Uhlobo olungavamile lwe-Ankle Injury
I-talus yenye yamathambo abalulekileyo ayenzela iqhagamshelo lesangqa. Isebenza njengekhonkco ebalulekileyo phakathi komlenze nonyawo. I talus nayo ithambo elikhethekileyo ngaphezu kwesigamu esinye sihlanganiswe ne-cartilage esinika umtya kwaye ivumela amathambo ukuba ahambe ngokukhululekile. I-talus ayifaki kuphela ekuhlanganyeleni kwe-ankle kodwa iphantsi kwe-ankle kwi-subtalar ehlangene kunye nakwi-midfoot kwi-joint heelvicular.
Ukulimala kwi talus kunokuba nempembelelo ephawulekayo kwisindululo samalungu ezinyawo kunye neenyawo kunye nokunciphisa ukukwazi ukuhamba nokubeka ubunzima.
Iintlanzi zeTalus zaphantse zange zange zenzeke iminyaka eyikhulu edlulileyo. Uthotho lokuqala lwee-talus fractures luchazwe kumadoda awonzakele eBritish Royal Air Force ekuqaleni kwawo-1900. Igama elithi "aviators astragalus" lisetyenziselwa ukuchaza ezi ziqhekeza ezenzekayo njengoko iiplanti zemfazwe zakudala zenza ukuhlaselwa kwee-crash. Namhlanje, i-talus fractures ibonakala kwimoto kunye nokuphazamiseka kwesithuthuthu, izingozi ze-snowboarding kunye nokuwa okukhulu.
Iimpawu zeTalus Fracture
Izigulane ezinokuphuka kwetalus ziba nobuhlungu obukhulu be-ankle , ubunzima bokuthwala ubunzima emagqabini, kunye nokuvuvukala ehlangene kunye ne-ankle joint. Izigulane kufuneka zenze uvavanyo lwe-X-ray ngokukhawuleza ukuba lunqabile ukuba kukho i-talus fracture okanye nayiphi na inzakalo emagqabini.
Iimpawu eziqhelekileyo zeetalus fractures ziquka:
- Ukuvulela ecaleni kwinqanaba le-ankle
- Ubuhlungu ngokuhamba kweenyawo
- Bracture blisters
- Ukuqhankqalaza kwesikhumba
- Ukungakwazi ukubeka ubunzima kwidibeneyo
Izinyango Zonyango
Unyango lwe-talus fracture kuxhomekeke kubukhulu bokulimala. Ukuba i-fracture ayikho kwindawo, i-cast mayingenayo unyango. Ukuba i-fracture ayikho kwindawo, utyando luya kunconywa ukuba luzalise amathambo aphukile kwaye azinze ngokuzibeka ngeentambo okanye izikhonkwane.
Iingxaki zeTalus Fracture
Kukho iingxaki ezintathu eziphambili ezinokuthi zenzeke ngeetalus fractures. Ezi ngxaki zi-arthritis ze-ankle, i-fracture malunion, ne-osteonecrosis. Ezinye iingxaki ezinokuthi ziquka ukusuleleka, ukungabambisani, ukunyuka kweenyawo , kunye nentlungu engapheliyo .
I-arthritis iyaxhaphaka emva kokuba i-talus iphuka ngenxa yokuba ininzi yethambo lihlanganiswe ne-cartilage. I-arthritis ingenzeka ngaphezu kweetalus ehlangene kunye neenyawo, okanye ngaphantsi kweetalus kwi- subtalar joint . Xa i-cartilage yalimala, umgangatho oqhelekileyo odibeneyo ungabonakali. Ezi zitenxo zingakhokelela ekugqibeleni ukugqoka kwidibeneyo, kwaye ekugqibeleni uye kwi-arthritis. Ngaphandle kwonyango lophuhliso lwe -talus fracture, uphuhliso lwe-arthritis luqhelekile.
I-Malunion ithetha ukuba ikhefu liphilile, kodwa indawo apho amathambo aphilweyo ayilunganga kakuhle. Oku kunokukhokelela kwiinkalo ezahlukileyo, ngokukodwa ngokunyuka kweenyawo apho ukulungelelaniswa kwintlupheko kunokukhokelela kwingxaki yexesha elide nobunzima bokuhamba.
I-Osteonecrosis, okanye i-avascular necrosis, yinkinga efumaneka rhoqo kwi talus. Ngenxa yesibonelelo segazi esingaqhelekanga kwi-talus bone, kunokuphazamiseka xa ithambo lenzakaliswe kwintsimbi. Ngaphandle kokunikezelwa kwegazi, iiseli zethambo ziya kufa (i-osteonecrosis) kwaye ithambo alikwazi ukuphilisa ( ukungaboni ).
Ngaphandle kokuhlinzwa ukuba ulungelelanise ithambo kwaye ubambe iziqhekeza kwindawo, ukunikezelwa kwegazi okunokonakala kunokukhokelela kule nkinga enengxaki.
Ukubuyiselwa kwi-Injury nokubuyela kwiMidlalo
Ukubuyiselwa kwi-talus fracture ubude kuba kude kubekho ithambo liphilile, awukwazi ukubeka isisindo esiphelweni. Ngako ke, ezininzi iintlobo zeetalus zidinga ubuncinane ubuncinane kwiiveki ezisibhozo ukuya kwezi-12 zokukhusela kwisisindo. Xa kunobungozi obuninzi, ixesha lingaba lide. Izifundo zibonise ukuba iziphumo ezigqithisiweyo zezigulane zihambelaniswe kakuhle kunye nobukhulu bokulimala kokuqala.
Emva kokuba i-ankle yakho idibanise kakuhle, ungaqalisa inkqubo yokuvuselela i-rehabilitation to regain a range of motion , stability, and strength in joint joint.
Unokwenza usebenzise inqanawa okanye ugqoke i-boot ekhethekileyo kwaye unako ukubeka isisindo sakho esipheleleyo kwinqanaba lakho kwiinyanga ezimbini ukuya kwethathu.
Ixesha kuphela liza kuxela ukuba isigulane siza kuhlakulela i-arthritis okanye i-osteonecrosis, ngoko, ugqirha wakho uya kufumana i-x-rays ngezikhathi ezithile ukufumana impilo yethambo, kunye nokwanela kokuphilisa.
> Umthombo
- > Talus Fractures. I-American Academy ye-Orthopedic Surgeons.