Ukulimala kweLigament Ligamental of the Knee
I-latal collateral ligament, noma i-LCL, ingenye yama- kneam ligaments amakhulu amakhulu . I-LCL ixhuma ukuphela kwethambo lethanga (i-femur) phezulu kwesithambo esincane (sififu), ngaphandle kwamadolo. I-LCL isiza ukuvimbela ukunyakaza ngokweqile ngokuhlangene kwamadolo . Lapho i-LCL idwenguliwe, idolo elihlangene lingaguqa ngaphakathi ngaphakathi uma ligcizelelwe.
Abantu abalimala ngamadolo abo bangase bathuthukise ukuzwa kokungazinzi kwamadolo. Ukukhubazeka kuyimpawu yamadolo afuna ukubhoboza, noma ukukhipha. Abantu abanokungazinzanga kwamadolo ndawonye bangaba nomuzwa ongajwayelekile wamadolo abafuna ukubopha, noma kungase kuqhumeke ngokuzumayo baze bafike emhlabathini. Lapho idolo lingenakuqiniswa, ngokuvamile kuvame ukwenza imisebenzi eminingi, ikakhulukazi leyo ehilela ukunyakaza ngakwesokunene, ukudubula, ukusika noma ukuguqula. Ngenxa yalesi sizathu, imisebenzi eminingi yezemidlalo efana nebhola lebholabhasi kungaba nzima noma akunakwenzeka ukuthi abantu abane-LCL bekhala.
Izinyembezi ze-LCL
I-LCL ivame ukuvuthwa phakathi kwemisebenzi yezemidlalo noma ukulimala okulimazayo (ukuwa, njll). I-LCL idwenguliwe lapho idolo ligoba ngaphakathi ngaphakathi, futhi i-LCL iselulele kakhulu. Izinyembezi ze-LCL zihanjiswe ngendlela efanayo nakwezinye i-ligament ezinyembezi ezingeni lika-I kuya ku-III:
- I-I-I-LCL Izinyembezi
Lona izinyembezi ezingaphelele ze-LCL. I-tendon isaqhubeka, futhi izimpawu ngokuvamile ziyingcosana. Iziguli ngokuvamile zikhononda ngobuhlungu ngokucindezelwa kwi-LCL, futhi zingakwazi ukubuyela emdlalweni wayo masinyane. Abagijimi abaningi bangabikho amasonto amabili okudlala.
- I-Grade II I-LCL Izinyembezi
Ukulimala kweBanga II kubhekwa njengezinyembezi ezingaphelele ze-LCL. Lezi ziguli zingase zikhononde ngokungahlali kahle lapho zizama ukusika noma ukugxila. Ubuhlungu nokuvuvukala kubaluleke nakakhulu, kanti ngokuvamile kudingekile isikhathi sokuphumula kwamasonto amathathu kuya kwamane. - I-Grade III I-LCL Izinyembezi
Ukulimala kwebanga lesi-III kungukukhala okuphelele kwe-LCL. Iziguli zinebuhlungu obukhulu nokuvuvukala, futhi ngokuvamile kunenkinga yokuguqa ngamadolo . Ukukhubazeka, noma ukuphawula, kuyinto ejwayelekile yokuthola izinyembezi zeBakala III LCL. Izinyembezi zeBanga III i-LCL ngokuvamile zidinga ukuvuselelwa kokuhlinzwa.
Izinyembezi zeBanga III i-LCL zivame ukubonakala ekusetshenzisweni komonakalo phakathi kwamadolo. Ngokucacile, izigxobo eziphuthumayo zivame ukulimala ekusetshenzisweni kwezinyembezi zeBakala III LCL.
Ukwelashwa kwe-LCL Izinyembezi
Ukwelashwa kwezinye izinyembezi zeBanga I no-II LCL kungase kufezwe ngezinyathelo ezilula ezivumela igoli ukuphumula nokuzilungisa. Izinyathelo zokuqala kufanele zihloselwe ukuvimbela ukuvuvukala nokuvumela i- ligament ukuba iphumule. Ukwelashwa okuwusizo kufaka:
- Ukuphumula
Iziguli zingase zenze kahle ngokusebenzisa izikhonkwane ukuze uvumele idolo liphumule. Imisebenzi kufaka phakathi imidlalo kumele igwenywe kuze kube yilapho igulane liphulukiswa. I-brace ingasiza ekusekeleni amadolo ukuvimbela ukucindezeleka ku-LCL yokuphulukisa. - Imithi Yokulwa Nezivunguvungu
Imithi elwa nokuvuvukala ingasiza ukulawula ukuvuvukala nokuvimbela ukuvuvukala. Le mithi kufanele ixoxwe nodokotela wakho njengoba kunemiphumela emibi. - Izicelo ze-Ice
Isicelo seqhwa singasiza ukulawula ukuvuvukala nokugqugquzela ukugeleza kwegazi endaweni yokulimala. - Knee Exercises
Uma ukuvuvukala okunamandla sekuhlezi phansi, ukuvivinya umzimba okuyisisekelo okungasisiza ukubuyisela ukuhamba ngokuhlanganyela nokuvimbela ukulahlekelwa amandla. Ukubuyela emidlalweni akufanele kucatshangwe kuze kube yilapho ukuhamba namandla okubuyiselwe kujwayelekile.
Uma ukulimala kakhudlwana, ukwelapha okuhlinzekwa kungadingeka kucatshangelwe. Ngokuvamile lokhu kulimala kwenzeka kanye nezinye ukulimala ligament kuhlanganise izinyembezi ACL , izinyembezi PCL , noma omunye umonakalo ngaphakathi knee. Ucwaningo lwamuva luye lwabonisa ukuthi iziguli ezitholwa ukwelashwa zivame ukwenza ngcono ngokuvuselela i-ligament nezinye izicubu ( i-tissue graft ), kunokuba kulungiswe umgogodla owonakele.
Imithombo:
Levy BA, et al. "Ukulungisa ngokuvumelana nokwakhiwa kabusha kwe-ligbular colamentater ekhoneni kanye nekhonteli le-posterolateral in the multiligament-knee injured" Am J Sports Med. 2010 Ngo-Apr; 38 (4): 804-9. Epub 2010 Jan 31.
I-Schorfhaar AJ, i-Mair JJ, i- Fetzer GB, i-Wolters BW, i-LaPrade RF. I-Knee: Ukulimala okwedlule nasemva kokulandelana kwamadolo. Ku: DeLee JC, Drez D Jr., Miller MD, eds. DeLee kanye ne-Drez's Orthopedic Sports Medicine. I-3rd ed. Philadelphia, Pa: Saunders Elsevier; 2009: isahluko 23; inkolo F.