Ukulimala kwi-Stabilizers ye-Inside ye-Knee Joint
I-ligl ye-collateral ligament (i-MCL) yenye yezona zinto eziphambili ezixhomekeke ekuzinzekeni kwamadolo . I-ligament yenziwe ngempahla eqinekileyo yefibrous kunye nemisebenzi yokulawula ukunyakaza okugqithiseleyo ngokunciphisa ukuhamba ngokubambisana. Ezi ezine ezinezintambo ezizinzileyo zokuguqulwa kwamadolo ziyimigqaliselo yangaphambili kunye neyasemva kwayo ( ACL kunye ne- PCL ), kunye ne-medial and lateral collateral ligaments (MCL neLCL ).
I-MCL igxotha umgama ukusuka ekupheleni kwe-femur (ithambo lesithambo) ukuya phezulu kwe-tibia (ithambo lesifuba) kwaye liphakathi kwendoda ehlangene . I-MCL imelana nokuphakanyiswa kwendawo yangaphakathi, enokuthi ithintelwe "ukuvula" kwendolo. Ukuba i-MCL igqityiwe ngokupheleleyo, ukulimala kuya kubangela ukuba udibeneyo ube neyongezelelweyo i-degrees e-2 ukuya kwi-5 degrees ye-laxity. Ukuba ezinye iisisitye ezinqabileyo ezonakalisiweyo zonakalisiwe, ngoko ke umlinganiselo wokulahla uya kuphindwa kabini. I-MCL akuyena kuphela umqobo wokuvula ngokugqithiseleyo kwicala langaphakathi lamadolo, kodwa yinto yokuthintela okuphambili kule ntshukumo.
Izinyembezi ze-MCL
Ngenxa yokuba i-MCL inqabela ukukhulisa ngaphakathi kwidolo edibeneyo, i-ligament ixhatshazwe xa kuqhutywe ngaphandle kwamadolo. Eli gunya lenza ukuba ngaphandle kwamadolo kuguqulwe, kwaye ngaphakathi kukhulise. Xa i-MCL isetyenziswe kakhulu, iyakwazi ukukrazula nokulimala.
Oku kukulimala kubonwa yi-action " yokucima " kwimidlalo yebhola.
Ukulimala kwi-MCL kunokwenzeka njengengozi ekhulile, okanye inokuba yinxalenye yengozi ebunzima emadolweni. Ezinye iigaments, ngokuqhelekileyo i-ACL, okanye i-meniscus , inokuphangwa kunye ne-MCL yengozi.
Ukuze kuthintele ukuba inqabileyo ye-MCL, abanye abagijimi basebenzisa amabhonti ukukhusela amandla amaninzi kwiigaments.
Ezi zixhaphake kakhulu ngabadlali bebhola laseMerika, ngakumbi i-lineman. Laba baqhubi bahlala bexhomekeke kwimpembelelo ephezulu emadolweni, i-mechanism engakhokelela ekulimaleni kwe-MCL. Ukusetyenziswa kwezi bhonti kuyisifundo sempikiswano, kodwa mhlawumbi inzuzo encinci malunga nokuthintela amathuba okulimala xa i-brace igugile kule meko.
Iimpawu zee-MCL Izinyembezi
Uphawu oluqhelekileyo olulandelayo emva kokulimala kwe-MCL intlungu ngqo kwi-ligament. Ukuvuvukala kungabonakala kwi-ligament eboyiweyo, kunye nokuqhaqhazela kunye nokuvuvukala ngokuqhelekileyo okuqhelekileyo kuya kufumaneka kwiintsuku ezimbini emva kokulimala. Xa kwalimala kakhudlwana, izigulana zingakhononda ukuba idolo liziva lizinzile, okanye livakalelwa ngathi idolo liyakwazi 'ukukhupha' okanye ukukhupha.
Iimpawu zokulimala kwe-MCL zithintela ngokumalunga nomlinganiselo wokulimala. Ukulimala kwe-MCL kuvame ukufakwa kwizinga elingu-III.
- Iilwimi zeBlue I-MCL
Le ntsizi engaphelelanga ye-MCL. I-tendon isaqhubeka, kwaye iimpawu zihlala ziphantsi. Izigulane zihlala zikhalaza iintlungu kunye noxinzelelo kwi-MCL kwaye ikwazi ukubuyela kwimidlalo yazo ngokukhawuleza. Uninzi lwabagijimi balahlekelwa iiveki ezimbini ukuya kudlalwa. - Umlenze weBakala II we-MCL
Ukulimala kweBanga II kubonwa njengezinyembezi ezingaphelelanga ze-MCL. Ezi zi gulane ziyakwenza isikhalazo sokungazinzi xa uzama ukunqumla okanye ukugxeka. Intlungu nokuvuvukala kubaluleke kakhulu. Ngokuqhelekileyo, kufuneka kubekho ixesha lokuphumla kweeveki ezintathu ukuya kwezine.
- Iilwimi zeBlue III MCL
Ukulimala kwebanga lesi-III yintlungu epheleleyo ye-MCL. Izigulane ziba nobuhlungu obukhulu kunye nokuvuvukala, kwaye kaninzi kunzima ukuguqa ngamadolo. Ukukhubazeka, okanye ukunikezela, kuyinto eqhelekileyo yokufumana kunye neenyembezi zeBakala III zezinyembezi. I-knee brace okanye i-knee immobilizer idla ngokudinga ukuthuthuzela, kwaye ukuphilisa kungathatha iiveki ezi-10 ukuya kwezi-12.
Enye into engafaniyo ye-collateral ligament ingumqondiso we-Pellegrini-Stieda, odla ngokubonakalayo kwingozi e-MCL engapheliyo. Okungaqhelekanga kubonakala kwi-X-ray xa i-calcium deposits ibonakala kwi-MCL. Ngokuqhelekileyo, idizithi ye-calcium ilandele i-attachment ye-ligament ekupheleni kwethambo lethanga.
Abantu abanentlungu kulo mzekelo ngamanye amaxesha bathiwa ne-Pellegrini-Stieda syndrome. Unyango lwale meko ngokuqhelekileyo luphendula kumanyathelo alula, nangona kwiimeko ezinqabileyo idizithi ye-calcium ingasuswa.
Unyango
Ukunyangwa kwembewu ye-MCL kuxhomekeke kubuqili bokulimala. Unyango luqala rhoqo ngokuvumela ukuba intlungu iphephe kwaye iqale ukusebenza ekuhambeni. Kulandelwa ngokuqinisa idolo nokubuyela kwimidlalo nasemisebenzini. I-Bracing ingasoloko iyincedo ekwenzeni unyango lwe-MCL. Ngethamsanqa, ngokuqhelekileyo ukuhlinzwa akuyimfuneko yokonyangwa kwe-MCL.
Imithombo:
> Miyamoto RG, et al. "Unyango lweMigodi yeLigamental Accidents" J. Am. Acad. IOrn. Ukukhupha , Matshi 2009; 17: 152 - 161.