Ukulimala kwiiLigaments ngaphezulu kwe-Ankle Joint
I-sprain ephezulu isetyenziswe ukuchaza uhlobo oluthile lwenxeba yomlenze. Ngokuqhelekileyo, xa umntu exhasa i- ankle ehlanjwe , iigaments ezijikeleze umxube we-ankle ziqhekekile. Ezi nzakala zivame ukubangela ubuhlungu kunye nokuvuvukala emagqabini.
I-spin upper sprain iyenzeka xa kukho ukulimala kwi- ligament enkulu ngaphezu kweenyawo ezidibanisa amathambo amabini omlenze ongezantsi .
La mathambo amabini, i-tibia (ithambo lesifuba) kunye ne-fibula, igijimuka ukusuka emadolweni ukuya kwi-ankle. Bahlanganiswe kunye nale ligament ebizwa ngokuba yi syndesmosis okanye i-syndesmotic ligament.
Izigulane ezigcina i-squille high sprain zenzakalisa le ligament syndesmotic . Izenzo zokuguqula okanye ukujikeleza kwimidlalo, ngakumbi xa unyawo lujikelelwe ngaphandle lubangelwa. I-ligament ingabangela ukulimala okunxulumene neentlobo eziqhelekileyo eziqhelekileyo zesikhumba kunye namaqhekeza . I-ligament iyakrazulwa xa amathambo e-ankle ephukile, kwaye i-fracture isetyenziswe.
Iimpawu ze-Ankle Sprain
I-high spell sprain ibangela iimpawu ezinjengezinye i- squares sprains , kodwa izigulane zihlala zikhalaza ngentlungu xa i-ankle ijikeleze ngaphandle (okanye ijikelezwe ngaphandle) okanye xa ithole lifakwe. Oku kufumanisa emva koko, oko kuthiwa "ukuphonsa uvavanyo," luvavanyo lweklasi yokulimala kwe-syndesmotic, kodwa ayikho ithemba elithembekileyo lokwenza ukuxilongwa.
Unokwazi ukuhamba, kodwa unentlungu ngaphezu kwinqanaba le-ankle, eliphezulu kunezinye ezininzi.
Xa kukhankanywa ukulimala kwe-syndesmotic, ugqirha wakho unokufumana izifundo ezikhethekileyo ze-x-ray ze-ankle ezibizwa ngombono wokuxinezeleka. I-ankle ibonakala iyinto eqhelekileyo kwimigqaliselo ye-x-ray kunye nokulimala kwe-syndesmotic, kodwa xa i-ligament igxininiswe, kunokunokulungelelaniswa okungavumelekanga kokubambisana kweenyawo ngokuxhomekeka kobunzima bokulimala.
Iimvavanyo ezinjenge-CT scan okanye i-MRI zingasetyenziselwa ukuvavanya i-ankle sprain, nangona ingafuneki rhoqo.
Unyango lwe-Ankle Sprain
Ukulimala kwe-Syndesmotic akuthanga ukuphilisa kunye neentlobo eziqhelekileyo zesikhumba, oko kutheni abaqeqeshi nabaqeqeshi beembaleki badla ngokuxhalaba malunga neentloko eziphezulu. Ugqirha wakho uya kuqala ukujonga ukuba ukulimala kuzinzile okanye kuzinzile. Ukuba ukulimala kuzinzile (oko kuthetha ukuba umxhasi we-ankle usebenza ngokuqhelekileyo), ngoko-ke i-ankle sprain ingaphathwa kwi-cast, ngokuqhelekileyo kwixesha leeveki ezi-6.
Ukuba ukulimala akuzinzile, ngoko utyando lungafuneka ukuba luzinze ukujoyina i-ankle. Udokotela wakho ogqirha uya kufaka i-scraws eyodwa okanye ezimbini phakathi kwe-tibia kunye ne-fibula ukubeka amathambo kwindawo efanelekileyo ngelixa i-ligndesmotic ligament iphilisa. Ezi zininzi iindlela zokulungisa ukulimala kwe-syndesmotic, zonke ezinobungozi kunye neenzuzo.
Ngenxa yokuba i-syndesmosis yi-ligament, kufuneka ikwazi ukuhambisa imali encinci. Emva kokuphiliswa kwegigament kwenzeka, abanye oogqirha baya kususa iifreythi ukuze amathambo ahambe ngokuqhelekileyo kwakhona. Abanye oogqirha bancoma ukushiya i-screws endaweni. Nangona kunjalo, bahlala bephuka ngenxa yokuxinezeleka kokuphindaphinda.
Unokuxoxa kunye nodokotela wakho ogqithisileyo ukuqwalasela ukukhutshwa kwesibheno.
Imithombo:
I-American Orthopedic Foot & Ankle Society. I-Ankle Sprain.
I-Zalavras C ne-Thordarson D. "I-Ankle Syndesmotic Injury" J Am Acad Orthop Surg ngoJuni 2007; 15: 330-339.