Iithoni ze-peroneal zi-tendon ezidibanisa izihlunu zecala langaphandle lethole enyaweni. Iimbumba ezimbini ezibalulekileyo ze-peroneal (i-peroneus longus kunye ne-peroneus brevis) zikhona ngaphandle komlenze, ecaleni kweso sifuba sethole. Iimisipha zixhunyiwe kwithambo ngamathambo , yiyiphi inkambo ecaleni kwinqanawa kwaye unamathele enyawo.
Imisipha ye-peroneal ibalulekile ekugqibeleni unyawo- isisombululo sokugubungela unyawo ngaphandle ngaphandle kweenyawo. Kwimeko eqhelekileyo, isisombululo semisipha ye-peroneal sinokulinganiswa yimisipha eguqula unyawo (ilitye inyawo ngaphakathi ngaphakathi kwe-ankle).
Iintlobo ezimbini ze-peroneal zihlobene kakhulu-enyanisweni, zihlala enye phezulu kwesinye emva kwefayili. Ulwalamano olusondeleyo lucingelwa ukuba lunegalelo kwezinye zeengxaki ezenzeka kwiintoni ze-peroneal, njengoko zixubana ndawonye emva kweenyawo.
Tendonitis yePeroneal
Ingxaki eqhelekileyo eyenzekayo ngeentoni ze-peroneal ukuvuvukala okanye i- tendonitis . Iitonti zivame ukutshiswa nje emva kwesifuba somlilo kwi-joint joint. Le nxalenye yefayili yinto engaphandle kwe-ankle (ebizwa ngokuba yi- malleolus yangasese ), kunye neetone ze-peroneal zifumaneka emva kweso sikhundla.
I-tendonitis ye-Peroneal ingaba ngumphumo wokusetyenziswa kakubi ngokuphindaphindiweyo okanye ukulimala kanzima .
Iimpawu eziqhelekileyo ze-tendonitis ye-peroneal zibandakanya intlungu ebusweni, ukuvuvukala phezu kweetoni ze-peroneal, kunye nokunyameka kweetoni. Ubunzima buhlala bubuhlungu xa unyawo lugqithiselwa phantsi kwaye lungene ngaphakathi, ulula i-tendon peroneal. I-ray-ray ye-ankle iqhelekile, kwaye i-MRI ingabonisa ukuvuvukala kunye nokuhamba kwamanzi kwiintethe.
Unyango oluthile lwe-tendonitis ye-peroneal lufezwa ngamanyathelo athile alula, kuquka:
- Isicelo seCafa
Ukusebenzisa i-ice kwindawo leyo kunokunceda ukunciphisa ukuvuvukala nokunceda ukulawula intlungu. - Ukuphumla
Ukuphumla kukubalulekileyo kwaye kaninzi kuncedwa ngokusetyenziswa kweentonga okanye inqanawa . - Imithi echasayo
Imithi, njengeMotrin okanye iAleve, inxamnye nokuvuvukala kwaye inganciphisa ukuvuvukala ecaleni kwethenda. - Ulungiso lwenyama
Ulwaphulo olunokwenyama lunokuba luncedo ekuncediseni ukubuyisela i-mechanical joint mechanics. - Ukuhamba ngebhokisi / iAnkle Brace
Iibhotile kunye neebhothi enye enye indlela yokunciphisa uxinzelelo kwiitonti kwaye uvumele ukuphumla nokuvuvukala. - I-Cortisone Injections
Izilwanyana zeCortisone zisetyenziswe ngokungaqhelekanga, njengoko zinokubangela umonakalo we-tendon. Nangona kunjalo, kwiimeko ze-tendonitis eziphindaphindiweyo ezingaphuculanga, ukudubula kwe-cortisone kunokuqwalaselwa.
Iindlebe zeTendon
Iindlebe zeetone ze-peroneal zingavamile, kwaye ziphantse zenzeke kwi-peroneus brevis tendon. Iindlebe zicatshangelwa ukuba zibangelwa yimibandela emibini nge-tendon. Enye ingxaki yonikezelo lwegazi. Iinyembezi ze-peroneus brevis zihlala zihlala kwindawo yamanzi apho igazi linikezwa khona, kwaye ngoko ke ukondla kwetoni, libi kakhulu. Okwesibini, ulwalamano olusondeleyo lweetoni ezimbini, obangela ukuba i-peroneus brevis idibene phakathi kwe-peroneus longus tendon kunye namathambo.
Oogqirha abaninzi bazama ukuphatha iinyembezi ze-peroneus brevis kunye nonyango olufanayo lwe-tendonitis echazwe ngasentla. Ngelishwa, ezininzi zezi zigulane azifumani ukukhululeka okuqhubekayo kweempawu, kwaye ngoko kufuneka utyando lube luyimfuneko. Kukho iindlela ezimbini zokugonywa kwee-peroneus brevis:
- Tendon Debridement and Repair
Ngethuba lokuxubha kwetoni, i-tendon eyonakalisiweyo kunye nezicubu ezivuthayo ezijikelezayo zingasuswa. Iintabhula zentambo zinokulungiswa, kwaye i-tendon "isetyenziselwe" ukubuyisela isimo sayo esifanelekileyo. I-Tendon kunye nokulungiswa kusebenza ngokugqithiseleyo xa ngaphantsi kwe-50% ye-tendon ichithwe. - Tenodesis
I-tenodesis yinkqubo apho ithenda yonakalisiwe ifakwe kwisithoni esivamile. Kule meko, inxalenye ye-peroneus brevis eyonakalisiweyo isuswe (ngokuqhelekileyo iisentimitha ezimbalwa), kwaye iziphelo ezisekhohlo zihlanjululwa kwi-peroneus longus tendon esondeleyo. I-Tenodesis isinconywa ngezinyembezi ezibandakanya ngaphezulu kwe-50% ye-tendon.
Ukubuyiselwa emva kokuhlinzwa kubandakanya iiveki ezimbalwa zokuthwala ubunzima kunye nokunyanzeliswa, kuxhomekeke kwindlela yokuhlinzwa. Ukulandela ukusilela, unyango luyaqala. Ixesha elipheleleyo lokuphulukana ngokuqhelekileyo liqheleke kwiiveki ezingama-6 ukuya kwe-12, kuxhomekeke kubukhulu bokuhlinzwa. Izingozi zokuhlinzwa ziquka ukusuleleka, ukuqina, kunye nentlungu eqhubekayo . Oko kwathiwa, uphando luphumelele kakhulu, kunye nezigulane ezixela ama-85-95% amazinga okuphumelela.
Imithombo:
Philbin TM, et al. "I-Peroneal Tendon Harmings" J Am Acad Orthop Surg Meyi 2009; 17: 306-317.