Ngokuvame Ukubonwa Ngenhliziyo Ephukile, Ingabe Kudinga Ukuhlinzwa?
Ama-fractures wesandla angabandakanya amathambo amaningana ahlukene azungeze ukujoyina. Uhlobo oluvame kakhulu lokuqhekeka kwesibindi luphela ekupheleni kwe-radius bone ye-forearm, okuthiwa i- distal radius fractures . I-radial fractures ibhalwa cishe ku-1 ku-6 amathambo aphukile aboniswe emakamelweni okuphuthumayo.
Cishe ingxenye yesigamu se-distal radiation fractures kwenzeka ngokubambisana nezinkinga ze-ulnar zamapulangwe.
I-stynide ye-ulnar isiphethe kwesinye isifuba sangaphambili , i-ulna. Nakuba ama-radial distal fractures ngokuvamile adinga ukuxoshwa noma ukuhlinzeka, ipelitidi ye-ulnar ayidluliselwa kaningi ekwelapheni.
I-Ulnar Styloid Fractures
I-ulnar ye-styloid fractures ngokuvamile ayidinga ukwelashwa lapho ivela ngokuhambisana ne-distal radius fracture. Okuphambene kakhulu lapho ukuhlanganiswa phakathi kwala mathambo, ukuhlanganiswa kwe-radialnar okude (noma i-DRUJ), engahlali kahle. Lapho i-DRUJ ingahlali, i-stynid ye-ulnar ingadinga ukwelashwa okuzimele.
Kodwa-ke, irejista eningi ehlukaniswayo ehlukana ne-ulnar ephazamisi yezinhlaka zenzeke ngaphandle kokungaqiniseki kwe- DRUJ. Ucwaningo olusanda kuhlola lwaluhlola iziguli ezahlukana ne-radial distraction futhi zathola ukuthi ukuphawula kwabo akuzange kuthinteke ukutholakala noma ukungabi khona kwe-stynide ye-stynid ye-fracture.
Okungeyona Umbuso we-Ulnar Styloid Fractures
Lolu cwaningo lubuye lwathola ukuthi ngisho noma ukuhlukunyezwa kwe-stynide ye-ulnar kwakungekho esikhundleni (ukufuduka), noma uma ukuphazamiseka kwamapenitri e-ulnar engaphulukisa ( ukungabambisani ), akuthintanga ukubikezela kwesiguli.
Nakulokhu, lokhu konke ukucabanga ukuthi i-DRUJ yazinza.
Imiphumela yalolu cwaningo ingasho ukuthi ukwelashwa okuvamile kwesikhumba sokuqothula (uma kwenzeka nge-distal radiation fracture) akudingekile. Kodwa-ke, udokotela wakho kufanele ahlole i-DRUJ yakho ngokungazinzile, futhi uma lokho kutholakala ukuthi kunjalo, ukuhlukunyezwa kwe-stynid yakho ye-ulnar kungadinga ukuphathwa.
Ingabe Udokotela Wakho "Ulahlekile" Ukulimala
Ngenxa yokuthi ukukhubazeka kwe-stynide ye-ulnar akuguquli ukwelashwa kwesibindi, ezimweni eziningi, odokotela bamazinyo ngokuvamile abahluleka ukuvuma ukuthi kukhona ukuphuka okwesibili, ngaphandle kokuhlukana kwe-radial distal. Lokhu kuyiphutha kakhulu odokotela abahlinzeka ngamathambo bafunde ukugwema, njengoba kubangela ukukhathazeka ukuthi iziguli zingase zizizwe ukulimala okugcwele "zalahlekile." Njengomhlinza odokotela wamazinyo owenze leli phutha izikhathi ezingaphezu kwesisodwa, ngizama ukucophelela ukuba ngitshele ngokugcwele iziguli zami futhi ngibachazele ukuthi kungani ngingelapheki ukuhlukana kwamapenitidi e-ulnar.
Uma ubona ukulimala, njengokuhlukunyezwa kwe-stynide ye-ulnar, engakaxoxwa nawe, ungesabi ukubuza udokotela wakho ngakho. Vele uqonde ukuthi ukulimala cishe akuphuthelwa - akusho nje ukushintsha ukwelashwa, kanti udokotela wakho ugxile ekulimazeni okudinga ukwelashwa.
Izwi elivela
I-Ulnar i-styloid fractures ivame ukuhlotshaniswa ne-distal radius fractures; Eqinisweni, cishe ingxenye yesigamu se-distal fracture ine-fnture ehlobene ne-ulnar. Izindaba ezinhle, yilokho okungajwayelekile ukuthi i-ulnar styloid fracture idinga ukwelashwa ngaphakathi kwayo. Kunalokho, isinqumo sokwelapha sisekelwe ekulimaleni kwendlavu ye-radius, futhi ayithinteki ngokutholakala kokulimala kwesikhombi se-ulnar.
Umthombo:
I-Pollack, i-P. "Ukuhlukana kwe-styloid kungase kungathinteki imiphumela yemifucu ye-distal ye-distal." I-AAOS Manje; I-Vol 4, Cha 1. NgoJanuwari 2010.