Ukwahlukana kweJones uhlobo oluthile lwenqabana olubandakanya ithambo le-five metatarsal leenyawo. Ikwahluke kwezinye iindidi zeentlobo ezibandakanya unyawo njengoko zifumaneka kwindawo yeli bone itinzima ukuphilisa. Ukwaphuka kukaJones ngokuqhelekileyo kukuqhekeka okutshintshileyo (intsingiselo, ejoliswe kwi-perpendicular to axis long axis of bone) kwaye ivela kwindawo yenguqu ngaphakathi kwethambo, apho iya khona ukusuka kwinyenti ukuya kwi-spongy ebizwa ngokuthi i-diaphyseal-metaphyseal junction ye- metatarsal yesi - 5 .
Ziziphi Izizathu Zama-Jones Fractures?
Izahlulelo zikaJones zingabangela isiganeko esichukumisayo okanye imeko engapheliyo. Xa zenzeke ngokugqithiseleyo, ngokuqhelekileyo zibangelwa yi-inversion-type sprain, enye enye apho unyawo lujike ngaphakathi ukuya kwelinye inyawo. Olu luhlobo oluthile lokulimala olunokubangela i- ankle fracture . Xa uYohn ephuka evela kwingxaki engapheliyo ihlala kuba yiphumo lokuziphindaphinda ngokuxhatshazwa okungaphantsi kwethambo okanye ukuyenza buthathaka kwilizwe apho kunokwenzeka ukuba kuqhutywe umonakalo omkhulu.
Ngubani Ofumana Izahlulelo ZamaJones?
Izahluko zikaJones ziqhelekileyo kubadlali bezemidlalo kwaye ziye zaziwa ukuba zenzeke kwiimbaleki zobuchwephesha. Abadlali ababini bezobuchwephesha bamatye kunye nala maqhekeza nguKevin Durant-Jones Fracture (basketball) no-Ahmed Bradshaw (ibhola). Iinyawo eziphakamileyo eziphakamileyo zithandwa kakhulu kwiintsimbi zikaJones ngenxa yokuba uxinzelelo oluninzi lubekwa ngaphandle kweenyawo kule ndawo ethile.
Ngaba i-Jones Fractures ithathwa njani?
Iingqumbo zikaJones eziqhelekileyo zinzima kuba i-fracture iyenzeka kwindawo ephantsi kwethambo lokunciphisa i-vascularity (ukunikezelwa kwegazi), ngokugqithisileyo kuthiwa yindawo ephantsi komhlaba. Unyango lwe-Jones fractures unokuthi uphoswe kunye / okanye utyando. Isicwangciso sonyango sixhomekeka kwixesha leminyaka yesigulane, izinga lomsebenzi, impilo yonyango jikelele, kunye nohlobo lukaJones.
Ngandlela-thile, ukuphilisa amathambo kuthatha iiveki ezi-6-8.
Unyango oSebenzayo uJohn Fracture Treatment:
Ezi zi gulane zonyango ngaphandle kokuhlinzwa zicetyiswa ukuba zifakwe kwisitya esomeleleyo esiqala ngaphantsi kweedolo kwaye siqhutyelwe kwizwane ezithatha iiveki ezi-6-8. Oogqirha bavame ukukhawulela isigulane ukuba bahambe emlenzeni kunye neengcebiso zengqungquthela, de kube ukuphulukiswa kwethambo kuboniswe kwi-ray-ray. Iingqumbo zikaJones ziyaziwayo ngokuba ziliphilise ukuphulukiswa kwaye inkqubo yokuphonsa kunye neentonga ziyakongeza iintsuku ezintathu okanye ngaphezulu.
UJohn Fracture Surgery:
Uphando lwe-fracture kaJones ngokubanzi lukhuthazwa kubantu abakhutheleyo. Abadlali bebhola bahlala becetyiswa ukuba baqhubeke nokuhlinzwa. Izigulane ezincinci zifanelekile ukutyunjwa kodwa izigulane ezangezikhulile nazo zinokuthathwa njengabaviwa abagqwesileyo ngokuhlinzwa ngokuxhomekeke kumgangatho wabo womsebenzi.
Indlela eqhelekileyo yokuhlinzwa echaphazelekayo ibandakanyeka ithambo elilodwa lokurhoxisa ukuze lihlangane kunye neentlobo zethambo. Esi siqalo siqala kwiphondo lesithambo sifakwe kwingqungquthela yangaphakathi yethambo le-metatarsal. Olu qhekeza oluqhelekileyo lukwahlukileyo kuba akukho nanye ukuphulwa kweenyawo kuphathwa ngesikhokelo sokutsala.
Ukubuyiswa kweJones Jones
UJonas uyahlukana, njengaluphi na amathambo aphukileyo, athathe malunga neeveki ezi-6 ukuya ku-8 ukuze i-fracture iguqulwe-okanye ngaphandle kokuhlinzwa.
Umngeni owenziwe nguJones uphazamiseka kukuba i-fracture iyenzeka ngaphakathi kwethambo elithathwa njenge-vascular less, ekugqibeleni lithetha ixesha elide lokuphilisa.
Ugqirha, ngokubeka i-screw, kucingelwa ukuba uncede amathambo aphilise kwisixa esiqhelekileyo sexesha elimalunga neveki ezintandathu. Ukongezelela, abanye oogqirha bavumela ukuhamba ngokukhuselweyo emva kokuhlinzwa kwaJones. Xa uphathwe ngaphandle kokuhlinzwa (ukuphosa kunye neentonga), ukuphulukiswa kwethambo kufaka ngaphezu kweeveki ezintandathu kwaye kunokuthatha iinyanga ezintathu okanye ngaphezulu. Abanye oogqirha baye bacebisa kwangaphambili amacebo okuphulukisa amathambo (abizwa ngokuba ngama-bone stimulators) kulezi ziqhekeza njengesiteyathelo esilungeleyo sokuzama ukuphazamisa ukuphulukiswa.