Amaqhekeza ayenzeka ngenyawo ayenzakalo okwenziwe ngabasemagqatsheni abancinci, abadlali abaneminyaka emibini bephakathi, kunye nezigulane ezigugile ngokufanayo. Nangona i-cause of the fracture ingahluka, le nzakala iya kubonakala malunga naliphi na iqela leminyaka. Enye yezona ziqhelo eziqhelekileyo zeziqhekeza zibizwa ngokuba yintambo yokuphulukiswa kwe-five metatarsal
Ukuphulwa kwesibhambathiso se-five metatarsal, ebizwa ngokuba ngu-"Pseudo-Jones", isona sixhaphaka sesiqhelo sesihlanu se-metatarsal .
I-metatarsal yesihlanu yithambo egijima kwi-midfoot ukuya kwisiseko senzwane encinci ngaphandle kweenyawo. Ukuphulwa kwesibhambathiso se-five metatarsal kwenzeka apho ithenda inamathela kwisithambo kweli nqanaba (i-peroneus brevis tendon). Xa kuvela ukuphuka kwephulo , i-tendon idonsa iqhekeza elincinane lesithambo. Ezi ziqhekeza zihlala zingekho ndawo ngaphandle.
Izibonakaliso zokuphulwa kweVulsion of the Fifth Metatarsal
Iimbangela zokuphulukana nokuvuswa kwendawo kule ndawo zibandakanya nayiphi na inversion enyanzelekileyo yonyawo okanye i-ankle - rolling inward. Amandla enza ukuba i-tendon iqhube ithambo elithile kwi-five metatarsal kwisiseko se-pinkie toe.
Le nzakala inokuvela kwimisebenzi eyahlukeneyo ngokuphuma ngokukhawuleza kwi-curb, ukungena emngxeni, ukuguqula unyawo lwakho ngexesha lezemidlalo okanye ukulandela isiteji. Nawuphi na umsebenzi obangela ukuba unyawo luqhubekele ngaphakathi ngaphakathi lungakhokelela kule nzakalo ethile.
Iimpawu eziqhelekileyo zokuqhaqhaqhaqhaqhaqhaza kwe-five metatarsal ziquka:
- Ukuvulela ngaphandle kweenyawo
- Ukuqhaqhazela ngaphaya kweenyawo eziya kwizwane
- Ubuhlungu kunye noxinzelelo ngaphaya kweenyawo
- Ukunzima ukuhamba okanye ukuxhamla
Ukwenza Uxilongo
Ukuphulwa kwezinto ezivuthayo kungadideka kunye nezinye iintlobo zezahlulo ukuya kwisithandathu seetatarsal bone .
Ingxaki eqhelekileyo ibonakalisa le nzakalo kwi- Jones fracture . Ukwahlukana kubalulekile kuba unyango lwale nzakala luhluke.
Emva kokulimaza unyawo lwakho, mhlawumbi uya kugqirha wakho oyintloko okanye unyango olusisiphuthumayo okanye kwigumbi lexakeka. Ugqirha uya kwenza uvavanyo lomzimba wonyawo kwaye uphulaphule umlando wakho wendlela oye walondoloza ngayo ukulimala. Mhlawumbi uzothunyelwa ukuba i-X-ray isebenzise ukuxilonga ukuba ingaba yintlungu yokuvuswa okanye i-Jones fracture. Unokuba novavanyo lwegazi ukukhangela impilo yakho jikelele kunye naziphi na izinto ezibangela ingozi. Ngokomzekelo, ukuba ungephelile okanye ungahambelani naloo nto ungabonisa ingxaki yonyango engapheliyo njengesifo sikashukela okanye uxinzelelo lwegazi.
Izinyango Zonyango
Unyango lwama-fultures avulsion luvame ukufezwa ngokukhangela ukuhamba okanye ukuhamba ngokuhamba. Ezi zikhusela isayithi lokuphuka, kodwa kukuvumela ukuba uhambe kwaye ubeke ubunzima enyawo. Ukuphosa ukuhamba okanye ukukhupha kugugu malunga neveki ezine ukuya ezintandathu. Iintonga eziqhelekileyo azifanekiyo ngenxa yokwenzakala, kwaye utyando ludinga ukuba lube luyimfuneko. Kodwa, kungenasiphelo ukuthetha, awuyi kudlala ngokudansa kakhulu kwinyanga ezayo okanye ezimbini njengoko wenza ukubuyisela. Ukuphumla nokucima ummandla kwakhona kumakhadi kuwe xa uphila.
Ukuphelelwa kwintsholongwane kunokufuneka xa ukuphulwa komkhuhlane kubhubha. Ugqirha unokuncoma ukunciphisa okuvulekileyo kunye nokulungiswa kwangaphakathi okanye ukunciphisa okuvaliweyo nge-pinning.
ILizwi
Ukulimala kwe-metatarsal ye-break-out is a bungozi obuqhelekileyo eyenzekayo xa unyawo lujikeleleka. Nangona le nzakalo kufuneka ihlukaniswe kwezinye iintlobo zee-five metatarsal fractures ezingadinga unyango olongezelelweyo, i-five metatarsal evulsion fracture ine-prognosis enhle kakhulu kwaye iphantse ilawulwa ngokulula. Nangona kungenakukuqinisekiswa ukuba kunokungaphumeleli kwangoko kwinkqubo yokonyango, iimpawu ziya kuphucula ngokukhawuleza kwimiba yeeveki, kwaye abaninzi abantu bangaphinda baqalise imisebenzi eqhelekileyo yansuku zonke, kunye nemidlalo kwiinyanga ezimbalwa.
Imithombo:
Den Hartog BD. "Ukuqhekeka kwe-metatarsal engama-5" J Am Acad Orthop Surg. 2009 Julayi; 17 (7): 458-64