I-Ankle noma i-Ankle ye-Footballer
I-Anterior isle impingement syndrome yisimo esenzeka lapho ithambo lishaya ifomu phambi komhlangane we-ankle. I-bone spurs ingaba khona ekupheleni kwesifuba shin (i-tibia), phezulu kwethambo lesifuba (i-talus), noma kokubili. Lapho unyawo luqhutshwa phezulu, i-bone spurs pinch, ebangela ubuhlungu ngaphezu kwe-ankle.
Ubani onengozini ye-Anterior Ankle Impingement Syndrome?
I-ankle ye-ankle impingement syndrome yayivame ukubizwa ngokuthi "umgqoko wezinsizwa" noma "inqama yomdlali webhola lezinyawo." Ukucatshangelwa kwe-ankle kwangaphakathi kubhekwa ukuthi kungumphumela wokulimala okuncane okuphindaphindiwe ( ukulimala ngokweqile ) emagqumeni, nakuba kunezinye izimbangela zaleso simo, kufaka phakathi isikhala se-ankle.
Kuvamile kubagijimi nabaculi abazobukeka befuna ukuphindaphindeka kwe-ankle - ukuphakamisa unyawo phezulu phezulu esikhwameni. Lokhu kufaka phakathi abadlali bebhola, abagcina nokushaya okuningi kwebhola kanye nabanye abadlali e-ankle, abadlali bebhola, abadlali bebhola, abagijimi nabadlali bezemidlalo. I-Bone ihluma futhi i-osteophyte ibonakala kwi-X-ray cishe isigamu sabathile kulezi zemidlalo, kodwa iningi alikho izimpawu.
Izimpawu nokuxilongwa kwe-Anterior Ankle Impingement
Isibonakaliso esivamile sokungenwa kwe-ankle kwangaphakathi kubuhlungu ngaphezu komhlangane we-ankle, ikakhulukazi uma unyawo luqhutshelwa phezulu kuze kube se-shin ku-dorsiflexion. Le ndawo ivamise ithenda, futhi ngezikhathi ezithile i -bone spur ingazizwa ngaphezulu kwe-ankle. Ubuhlungu buvame ukukhululeka lapho i-ankle ivunyelwe ukuba i-plantarflex. Amaphilisi aphindaphindiwe aphindwe omunye uphawu. Ungase uqaphele ukuthi isangqa lakho livuvukala ngemuva komsebenzi.
Ukuxilongwa kwe-anterior impingement imping ngokuvamile kwenziwa nge-X-ray, nakuba ezinye izivivinyo, njenge-MRI, i-ultrasound noma i-CT scan zingase zisetshenziselwe ukuqinisekisa ukuxilongwa nokuqinisekisa ukuthi azikho ezinye izinkinga ekuhlanganyeleni kwe-ankle okungabangela ubuhlungu.
Ukwelashwa Kwe-Anterior Ankle Impingement
Ukwelashwa okuvamile kwe-anterior impingement syndrome kuhloswe ukunciphisa ukuvuvukala esakhiweni sokungena. Lokhu kungafezwa ngokuphumula, imithi yokulwa nokuvuvukala ngomlomo, izinhlelo zokusebenza zeqhwa , izigqoko zesithende ezicathulweni, ukukhishwa kwe-ankle, futhi mhlawumbe umjovo we- cortisone .
Ukukhwabanisa kwe-ankle kungacatshangwa ngokukhethekile uma uke waphahla izikhwama eziphindaphindiwe. Ama-Orthotics angase anqunywe ukulungisa ukulungiswa kwezinyawo.
Uma lezi zokwelapha zingaphumeli, inqubo yokuhlinzwa ingase ibhekwe njengokususa i-spurs bone. I-anthle arthroscopy ivame ukusetshenziswa ekwelapheni kwe-ankle impingement syndrome. Ukuhlinzwa kususa i-spurs bone (ama-osteophytes) abangela ukungena.
Ukuze uthole ama-osteophyte amakhulu, ukuhlinzekwa kokuvuvukala okuvulekile kunganconywa. Lokhu kuhlinzekwa kwenziwa ngokucophelela ukuqinisekisa ukuthi akuyona umonakalo emthonjeni noma nasentshonalanga ejulile ekhoneni le-ankle.
Ukukhishwa kwe-arthroscopic ye-bony ne-soft tissu impingements kuye kwaphumelela kahle. Kukhona isikhathi sokuphumula esifushane futhi ubuyela emisebenzini yezemidlalo uma kuqhathaniswa nokuhlinzekwa okuvulekile kokudilizwa. Iningi leziguli lalinokuphumula okuhle kepha cishe ingxenye yesine yazo ingabuyela ezingeni labo langaphambili lemidlalo.
Ngemuva kokuhlinzwa, uzogqoka i-boot yokuhamba ngamasonto amabili, ulandelwe ukwelashwa ngokomzimba ukuze ubuyekeze ububanzi bokunyakaza futhi wakhe amandla nokukhuthazela. Uzovunyelwa ukubuyela ezemidlalo ngemuva kwamasonto ayisithupha kuya kwangu-8.
Imithombo:
U-Niek van Dijk C no-van Bergen CJ "Ukuthuthukiswa kwe-Ankle Arthroscopy" J. Am. I-Acad. I-Ortho. Ngo-Okthoba 2008; 16: 635 - 646.
UTanawat Vaseenon no-Annunziato Amendola. "Buyekeza ku-impingement yangaphakathi kwe-angi." I-Curr Rev Musculoskelet Med. 2012 Jun; 5 (2): 145-150.