Umgcini weMidlalo okanye isithuthuthu se-Skier
Isalathiso somgcini-mdlalo, esibizwa ngokuba sisiqhwithi se-skier, kukulimala kwelinye lemiqathango ebalulekileyo kwisiseko sesigxina. Ukulimala kubandakanya i-ulnar collateral ligament (UCL), iqela lezinto ezinzima, ezinobumba obudibanisa amathambo kwisiseko sesithupha. Le ligament ivimbela isithupha ukuba singabikho kude kakhulu nesandla.
Ukulimala kwi-lignar collateral ligament kwenzeka xa lesi sakhiwo soluliwe kakhulu.
Amagama amabini aqhelekileyo achazayo malunga nokulimala kwi-lignar collateral ligament yile:
- Isithuthuthu sase Skier kunye
- Isalathisi sesigodlo
La magama aqhelekileyo asetyenziswa ngokungafaniyo, nangona bachaza iipateni zokulimala ezahlukeneyo.
Isithuthuthu se-Skier: Ukulimala ngokukodwa kwi-UCL
Ukulimala kwesibhakabhaka kwachazwa njengomonakalo oqatha kwigilatal colamentary ligament. Xa i-skier iwa ngesandla sayo esibanjwe kwisibonda sesiphakaphu, isalathisi singasuswa kwisandla. Ngenxa yobume besikhala se-ski, isithupha sinomdla wokubanjwa kwaye iingcinezelo ezibalulekileyo zifakwa kwi-collateral ligament. Ukuba i-ulnar collateral ligament ithathwa ngokukhawuleza, iya kudiliza. Nangona kukho iindlela ezininzi zokulimaza i-lignal collateral ligament, isithupha se-skier ligama elifanelekileyo lomonakalo omkhulu kwi-ligament.
Isalathisi seMidlalo: Isigxeko esingapheliyo kwi-UCL
Olunye ukonakalo luthiwa ngumlindi wesigxina; oku kubhekisela kumzekelo ongapheliyo wenzakalo okhokelela ekukhonteni kwegilum ye-ulnar ngexesha.
Igama livela kubagcini bezemidlalo baseYurophu abaya kubabulala umdlalo wabo ngokubamba intloko yesilwanyana phakathi kwesithupha kunye nesicatshulwa somunwe ukuze baphule intamo. Ngokuhamba kwexesha, i-ulnar collateral ligament isolulwe kwaye ekugqibeleni ibangela iingxaki. Kwakhona, isalathisi sesigcino yindlela efanelekileyo yokuchaza ukulimala okungapheliyo kwi-lignar collateral ligament.
Iimpawu
Inxeba yezilonda ze-ulnar ngokuqhelekileyo iyenzeka ngokubakho ngenxa yokulimala kwezemidlalo. Abadlali abadlali be-skiers kunye nabadlali bebhola badla ngokuqhubeka nokulimala. Umonakalo we-ulnar umlenze wegilenti ungabakho nje ngenxa yokuwa okanye enye ingozi.
Izigulane ezigcina iinyembezi ezinzima ze-ulnar collateral ligament zikhalaza ngokugqithiseleyo kunye nokuvuvukala ngqo kwi-ligament ephuthiweyo kwisiseko sesithupha. Izigulane ziya kuba nexesha elinzima ukuqonda izinto okanye ukubamba izinto ngokuqinile. Ngenxa yokuba le nzakalo idla ngokubonakala kubadlali, baya kuhlala bekhalaza ngobunzima bokubamba i-tenketi okanye ukuphosa i-baseball. Izigulana nazo zinokukhalaza ngokungazinzi okanye zibambe isithupha kwiipokethi zebhulukhwe zazo.
Iimvavanyo ezisetyenzisiweyo ukuqinisekisa ukuxilongwa zingabandakanya ii-ray-ray okanye i-MRIs. I-ray-ray ingaba luncedo njengoko ivumela ugqirha wakho ukuba agxininise ukudibanisa aze abone ukuba i-ligament yenza umsebenzi wayo okanye ukuba yonakalise kakhulu ukuzinzisa ukudibanisa. Ukongezelela, ngamanye amaxesha x-ray ibonisa iqela elincinane lesithambo elibanjwe isitetacalpal thumb yi-UCL ligament. Eli thambo, elibizwa ngokuba yi-Stener lesion, luphawu lokuba ukuhlinzwa ngokuqhelekileyo kuyadingeka njengoko ithambo liyakuthintela i-UCL ekupilweni kwindawo efanelekileyo ngaphandle kokucoca.
Unyango
Unyango luxhomekeka kwizinto eziliqela, kubandakanywa ubukhulu bokulimala, bekudala kangakanani ukulimala, iminyaka yesigulane kunye neemfuno zomzimba zesigulane. Ukuba iinyembezi zincinci, kwaye isithupha singasayi kukhululeka, isigulane sisoloko sifakwa kwindawo ephoswe okanye i-crystal split (ebizwa nge-thumb spica) kwiiveki ezi-4 ukuya kwezi-6.
Ukuba iinyembezi zizalisekile okanye ukuba isigulane sinokungazinzekanga okukhulu ngenxa yokulila kwe- lignar collateral ligament , ngoko utyando luya kuqwalaselwa. Ukuhlinzwa ngokuqhelekileyo kusebenza kakhulu xa kwenziwa kwiiveki zokuqala emva kokulimala. Ukuba kunokwenzeka, ugqirha uya kulungisa iziphelo eziqhekekileyo ze-ligament ndawonye.
Ukuba i-ligament ihlulwe kwithambo, isiphelo esiqhekekileyo siya kuhluthwa ukuya kwithambo ngokwayo.
Ukuba ukulimala kwi-ulnar collateral ligament kudala, ngoko kuya kwenzeka ukuba ukulungiswa ngokuthe ngqo kuya kwenzeka. Kule meko, mhlawumbi esinye isakhiwo siya kutshintshwa ukuvuselela i-lignar collateral ligament okanye esinye sezihlunu kwisiseko sesithupha sinokuqhubela phambili ukuhlawulela i-ligament ephuthiweyo.
Emva kokuhlinzwa, izigulane ziza kufakwa kwisithuba seveki ezine ukuya ezintandathu ukukhusela i-ligament. Ngelo xesha, ukunyameka komnwe kuya kuqala. Uninzi lwezigulane ziyakwazi ukudlala imidlalo 3 ukuya kwiinyanga ezine emva kokuhlinzwa.
Imithombo:
I-Tang P. "Ukutshatyalaliswa kwegilana yesigxina se-metacarpophalangeal IJ Am Acad Orthop Surg. Ngo-Meyi 2011; 19 (5): 287-96.
UMorgan WJ, uSlowman LS. Isandla esilungileyo kunye nokulimala kwamakhwenkwe kubadlali: ukuhlola nokuphathwa. " J Am Acad Orthop Surgery. 2001 Nov-Dec; 9 (6): 389-400.