Ama-Fractures kuya ku-Metxarth Fifth Metatarsal I-Bone ye-Foot
I-metatarsal yesihlanu yithambo ngaphandle kwe-midfoot phansi kwezwane ezincane. Ukuphela komkhawulo we-metatarsal yesihlanu (ukuxhunyaniswa kwe-proximal kusondela eduze kwesikhungo somzimba) kubonakala kalula njenge-bump phezu kwengxenye yangaphandle ye-midfoot. Le ngxenye yethambo lesihlanu le-metatarsal liyakwazi ukulimala. I-metatarsal yesihlanu yilapho ihlukunyezwa kakhulu kuwo wonke amathambo we-metatarsal.
Izinhlobo ezintathu eziyinhloko zezinsalela zenzeka emetatarsal yesihlanu ehamba phambili, futhi bonke banezinkinga ezihlukene zokwelapha. Njengazo zonke ezinye izinkinga zezokwelapha, akuzona zonke izinkinga eziyowela ngokuphelele kulezi zintathu izinhlobo zokuphuka , kodwa lezi zigaba ziyasiza ekuqondiseni ukwelashwa.
- I-Avulsion Fractures:
I-fultures ye-avulsion, ngezinye izikhathi ebizwa ngokuthi i-pseudo-Jones break, lapho iphuzu lesithambo likhishwa kwi-metatarsal yesihlanu yi-tendon ehambisana nalesi sifunda. Lezi zintambo zivame ukuphola kalula, futhi ngokuvamile azidingi ukwelashwa. Ngokuvamile lokhu kulimala kungaphathwa ngendlela efanayo nokulimala kwegamentamende noma ye-tendon. Ngokuvamile, isihlangu esikhuthele, njengesihlangu esikhishwe, sigqoke amasonto ambalwa kuze kube yilapho ubuhlungu nokuvuvukala sekuphelile. Ukuphulukiswa okugcwele kuthatha amasonto angu-6-8. - Jones Fractures:
UJohan fracture kwenzeka emathini we-metatarsal ngaphezu nje kokuhlukunyezwa kwezingcingo . Lokhu kunzima kakhulu ukuphulukisa, futhi kuvame ukudinga ukungabi nalutho ( ukwelashwa okukhishwayo ), ukuvikelwa kwesisindo (imikhonto), futhi bangadinga ukuhlinzwa. Uma ukulimala kunzima, okusho ukuthi ukuxilongwa kwenziwa ngokushesha ngemva kokulimala, ngakho-ke ukwelashwa okungewona ukwelashwa kungcono kakhulu ukuphumelela. Ukuxilongwa okubambezelekile kwandisa amathuba okungahlanganyeli , kanye nesidingo sokwelapha okuhlinzekwa. Kwabagijimi, ngezinye izikhathi ukwelashwa okuhlinzekwa kubhekwa ngisho nasesimweni esibucayi, ukuze kuqinisekiswe ukuthi inqubo yokuphulukisa ibikezelwa. Ukuphulukiswa kwesikhathi sokuqhekeka kukaJones ngokuvamile kuvamile amasonto angu-12.
- Ukucindezeleka Ukuhlukana:
Ukucindezeleka ukuhlukumeza kwe-metatarsal yesihlanu yinkimbinkimbi kakhulu yokuphulukisa futhi kungenzeka ukuthi udinga ukuhlinzwa. Lezi fractures zivame ukuqala ngobuhlungu obucacile ngaphandle kwonyawo, ngokuvamile okucatshangwa ukuthi yi-tendonitis. Ngokuhamba kwesikhathi, ukuphazamiseka kwengcindezi kungaba ikhefu eliphelele. Ngenxa yokuthi umzimba unzima kakhudlwana ukuphulukisa lezi zinkinga, zidinga ukwelashwa ngokuvame kakhulu. Ukuphulukisa isikhathi sokuphazamiseka kwengcindezi nakho okungenani izinyanga ezintathu.
Njengoba kushiwo ngaphambili, akuzona zonke izinhlaka ezihlukaniswa ngokucacile kwenye yalezi zinhlobo zokuphuka. Ukunquma ukwelashwa okungcono akuxhomekile kuphela kumaphethini athile okwephulwa kodwa futhi nokulindeleke kwesiguli ukwelashwa.
Kanti futhi: U- Jones Fracture , ukuhlukunyezwa kwe-Avulsion , ukuhlukunyezwa kweDancer , ukuhlukunyezwa kwe-Metatarsal Stress Fracture
Imithombo:
I-Dameron, i-TB "I-Fractures Ye-Metatarsal Eyisithupha Ehamba Nakho: Ukukhetha indlela engcono kakhulu yokwelapha" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, ngoMashi 1995; 3: 110 - 114.