Izinyembezi ze-ACL zivame ukwenzeka ngesikhathi sezemidlalo noma imicimbi yezemidlalo. Izinyembezi ezingu-80% ze-ACL zenzeka ngaphandle kokuxhumana nomunye umdlali. Indaba ejwayelekile kunazo zonke umdlali ogijima ngokuzumayo isiqondiso (ukusika noma ukuguqula) nokuzwa ukuthi amadolo abo aphuma ngaphansi komzimba wabo.
Ukuzwa "i-Pop"
Abantu abahluphekayo izinyembezi ze-ACL bavame ukubika ukuzwa "i-pop" ngesikhathi sokulimala.
Iningi labantu liyamangala ukuthi lokhu kungaba okukhulu kangakanani, futhi abaningi ababukeleyo baye bakuzwa lokhu kusukela emgqeni webhola noma umdlalo webhola lebhola. Ngisho noma ungayitholi i-pop, ngokuvamile abantu bazozizwa ukushintsha ngokuzumayo kokujoyina.
I-Knee Giving Out / Instability
I-ACL ibaluleke kakhulu ekuqineni kwamadolo, futhi lapho kuvela izinyembezi ze-ACL, ukujoyina ngokuvamile kuvamile . Lokhu kusho ukuthi amadolo ahlangene anomkhuba wokuphelelwa yisikhathi. Ukhipha noma ukungazinzi ngokuvamile kuvame ukunyakaza noma ukunyakaza okuvamile emidlalo eminingi . Kodwa-ke, kwezinye iziguli ezinezinyembezi ze-ACL, ukungazinzi kungahle kwenzeke ngisho nokunyakaza okulula uma uhamba noma ungena emotweni.
Ukuvuvukala Nokubuhlungu
Ukuvuvukala kwamadolo kuhlangene cishe kuzo zonke iziguli ezinezinyembezi ze-ACL. Lokhu ukuvuvukala kuvame ukukhulu kakhulu futhi kwenzeka ngokushesha - kungakapheli imizuzu - yokulimala. Ukuvuvukala okwenzeka nge-ACL echotshoziwe empeleni i-hemarthrosis, okusho ukuthi idolo lihlangene negazi.
I-ACL inomkhumbi wegazi ngaphakathi kwegamento elidwenguliwe ngesikhathi sokulimala, okwenza amadolo agcwalise ngegazi.
Ubuhlungu obuhambisana ne-ACL izinyembezi buvamile, nakuba kungahlukahluka ngokuya komonakalo ohambisanayo nasemaceleni okuhlangene kwamadolo . Ubuhlungu obukhulu bezinyembezi ze-ACL kungenxa yokuvuvukala kokujoyina.
Ukuhlolwa okungavamile
Udokotela wakho angakwazi ukuhlola imigqa yamadolo akho ngokuhlolwa okuqondile. Ukuhlolwa okuvame ukusetshenziswa kakhulu ukucacisa ukuba khona kwezinyembezi ze-ACL kuhlanganisa:
- Ukuhlolwa kweLachman : Ukuhlolwa kweLachman kwenziwa ukuhlola ukuhamba okungavamile kwe-tibia. Ngokudonsela phambili, udokotela wakho ohlinzayo angakwazi ukuzwa izinyembezi ze-ACL. Ibhande liboshwe kancane (cishe ama-degree angama-20-30) kanti i-femur igxiliwe esandleni esisodwa ngenkathi ishintsha i-tibia ngakolunye uhlangothi.
- I-Pivot Shift Maneuver: I-pivot shift ayinzima ukuyenza ehhovisi, ngokuvamile iyasiza kakhulu ekamelweni lokusebenza nesiguli ngaphansi kwe-anesthesia. Ukuhamba kwe-pivot shift kuthola ukungahambi okungavamile kwehlangothini lamadolo uma kukhona izinyembezi ze-ACL ezethulayo.
- Isivivinyo se-Drawer : Isivivinyo se-Drawer senziwa ngamadolo aphethwe ukugoba okungama-90 degree. I-tibia ishintshwe phambili futhi ibuyele emuva ukuze ihlolwe i-ACL ehambelanayo (idonsela phambili) kanye ne-PCL ehambelanayo (ukuxoshwa emuva).
Ukwengeza ukwenza lezi zivivinyo ezithile, udokotela wakho ohlinzayo uzohlola futhi idolo lakho ngokuvuvukala, ukuhamba, namandla. Amanye ama-knee ligaments amakhulu angabuye ahlolwe.
Imiphumela yokuhlola
Udokotela wakho uzophinde ahlole ama-x-ray emadolweni ukuze ahlole noma yikuphi ukwehlukana okungenzeka, futhi i-MRI ingalawulwa ukuba ihlolwe ngomonakalo wegament noma i- cartilage .
Noma kunjalo, izifundo ze-MRI zingase zingadingeki ukuxilonga izinyembezi ze-ACL. Eqinisweni, ukuhlolisisa ngokomzimba kanye nemlando kuhle kakhulu njenge-MRI ekutholeni izinyembezi ze-ACL! I-MRI ingasisiza ngokukhethekile ukuxilonga ukulimala okuhlobene nokufana nokulahla izinyembezi nokulimala kwe-cartilage.
Imithombo:
RL Larson noM M Tailon "Ukungasebenzi Kwemigomo Engaphambili Ye-Ligament: Izimiso zokwelapha" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, Jan 1994; 2: 26 - 35.