazi ukulimala kunye ne- arthritis yokuqala yamathambo xa ingashiywanga. Ngako oko, unyango oluqhelekileyo lukulungiselela ukulungiswa kweso siqhekeza ukuzinzisa ukudibanisa kwe-ankle.
I-Bimalleolar Equivalent I-Ankle Fractures
I-subset ekhethiweyo yale fracture ibizwa ngokuba yi-bimalleolar echanekileyo. Oku kuya kwenzeka xa kukho ukungqubuzana kwe-malleolus yangasemva kunye nokulimala kwegilament kwicala elingaphakathi le-ankle (i-deltoid ligament ). Ngoxa le nzakalo ingabandakanyi ukulimala kwethambo kwinqanaba elingaphakathi kwe-ankle, ukulimala kwe- ligament okwenzekile kubangela ukuba umxube we-ankle ube unganyaniseki kwaye udinga unyango olunyango lokuzinzisa ukudibanisa.
I-Bimalleolar iifracture ezilinganayo kufuneka ziqwalaselwe naliphi na ixesha eliye lenzekile. Ukuba kukho intlungu okanye ukuvuvukala kwicala langaphakathi le-ankle, i-bimalleolar angle fracture ingaba khona. Ii-x-ray ezikhethekileyo, ezibizwa ngokuba ngumxinzelelo x-ray, zingenziwa ukuze zikhangele iimpawu zokungazinzi kwe-joint joint.
I-Trimalleolar iAnkle Fractures
Olunye uhlobo olwahlukileyo lwalolu hlobo lwenxeba lubizwa ngokuba yi-trimalleolar ye-ankle fracture. I-bimalleolar fracture eqhelekileyo ibandakanya ukulimala kwamathambo kwinqanaba elingaphakathi nangaphandle kwesikhumba. Abantu abagcina i-trimalleolar ye-ankle fracture nabo banokulimala kwamathambo emva kwe-tibia (i- posterior malleolus fracture ) eduze kwe-joint joint. Ngokuqhelekileyo oku akutshintshi unyango oluvela kwi-bimalleolar ankle fracture.
Nangona kunjalo, ukuba i-bone injection ngemuva kwe-tibia, ebizwa ngokuba yi-posterior malleolus, ibangele ukungazinzi kwe-joint joint , kungadinga ukulungiswa ngexesha lotyando .
Unyango lwe-Complex Ankle Fractures
Unyango lwabo bonke ukulimala lufana, kwaye phantse kufuneka ukuba utyando. Inkqubo yokuhlinzwa yenziwa ukuze kulungiswe amathambo, ngokuqhelekileyo isitya seetsimbi kunye nezikrini. Ezi zifakelo zilungisa amathambo ukuze kubuyiselwe ukuzinza kwe-joint joint . Kubaluleke kakhulu ukulungisa amathambo ngokulungelelaniswa okufanelekileyo; ukuba ayinakunyuswa ngokugqibeleleyo kukho ithuba eliphezulu lokuphucula i-arthritis yangaphambili.
Enye yezinto ezixhalabileyo zezi fracture ezinzima zengama-bhotile kukuba zihlala zihamba kunye nokuvuvukala kwe-ankle . Ngokuqhelekileyo ukukhukhuma kunokuba yinto engathà sina, kwaye inokubangela ukuba i-blisters (ebizwa ngokuthi i- bracter blisters ) yokwenza kwesikhumba. Uphando luvame ukulibalelwa iintsuku okanye iiveki ukuba kukho ukuvuvukala okukhulu. Ukukhukhumeza okukhulu kunokukwenza kube nzima ukwenza utyando kodwa kunokwandisa kakhulu umngcipheko wokusuleleka kunye neengxaki zokuphilisa emva kokuhlinzwa.
Njengoko kuthethwe, ukusuleleka kunye neengxaki zentleba zixhalabisayo kakhulu ezibangelwa ukuhlinzwa okwenziwe ngamaqanda. Ezinye iingxaki eziqhelekileyo zibandakanya ukuqina nokukhukhuma kwexesha elide. Izigulane ezininzi zibona ukuvuvukala emva kokutyunjwa kwe-ankle ukuphulukana kweenyanga ezintandathu, kwaye kunokuhlala kunokunyuka. Enye inkxalabo kukuba ngenxa yokuba ithambo liphantsi kwesikhumba, izitya zetsimbi kunye nezikrini zivame ukukhathaza kwaye zifuna ukususwa . Ekugqibeleni, kunye nokunyamekela okufanelekileyo, ukulungiswa kokuhlinzwa, kunye nokulungiswa okufanelekileyo, i-ankle arthritis inokwenzeka.
ILizwi
I-Bimalleolar kunye ne-trimalleolar ye-ankle fractures ngokuqhelekileyo ukulimala okungazinziyo okufuna ukungenelela ngoncedo ukwenzela ukuba ulungelelanise ngokwaneleyo ukulungelelaniswa nokuzinza kwi-joint joint. Unyango oluphandwayo lunokuba lukhuni ngeemvulophu ezithambileyo ezijikeleze umxube we-ankle obangela ukuba kubekho iingxaki ezifana nokusuleleka kunye neengxaki zokuphilisa. Ngenxa yoko, oogqirha bahlala beqaphele, ukuvumela ukuba izicubu ezincinci zilawule ixesha lokungenelela. Nangona abaninzi abantu bebuyiselwa ngokupheleleyo, ukuhamba kwexesha elide kumanyathelo angamaqabane angabangela umba emva kokumala
Imithombo:
> Anderson RB, Hunt KJ, McCormick JJ. "Ukulawulwa kwezinto ezixhaphakileyo ezinxulumene nezemidlalo ngonyawo nangenqama" J Am Acad Orthop Surg. 2010 Sep; 18 (9): 546-56.