Umhlanganiso we-tarsometatarsal wenza umdwebo wonyawo
I-Tarsometatarsal joint, eyaziwa nangokuthi i-Lisfranc ihlangene noma isakhiwo esiyinkimbinkimbi, futhi ibizwa ngokuthi isichazamazwi se-tarsometatarsal ibhekisela endaweni enyaweni lapho amathambo e-metatarsal - amathambo amade aholela emaphaleni, noma izinzwane - ahlangane abuye achaze ngamathambo e-tarsal i-midfoot kanye ne-rearfoot eyenza umlenze onyawo, okufaka amathambo aphakathi kwamaphakathi, aphakathi nesikhashana, kanye nethambo le-cuboid.
Indawo ehlanganisiwe ye-tarsometatarsal yindawo eyinkimbinkimbi yethambo, i- ligaments , i- cartilage nezinye izicubu ezisiza ukunikeza ukuzinza emanzini nasekuhambeni. I-Tarsometatarsal ngezinye izikhathi ayikhokhiwe ngokuthi "i-tarsometatarsal" (mhlawumbe ngenxa yobudlelwane namathambo ezinyawo ezinyawo).
Ukulimala Okuhlangene Tarsometatarsal
Ukulimala komzimba we-tarsometatarsal ngezinye izikhathi kuthiwa ukulimala kuka-Lisfranc. Zenzeka kaningi kubadlali, njengabagijimi, ibhola lebhola kanye nabadlali bebhola; izisulu zengozi yezimoto; abagibeli bamahhashi nalabo abasempi - ngokuvamile amaqembu ahamba ngezinyawo eziningi, ngokuvamile ehilela ukuphikisana. Kodwa-ke, lokhu kulimala kungabangelwa into elula njengokungahambisani nesiteji noma ukukhubeka ngezinyawo eziguquguqukayo, noma ezimpikeni ezinzima kanye nokuhlukunyezwa okuvela emanzini okuphakama.
Ukulimala kwe-Tarsometatarsal ngokuvamile kuyenzeka nge-twist kanye nokuwa futhi kubangelwa kaningi ekulimazeni i-cartilage emaphakathi.
Ukunganaki, ukulimala kungaholela ezinyaweni ezinamafutha kanye nesifo samathambo.
Lezi zinhlobo ezintathu ze-tarsometatarsal ukulimala okuhlangene yilezi:
- Ilahla lapho kukhona khona imilayezo eyodwa noma ngaphezulu endaweni ehlangene nendawo ye-midfoot.
- Ama-fractures, kufaka phakathi ukuphulwa kwamathambo endaweni.
- Ukususwa kwesinye noma amathambo amaningi endaweni ehlangene.
Izimpawu Zokulimala Ohlangene I-Tarsometatarsal
Izimpawu ezivamile zokulimala kokuhlanganiswa kwe-Lisfranc zingabandakanya:
- Ukuvuvukala kwezinyawo , ikakhulukazi phezulu kwezinyawo.
- Ukuqhuma phansi kwezinyawo, ikakhulukazi emgqeni, kuyisibonakaliso esinamandla sokulimala okuhlangene kwe-tarsometatarsal, nakuba ukulimala kungase kwenzeke phezulu kunyawo.
- Ubumnene endaweni yangaphakathi.
- Ukuqhaqhazela emgqeni wonyawo.
- Ubuhlungu ngaphesheya kwendawo yezinyawo ezinyawo lapho umile noma uma ukucindezelwa kusetshenziswa.
- Ubuhlungu nokuhluleka ukubeka noma yisiphi isisindo ezinyaweni nhlobo.
- Ukunwetshwa okungavamile kwezinyawo.
Ukulimala kwalolu hlobo ngezinye izikhathi kuphutha ngenxa yezinyosi ze-ankle. Uma ukusetshenziswa okuvamile kweqhwa ngenkathi kuphakanyiswa inyawo nokuphumula kubonakala sengathi kunganciphisi ubuhlungu noma ukuvuvukala, kubalulekile ukufuna ukunakekelwa kwezokwelapha ngokulimala.
Ukwelashwa Kokulimala Okuhlangene Kwe-Tarsometatarsal
Uma kungekho ukuhlukumeza okuhilelekile kulokhu kulimala, azikho izimbambo eziqhekekile futhi azikho ukuhlukaniswa kwemithi, ukwelashwa kungase kube njengokulula njengoba kunqunywa ezinyaweni izinyanga eziyisithupha. Izigubhu zizosiza isiguli ukuba sizungeze futhi sigcine isisindo futhi sicindezelwe ngonyawo olulimale. Ngemuva kokukhishwa kususwe ngokuvamile kuvela i-boot orthotic noma ukukhishwa okukhishwayo okugqoke isikhathi esidinga ukuthi unyawo luthwale kalula.
Ukuze uthole ukulimala kakhudlwana, noma uma ukwelashwa nge-cast akuphumelelanga, kungenzeka ukuhlinzwa.
Uma kune-dislocation noma i-bone fracturing, kuvame ukuhlinzwa ukuze kulungiswe lokhu ukuqinisekisa ukuphulukiswa okufanele futhi ugweme izinkinga ezingathuthuka kamuva, njenge- arthritis . Amapulethi noma izikuluvu zingasetshenziswa ukubamba lezi zindawo endaweni.
Kwezinye izimo ezinzima, ukuxuba amathambo okonakalisiwe kuyadingeka. Kulezi zimo, amathambo axhunyiwe futhi avunyelwe ukuphulukisa ndawonye. Ngokuvamile akudingekile ukususa noma yiziphi amapuleti noma izikuluvu ezisetshenziswayo.
Ukulandela ukwelashwa kwe-tarsometatarsal kanye nokulimala kwe-Lisfranc, ukuvuselelwa kungadingeka ukubuyisela umsebenzi ogcwele wonyawo.