Ukwahlukana kukaSmith kuluhlobo oluthile lokulimala kwithambo le-forearm (i-radius) kufuphi ne-joint wrist. Kule nzakala kukho ukufuduka kwethambo njengokuba isalathisi sesandla sihlala phambi kwesimo sawo sohlobo lwe-anatomic. Ubungozi bufumaneka ngokubanzi emva kokuwela kumva kwesandla, okanye ngokuwa ngesandla esityalwe phantsi umzimba wakho uphazamise isandla.
Ukwaphuka kwe-Smith kwambi ngamanye amaxesha kubhekiswa njengophulaphulo lwamaKlebhu. Ukuqhekeka kwama- Colles kuluhlobo lwe-radial fracture, kodwa ithambo lixoshwa emva kunokuba liqhube phambili.
Iintlobo zeFractures Fractures
Isalathisi sesigxina sihlanganiso se-forearm nesandla. Isibambano sakhiwa ngamathambo amabini angaphambili (i-radius kunye ne-ulna) ehlangene kunye namathambo amancinci. Ngokuqhelekileyo, xa umntu echaza ukuphuka kwesandla , bakhuluma ngokulimala ekupheleni kwethambo lesangqa. Nangona kunjalo, i-word break crack ingasetyenziselwa ukuchaza ezinye iintluko ezifana neentlobo ze- scaphoid , i-distal ulna fractures kunye nezinye ukulimala kwethambo ehlangene nesandla somnxeba.
Izahlulo zeeralus eziqhelekileyo zinokuvela kwiintlobo ezahlukeneyo, kwaye uhlobo oluthile lokuphuka lunokunceda ekufumaneni unyango olungcono. Kukho iinkalo eziliqela ezichanekileyo ezichaphazela izigqibo malunga nophatho olufanelekileyo; Ezinye zezi zinto ziquka:
- Ukufuduka kweqhekeza (iindawo ezingakanani ekuphumeni kwamathambo?)
- Ukwandiswa kwezahlulo / ukubandakanyeka ngokubambene (Ngaba i-fracture ingena kwindawo ehlangeneyo?)
- Ukuzinza kwezityalo (Ziyakwenzeka kangakanani ukuba amathambo ahlale kwindawo?)
Ukongezelela, kukho imibandela enxulumene nezigulane ezinokuchaphazela isigqibo malunga nendlela yokuphatha kakubi ukuhlukana okuthe ngqo.
Ezinye zezi zinto zibandakanya:
- Ubudala besigulane
- Umgangatho womsebenzi wesigulane
- Lawula ngesandla
- Ezinye izinto zezokwelapha (ezifana nesifo sikashukela, ukusetyenziswa kwecuba, ukungondleki)
Unyango
Ngenxa yokuba ukuphuka kukaSmith akuqinisekanga, le nzakalo idla ngokukhawuleza idinga ukuzinzisa ukutyunjwa ngenye indlela. Ukuba i-fracture ichithekile kwiindawo zayo eziqhelekileyo, kuya kufuneka ukuba ngokuqinisekileyo kufuneka ikhuseleke kwindawo enezitshixo zetsimbi, ngokuqhelekileyo iplati kunye nezikrini . Ezinye iinketho zokuzinzisa i-fracture zibandakanya izikhonkwane ezifakwe ngesikhumba kunye nokulungiswa kwangaphandle . Uninzi lwezigulane zikhetha i-plate kunye nezikrini ukususela ekubeni i-fracture ikhuselekile kakuhle, kwaye iyakwazi ukuqala imizamo yokuqala yokuphucula ukuhambelana kokubambisana.
Ngoxa ukuphonsa kukhange kwenziwe, kodwa kufuneka ujongwe ngokucophelela ukuqinisekisa ukuba i-fracture ihlala kwindawo efanelekileyo njengoko kukho ukuthambekela kwezi fracture ukutshintshela kwisithuba sokufuduka.
Eyaziwayo Njenge: Ukuqhekeka Kwemandla, I-Wrist Broken
Imithombo:
Lichtman DM, et al. "I-AAOS Clinical Practice Guideline Summary Treatment of Distal Radius Fractures" J Am Acad Orthop Surg ngoMatshi 2010; 18: 180-189.