I-Lateral Malleolus Fracture: I-Ankle Common Injury

Ukulimala kwi-Distal Fibula ye-Ankle

I-malleolus elandelelanayo ligama elinikezwa kwithambo ngaphandle kwendibano yeengxowa. Eli thambo liyingxenye yefayili, elinye lamathambo amabini omlenze; elinye ithambo lomlenze libizwa ngokuthi yi-tibia (ithambo lesifuba). I-tibia ithatha ubuninzi bobunzima bomzimba (malunga neepesenti ezingama-90), kunye nefayili ebambe i-10% kuphela yesisindo somzimba.

Ukuhlukana kwe-malleolus engaphantsi kwayo yinto exhaphakileyo ye- ankle fracture .

Ezi nzakala ziqhuba xa i-ankle iphoswe okanye ixutywe, ngokuqhelekileyo isinyathelo esingathandekiyo. Iindaba ezilungileyo kukuba i-malleolus fractures ehamba phambili iyabonwa njengeziqhekeza ze-ankle kwaye zingaphathwa ngaphandle kokuhlinzwa.

Iimpawu zee-Lateral Malleolus Fractures

I-latal malleolus fractures ibangele ubuhlungu, ukuvuvukala, kunye nokutyhafaza ngeenxa zonke. Ubuhlungu kwezinye iindawo zonyawo kunye ne-ankle kufuneka kube nesizathu sokusola ukulimala okungaphezulu kwe-ankle kunokuba iphule i-malleolus yangasese.

Ubuhlungu kunye nokuvuvukala kwicala elingaphakathi le-ankle (kunye ne-lateral malleolus fracture) kungabonisa ukuba inokulimala ebizwa ngokuba yi- bimalleolar efana neyantlukwano- uhlobo oluthile lokuphulwa kweenqaqa ezingazinzileyo ezingadinga ukuhlinzwa. Nabani na olwaphulo lwe-malleolus lateral kufuneka ahlolwe ngemimiselo yecala elingenakunzima, elingazinzileyo.

Ukuqhekeka kwe-ankle engazinzileyo kukulimala okwenzekayo xa i-fracture ibangela ukuba umxhasi we-ankle ungasebenzi kakuhle.

Ngoko ke, ukuba ithambo liphilisa kwindawo apho i-ankle ayisebenzanga kakuhle, i-ankle inokuphuhlisa i- arthritis yangaphambili. Iindaba ezilungileyo kukuba i-malleolus fractures ekhethiweyo yodwa ihlala ihlale ihleli i-fracture ye-ankle kwaye ke ingenayo le ngxaki.

Unyango lwe-Lateral Malleolus Fractures

Unyango lwe-stable lateral malleolus fracture kufuneka ibe nemizamo yokunciphisa ukuvuvukala okulandelayo ngokunyuka ngokuthe ngcembe ekuthwaleni ubunzima.

Xa uphumelela ubunzima obunzima, kukho ezininzi izifundo eziye zenziwa ukuvavanya indlela ukukhuselwa kwe-ankle okungcono ngayo. Abanye oogqirha basebenzisa ukuhamba, ukuhamba ngeebhuthi, ii-aircasts, i-brace bells, okanye izihlangu eziphezulu. Umgca wenyani kukuba akukho mmahluko ofunyenweyo xa uthelekisa ezi ntlobo ezahlukeneyo zenkxaso yesikhumba. Nantoni na ekunika inkxaso kunye nentuthuzelo kufuneka isebenze ngokulinganayo.

Ngaba Unyango Olugqithisekayo?

Impendulo ecacileyo kukuba utyando lukhetho olubi ngakumbi kwiintsimbi ezinqabileyo zengxubevange ze-malleolus. Isizathu kukuba unyango olungagqirha luye lwaboniswa ukuba lusebenza ngokufanelekileyo kwonyango lephukile.

Ukongezelela, utyando lunethuba lokusasazeka kunye neengxaki zokuphilisa (malunga neepesenti ezi-2) kwaye ezi zinto zingabangela iingxaki ezibalulekileyo. Abantu abaye baqhwala kwi-fractures fractures banokukhukhumeza okungapheliyo emagqabini abo. Ekugqibeleni, xa abantu banezitshixo zentsimbi ejikelezayo, bangakhetha ukuba isinyithi isuswe phantsi kwendlela. Oku kuya kufuna inkqubo yesibini yokupanda xa kwakungadingeki okokuqala. Ngoko ukuba utyando lucetyiswa, mhlawumbi luya kuba luhle kakhulu!

> Umthombo:

> Koehler SM, u-Eiff P. Ubume benkcazo yamathambo amaqhekeza kubantu abadala. Ku: UkuPhakamisa. UGreyzel J (uMhl.) 2017.