I syndesmosis ligama legament edibanisa amathambo amabini omlenze . La mathambo, i-tibia, kunye ne-fibula ziphakathi kwamadolo kunye namajoyini. I-tibia yinkomo enkulu ye-shin exhasa ubuninzi bobunzima bomzimba, kwaye i-fibula yithambo elincinci ngaphandle komlenze. Ukuqhagamshela la mathambo yi-ligament ebizwa ngokuthi syndesmosis, ebizwa ngokuba yi-syndesmotic ligament.
Ukuxhatshazwa kwamagulane kaninzi kusetyenziswa ngokubambisana namanye amanxeba emagqabini , kubandakanywa i- sprains kunye ne- fractures . Ukuba i-syndesmosis eyonakalisiweyo ishiywe ingaphendulwa, iziphumo ezibi zihlala zifumaneka. Ukubambisana kweengxowa kubanjwe ngokuhambelana ngokufanelekileyo ngeephephe ze-tibia kunye ne-fibula, ejikeleza ngaphakathi nangaphandle yangasese. Ukuba i-syndesmosis yonakalisiwe, umxube we-ankle ungasayi kuhlala.
Ukulimala kwe-syndesmosis kwenzeka xa unyawo ludlulela ngaphandle ngaphandle komlenze - okubizwa ngokuba yingozi yokujikeleza yangaphandle. Olu hlobo lokulimala luya kwenzeka xa i-ankle iphoswe ngamandla ngaphandle, okanye xa unyawo linyalwe, kwaye umlenze uphazamise ngaphakathi.
Iimpawu
Njengoko kubonisiwe, ukulimala kwe-syndesmosis kudla ngokubambisana kunye nokulimala kwe-ankle. Ngoko ke, nabani na abane- ankle okanye i-fracture nabo kufuneka bahlolwe ngenxa yokulimala okwenzekayo kwi-syndesmosis.
Iimpawu eziqhelekileyo zengozi ye-syndesmosis zibandakanya:
- Ubuhlungu ngaphezu kweenyawo
- Ubuhlungu benkomo
- Ukungakwazi ukubeka ubunzima emlenzeni
I-ray-ray kufuneka ifumaneke xa kukho ukulimala kwi-syndesmosis. Ngenxa yokuba i-x-ray eqhelekileyo ayikwazi ukubonisa ukulimala kwe-syndesmosis, uhlobo olukhethekileyo lwe-x-ray olubizwa ngokuthi x-ray luyafumaneka rhoqo. Xa uxinzelelwe x-ray, umhloli uya kusebenzisa amandla kwi-ankle ukuze aqinisekise ukuba i-syndesmosis iyashintsha xa kusetshenziswe amandla.
Ukuba kusekhona umbuzo wokulimala, nokuba i-CT scan okanye i-MRI ingaba luncedo ekwenzeni ukuxilongwa.
Iintlobo zeeSyndesmosis
Uhlobo oluqhelekileyo lokulimala kwe-syndesmosis olwenzekayo lubizwa ngokuba yi " high ankle sprain ". Umkhonto ophezulu ukhankanya nje umonakalo kwiigaments ngaphezu kwe-joint joint - i-ligndesmotic ligament. Unyango lwe-ankle ephezulu luxhomekeke ekuzinzekeni kwe-ankle. Ukuba i-ray-ray ibonisa iqela elizinzileyo lamagqabi, ezininzi izigulane ziphathwa ngokungazinzi kunye neengqungquthela kwaye zikulindela i-weekly 6-8 yokuphulukana.
Ukuba i-syndesmosis ayizinzile, unyango kufuneka luqinisekise ukuba i-syndesmosis ingabanjwa kwindawo ezinzileyo ngelixa ipholisa. Oku kungadinga ukukhusela kwisisindo emlenzeni, okanye kungadinga utyando ukuzinzisa ukujoyina i-ankle.
Ukulimala kwe-syndesmosis kuya kwenzeka ngokubambisana neenqabana zesikhumba. Njengokuba kukho i-sprains ephezulu, inkcazelo ebalulekileyo yokufumana unyango kukuba ukuba umxhasi we-ankle awuzinzile. Xa i-syndesmosis ibonakaliswe ngokubambisana nokuqhekeka kwe-ankle, ukuhlinzwa ngokuqhelekileyo kuyadingeka ukubuyisela ukuzinza kwi-joint joint. Uphando luvame ukuqhutyelwa ukulungisa ukuphuka okanye ukuzinzisa i-syndesmosis, ngamanye amaxesha.
Utyando lweeSyndesmotic
Xa i-syndesmosis ilungiswa ngokugqithiseleyo, oku kufuthi kwenziwa ngeensimbi zensimbi ezidlulayo kwi-fibula nakwi-tibia. Ezi zikhonkwane mazibekwe emva kokuba i-syndesmosis ibekwa kwindawo efanelekileyo kunye nokulungelelaniswa. Kungakhathaliseki ukuba esinye isisombululo okanye esinye isibini singasetyenziselwa, kuxhomekeke kuhlobo lokulimala kunye nokukhethwa kwabagqirha bakho. Ngokuqhelekileyo, ugqirha wakho uya kuncomela ukususa i-screws emva kweenyanga ezi-3-4.
Ukuba izifowuni zingasuswanga, ziya kugqitywa okanye ziphule. Nangona le nto ingenako ukuveza nayiphi na imiba, izigulane ezininzi azifuni ukukhupha okanye ukuphulwa kwesigxina emlenzeni wabo, kwaye ngoko ke ziya kubakhupha ngaphambi kwaloo xesha.
Imithombo:
I-Zalavras C ne-Thordarson D. "I-Ankle Syndesmotic Injury" J Am Acad Orthop Surg ngoJuni 2007; 15: 330-339.