Ukulimala kobuGxa obuphakathi kokuPhosa abaPhathiswa
U-Tommy John unokuthi waziwa kakuhle ngabadlali abancinci be-baseball kungekhona ngenxa yokufezekisa kwakhe kwindunduma ye-pitcher, kodwa kwinkqubo yokugada enegama lakhe. Ukwesaba iipaki ze-baseball kunye nabanye abagijimi abalahlayo bayalimala kwi-ulnar collateral ligament ye-elbow. I-ulnar collateral ligament ye-elbow isecaleni elingaphakathi (eliphakathi) elidibeneyo, kwaye linceda ukubonelela ukuzinza kwi-jointbow.
Xa ukuphosa, uxinzelelo olubalulekileyo lubekwe kwi-collateral ligament, kwaye ukulimala kuya kwenzeka kwi-ligament.
Kwiminyaka yakutshanje, ukulimala kwi-ulnar collateral ligament, kunye nesidingo sokuba utyando lukaTommy John, luye lwaba luqhelekile. Kukho ukuxhalaba phakathi kwamagqirha ukuba izinga lokulimala likhula, mhlawumbi ngenxa yeebhola zebhola zebhola ezithwala kakhulu, ngokuqhelekileyo. Nangona abaqeqeshi abaninzi beqaphela ukubaluleka kokunciphisa amanqaku, kuya kunzima ukwazi ukuba buninzi kangakanani. Ukongezelela, i-summer i-baseball iye yavela kwiminyaka emide eyenziwa kubadlali abancinci abancinci, ngokuqhubeka nokubeka ingqungquthela yokunyamezela ngokuphindaphindiweyo.
Iimpawu zokulimala kwe-UCL
Uphawu oluqhelekileyo lwe-ulnar injilgamental injection ligament intlungu ngokuthe ngqo kwi-ligament kwicala elingaphakathi langaphakathi. Nangona kunjalo, akuyiyo yonke intlungu ye-elbow kumqhubi ophonsa ukulimala kwe-UCL, kwaye kubalulekile ukuba uhlolwe ngokucophelela ngunyango onobuchule ekuphononeni ukulimala ukucacisa imbangela yobuhlungu bendoda.
Iimpawu eziqhelekileyo zokulimala kwezilonda zibandakanya:
- Ubunzima, ngokuqhelekileyo kwisigaba 'sokubamba ngokukhawuleza' sokuphosa (xa ibhola iphakanyisiwe, kwaye emva kwentloko)
- Ukuvakalelwa 'kokuphuma' xa intlungu iqala
- Ubungqina okanye ukubetha kwisandla kunye neminwe
- Ukunciphisa ukunyuka kwesantya
Njengoko kubonisiwe, kukho ezinye izimbangela zeempawu.
Ngokukodwa, i- tendinitis yezihlunu kwinqanaba elingaphakathi le-elbow (i-flexible muscle flexors) yinkinga eqhelekileyo yokubangela iimpawu ezifanayo. Ngokuqhelekileyo i-tendinitis iqala ngokuthe ngcembe kunobungozi be-UCL, kodwa badidekile. Iingxaki ze-Ulnar iingxaki nazo zingabangela intlungu kunye neempawu zesibindi kwindawo efanayo.
Ukuthintela ukulimala kwe-UCL
Utyando lukaTommy John lunokudinga ngaphezu konyaka wokuphulukana, kwaye akusiqinisekiso sokubuyela kumgangatho ofanayo wokuphonsa, ngoko ke ukubaluleka kokuthintela ukulimala kwe-UCL kubaluleke kakhulu. Ikomiti yeNgcebiso yezoNyango ye-USA Baseball / iKhuseleko iye yenze iingcebiso ezithile malunga nokuba zingaphi imimandla eyahlukeneyo yabadlali bezemidlalo kufuneka zilinganiselwe ukuphonsa ngaphaya komdlalo kunye neveki, kwaye kufuneka bafumane ukuphumla okungakanani emva kokuphosa. Bonke abaqeqeshi kuwo onke amanqanaba eminyaka kufuneka baqhelane nale migangatho.
Naluphina iimpawu zokuqala ze-elbow ezingaxhatshazi kufuneka ziphathwe ngokukhawuleza. Abaxhasi abakha ubuhlungu beelbow kufuneka basuswe kumncintiswano ngokukhawuleza kwaye bavavanywe ngumntu oqeqeshwe kwizizathu eziqhelekileyo zobuhlungu bendoda. Ukuqhubela phambili kufuneka kuqhutywe rhoqo ngaphambi kokuba ubuyele ekugqibeleni, nangona ukuba imbangela icingelwa ukuba ayihambelani nokulimala kwi-UCL.
UCL Ukwelashwa Kokulimala
Uninzi lwabagijimi abalondoloza ukulimala kolukhulu kwi-UCL baya kuzama unyango lokuqala. Ukuphumla ngokukhawuleza kwesohlwayo elibuhlungu, olulandelwe ukuhlolwa ngonyango olujongwa ngokunyanisekileyo kufuneka kuqhubeke. Ulwaphulo oluthile lufanele lubandakanye uvavanyo oluqinileyo lokuphonsa i-mechanics ukuchonga iindlela zokunciphisa uxinzelelo olubekwe kwilisi elimele.
Inkqubo yokuphanda ukwenza inkqubo kaTommy John yenziwa ngokuvuselela i-ligament entsha, ingayilungisisi isigxina esonakalisiweyo (esifana nokuvuselelwa kwe-ACL ). I-UCL entsha yenziwe kwi-tendon e-forearm ebizwa ngokuthi i-palmaris longus tendon.
Uninzi, kodwa akusiyo yonke into, sinomdla we-palmaris longus, kodwa asiyidingi. Ukuba awunayo i-palmaris longus tendon, kukho ezinye iintlobo ezingasetyenziselwa ukwenza i-ligament entsha.
Emva kokuba kufakwe i-graft, ugqirha wakho uza kwenza izimbobo ezincinci ezingaphantsi kunye nangaphantsi kwendibano ye-elbow apho i-UCL ifakela kwithambo. I-tendon graft iya kutsalwa kwiimingxuma, kwaye igqitywe kwisitayela se-8 kunye ne-back-back back to itself to create new ligament.
Ukubuyiselwa emva kokuhlinzwa kukaTommy John kuthatha phantse unyaka. Uninzi lwabagijimi abaqali na ukuphosa ngaphandle kweenyanga ezine emva kokuhlinzwa, kwaye inkqubela phambili ihamba. Abanye abagijimi babuyela kumandla apheleleyo ngeenyanga ezili-9, nangona abaninzi bathabatha ngaphezu konyaka ukuba babuyiselwe ngokupheleleyo.
Imithombo:
UBruce JR no-Andrews JR. "Ulnar Collateral Ligamental Injury kwi-Athretics" "I-Am Acad Orthop Surg Meyi 2014; 22: 315-325; i-doi: 10.5435 / JAAOS-22-05-315