Ukungazinzi kwe-Postolateral ukungazinzi kwenzeka xa kukho umonakalo kwizakhiwo ezixhasa ngaphandle kwexolo elihlangeneyo, ikhonteli ye-posterolateral. Ezi zakhiwo zibaluleke kakhulu ukukhusela iimpawu zokungazinzi kwamadolo . Xa izigulane zilimaza iigaments, ziyakwazi ukulimaza izakhiwo zekona zangaphambili.
Kuze kube kutshanje, akukho ngqalelo enkulu ehlawulwe kwizakhiwo zekona langemva.
Ezi zakhiwo ziquka i- ligal collateral ligament , i-popliteus tendon, kunye ne-capsule joint capsule. Ubungqina bwakutshanje bubonise ukuba ezi zakhiwo zingalimala xa idolo lixhasa umonakalo wegament, kuquka iinyembezi ze-ACL kunye neenyembezi ze- PCL . Ukuba izakhiwo zekona zangemva kweso sithuba asihlolwanga kwaye zonakaliswe, iingxaki zegolo eziqhubekayo ziyakwenzeka nangona unyango lwalo lonke ugulo.
Iimpawu zee-postolateral Corner Accidents
Ukulimala kwinqona leposi emva kwexesha eliqhelekileyo kudla ngokukhawuleza kunye nokulimala kwiimbambano ezibalulekileyo, i-ACL kunye ne-PCL. Iimpazamo zekhonkco ze-postolateral zivame ukuqhutshwa ngamadolo . Ema-70% okwenyuka kweekona ezenzeka emva kwendawo yenzeke kwimeko yokulimala kwi-ACL kunye / okanye kwi-PCL. Nge-20-30% yezigulane, kukho ukulimala okwangasese kwinqanaba le-posterolateral.
Iimpawu zokulimala kwamakhonksi emva kwendawo ziquka ukuziva ukuba idolo liya kuphuma.
Ubuhlungu kunye nokuvuvukala kungaphezulu kwexolo elihlangeneyo, ngakumbi kumqolo wegolo. Phantse i-15% yezigulane eziqhubeka nokulimala kwinqona le-posterolateral zizakwenzakalisa i-neroneal nervous, imbilini ebalulekileyo enokubangela ukuphazamiseka kwamanzi ngaphandle komlenze nenyawo.
Xa uhlolisisa idolo lakho ngenxa yokungazinzi kwe-posterolateral rotatory, uvavanyo oluvakalayo lubizwa ngokuba yi-Test Dial.
Ugqirha wakho uya kugqiba ukujikeleza kwamadolo (ngokuguqula unyawo ngaphaya) kwaye uqhathanise oku kumadolo ahlukeneyo. Ukuba kukho ukujikeleza okugqithiseleyo, oku kubonisa ukulimala kwikona yangaphambili. Ngokujonga isantya sokujikeleza kumanqanaba ahlukeneyo, ukugqithiswa kwamadolo, ugqirha wakho unokukwazi ukuba zeziphi izakhiwo ezenzakaliswe.
Unyango
Ukunyangwa kwekona ye-posterolateral kuxhomekeke kwinqanaba lokungazinzi. Isizathu esona sizathu sokuba ikhonkco le-posterolateral ibe yinto enomdla kwimifuyo ye-orthopedics yinto yokuba isizathu sokuba abantu abaninzi ababenokuphulwa kwe-ACL yokuvuselelwa, mhlawumbi babengazi kakuhle ukulimala kwekona.
Xa ukulimala kwamakhonkco emva kwesikhokelo kubangela ukungazinzi okukhulu emadolweni, izakhiwo zilungiswa ngokukhawuleza. Oku kufuna i-incision ngaphandle kwexolo elihlangeneyo. Ukulimala kwakutshanje kunokulungiswa, kanti ukulimala okungapheliyo kunokufuna ukusetyenziswa kwezicubu zokunikela ukuvuselela izakhiwo ezonakalisiweyo. Ukulimala kolukhulu kuninzi kufuneke ukuba ezinye izicubu zinikelo zenze ukuba kulungiswe ukulungiswa ngaphandle kwamadolo.
Rehab Emva koPilisi
Ukubuyiselwa emva kokuvuselelwa kwangemva kwendawo kuya kuxhomekeka kwizakhiwo ezilungiswe emadolweni.
I-Rehab ifana nokubuyiswa kwamanye amaqhinga okuguqulwa kwamadolo, kodwa kufuneka uxoxe ngeendlela ezahlukeneyo kunye nodokotela wakho ogqirha.
Imithombo:
Covey DC, "Ukulimala kwe-postolateral Corner ye-Knee" I-Bone Joint Surg (Am) 83: 106 (2001)