Ukulimala kumaLigamenti Ngaphezulu Kokuhlanganiswa Kwe-Ankle
I-high-sprain sprain isetshenziselwa ukuchaza uhlobo oluthile lokulimala kwegilane. Ngokuvamile, uma othile eqinisa isikhumba esinyanyisiwe , izigxobo ezungeze ukujoyina i-ankle zidiliziwe. Lezi zingozi zivame ukubangela ubuhlungu nokuvuvukala emzimbeni.
I-high-sprain sprain iyenzeka uma kunomonakalo ku- ligament enkulu ngaphezu kwe-ankle ehlanganisa ndawonye amathambo amabili omlenze ongaphansi .
Lawa mathambo amabili, i-tibia (ithambo lesifuba) ne-fibula, ligijima lisuka emadolweni kuya phansi. Bahlanganiswa yilo ligament elibizwa ngokuthi i-syndesmosis noma i-ligament syndesmotic.
Iziguli ezisekela i-ankle sprain zilimaza leligamenta ye-syndesmotic . Izenzo zokuphikisana noma ukushintshanisa ezemidlalo, ikakhulukazi uma unyawo luphendukela ngaphandle lungabangela. I-ligament ingaba nokulimala okuhambisana nama-sprains aphansi ajwayelekile futhi ngisho nama- fractures ama-ankle . I-ligament ingabhidliza lapho amathambo e-ankle ephukile, bese kuvele ukuphuka.
Izimpawu ze-Ankle Sprain
I-high-sprain sprain ibangela izimpawu ezifana nezinye izilonda ze-ankle , kodwa iziguli zivame ukukhononda ubuhlungu lapho i-ankle ishintshwe ngaphandle (iphendukele ngaphandle) noma uma ithole lifakwe. Lokhu okutholwa kamuva, okuthiwa "ukuhlolwa kwe-squeeze," kuyilingo lokuhlola lokulimala kwe-syndesmotic, kodwa akulona okunokwethenjelwa kokwenza ukuxilongwa.
Ungase ukwazi ukuhamba, kodwa unomunyu ngaphezu kwezinga le-ankle, eliphakeme kunezinhlamvu eziningi.
Uma kwenzeka ukulimala kwesifo se-syndesmotic, udokotela wakho angathola izifundo ezikhethekile ze-x-ray ze-ankle okuthiwa ukubuka ukucindezeleka. I-ankle ingahle ibukeke ibe ejwayelekile kuma-ray-rays ngisho nokulimala kwe-syndesmotic, kodwa uma ligament igxilile, kungase kube nokulungiswa okungavamile kokuhlanganiswa kwe-ankle kuye ngokuthi ubuhlungu bulimale.
Izivivinywa ezifana ne-CT scan noma i-MRI zingasetshenziswa futhi ukuhlola i-high ankle sprain, nakuba kungadingeki njalo.
Ukwelashwa kwe-Ankle Sprain
Ukulimala kwe-syndesmotic kunethonya lokungaphuluki kanye nokuvuthwa kwe-ankle okuvame kakhulu, yingakho abaqeqeshi nabaqeqeshi abagijimi bevame ukukhathazeka mayelana ne-ankle sprains. Udokotela wakho uzoqala ukubona ukuthi ukulimala kuzinzile noma kuzinzile. Uma ukulimala kugxilile (okusho ukuthi ukuhlanganiswa kwe-ankle kusebenza ngokujwayelekile), khona-ke ukukhishwa kwesikhumba esiphezulu kungaphathwa ngophonshi, ngokuvamile ngesonto lamaviki ayisithupha.
Uma ukulimala kuphephile, khona-ke ukuhlinzwa kungadingeka ukuze kuqiniswe ukuhlanganiswa kwe-ankle. Udokotela wakho ohlinzayo uyobeka ngokuvamile izikrini ezimbili noma ezimbili phakathi kwe-tibia ne-fibula ukuze ubambe amathambo endaweni efanele ngenkathi igulane le-syndesmotic liphilisa. Lezi zindlela eziningi zokulungisa ukulimala kwe-syndesmotic, konke okungaba nezingozi nezinzuzo ezingenzeka.
Ngenxa yokuthi i-syndesmosis ingumgogodla, kufanele ikwazi ukuhambisa imali encane. Emva kokuphulukiswa kwe-ligament kwenzeka, ezinye odokotela abahlinzayo bazosusa izikrini ukuze amathambo ahambe ngokujwayelekile futhi. Abanye odokotela abahlinzayo batusa ukushiya izikrini endaweni. Nokho, bavame ukuphuka ngenxa yokucindezeleka okuphindaphindiwe.
Ungaxoxa nodokotela wakho ohlinzayo ukucubungula ukukhishwa kwesikulufa.
Imithombo:
I-American Orthopedic Foot & Ankle Society. I-Ankle Sprain.
I-Zalavras C no-Thordarson D. "I-Ankle Syndesmotic Injury" J Am Acad Orthop Surg ngoJuni 2007; 15: 330-339.