Ulnar intlungu yesalathisi esekelwe kwi-toni ye-ECU engavamile
I-tendon ye ECU, okanye i-extensor carpi ulnaris, yenye yezona zithenda ezinkulu. Kusemacaleni omnxeba wesandla, inxalenye efanayo nomnwe omncinci. I-tendon iqala emva kwe-forearm, kodwa kwinqanaba lentsimbi edibeneyo ngqo ngqo kwicala lomdibaniselwano. Kukho izimbangela zeentlungu zesalathisi esilunxwemeni, kwaye enye yezo ziingxaki kwi-tendon ye-ECU.
Iingxaki ezimbini ze-ECU eziqhelekileyo ziyi-tendonitis kunye ne-tendon subluxation.
I-ECU iTendonitis
I-tendonitis ye-ECU yimbangela yokuvuvukala kwethenda ye-ECU. Le meko ixhaphake kwiindawo ezingenanto, kwaye ngokuqhelekileyo ivela ngaphandle kwesizathu esibonakalayo. Ngamanye amaxesha izigulane ezine-ECU tendonitis zinempawu ezenzeka emva kokulimala koluhlungu, njengendlela yokuqhekeka kwesandla, kodwa imeko eqhelekileyo ayinayo imvelaphi ecacileyo.
Iimpawu ze-ECU tendonitis ziquka:
- Ukunyamezela ngokuthe ngqo kwi-tendon ye-ECU
- Ukuvuvukala okanye ukuzaliswa kwetendon sheath
- I-Crepitus ngokunyakaza kwesandla
- Ubuhlungu obuchasene nokuphambuka kwe-ulnar (ukukhomba isandla kumgca we-pinky)
Iimvavanyo zivame ukuqhutyelwa ukuba zihlolwe ezinye iimpawu zentlungu yesandla. I-X-ray iya kuba yintsholongwane yezigulane ezininzi ezine-tendonitis, kwaye i-MRI ingabonisa ukusetyenziswa kwamanzi okujikeleza i-tendon. Ngamanye amaxesha ugqirha wakho uza kwenza uvavanyo ngokujoba amayeza angama-numbing (lidocaine) ecaleni kwetoni ukuze abone ukuba intlungu ixazulula.
Utyando oluthile lubandakanya ukuphumla, isicelo seqhwa, imishanguzo echasayo, kunye nokusetyenziswa kwesandla somkhonto. Ukuba iimpawu ziyaqhubeka emva kokunyanga okulula, i- injection ye-cortisone inokuba luncedo. Ngaphantsi yinkqubo yokugocwa efunekayo kunyango lwe-ECU itheonitis, kodwa ukuba iimpawu ziyaqhubeka naphezu kolawulo olufanelekileyo, ukuxubusha okutyunjwa kwethenda kunokuqwalaselwa.
ECU Snapping okanye Subluxation
Ukuxhamla i-ECU syndrome yimeko ngenxa ye-tendon ye-ECU ehambayo ngaphakathi nangaphandle kwendawo yayo ehlangothini lwesandla. Ukukhupha i-ECU kuqhelekileyo kwiimbaleki, kwaye ngokubanzi kulandela ukulimala kabuhlungu kwisandla. Ukulimala kubangele umonakalo kwi-tendon sheath eqhelekileyo, kwaye ivumela i-tendon ukuba idibanise kwindawo yayo eqhelekileyo.
Iimpawu ze-ECU subluxation ziquka:
- Ukuqhaqhazela okubuhlungu kwesandla kunye nokunyakaza okuhambayo
- I-Tendon ikhupha ngaphandle kwendawo yayo ngokuguqula isandla kwisigxina se-palm-up
- I-Tendon igxuma kwakhona endaweni xa isandla siphendulela isundu
Ngokuqhelekileyo, i-tendum ye-ECU igijima ngaphakathi kwimizila epholileyo kunye ne-groove ecaleni lomxhasi wesandla. Yibanjwe kule ndawo ngokugqithiseleyo. Ngamanye amaxesha emva kokulimala okunjengokuqhekeka kwesandla , le ntambo yesithinte ingaba yinto engaqinisekiyo. Ukuba ithenda ye-ECU ayibanjwanga endaweni, inokuthi 'iqhube' phezu kwethambo njengoko isalathisi sijikelezwa. Unyango luyaphumelela ngokukhupha umkhonto ngesithoni kwindawo efanelekileyo. Ukuba oku kungasebenzi, unyango lungadinga ukulungiswa kwakhona kwintsimbi yesithoni ukuze ithenda ihlale kwindawo yayo.
Imithombo:
I-Adams JE, uHabbu R. "I-Tendinopathies yesandla kunye nesandla" J Am Acad Orthop Surg. 2015 Dec; 23 (12): 741-50.