Ukuqhekeka kwe-Ulna ku-Level of the Joint Joint
I-olecranon fracture ukulimala komunye wamathambo endlebeni. I-olecranon yithambo evelele elidala iphuzu le-elbow. Ithimba empeleni liwukuphela kwe-ulna, elinye lamathambo amabili angaphambili , futhi yi-attachment ye-triceps enamandla imisipha yengalo. I-triceps imisipha eqondisa i-elbow, kanti ama-olecranon fractures angaphazamisa ikhono lomuntu lokuqondisa umhlanganiso we-elbow.
I-Olecranon fractures ingenzeka ngokuwa ngqo ngemuva kwe-elbow, noma nge-triceps imisipha edonsa i-fragment yethambo elisuka ku-elbow (okubizwa okuthiwa ukuvuvukala ). Ukucindezeleka ngokweqile kuyindlela yokulimala e-olecranon, evame ukubonakala kubadlali abafana namapaki e-baseball.
Izimpawu ze-Olecranon Fracture
Iziguli ezinokuhlukumezeka njengengozi yokuwa noma yemoto, futhi ukuzwa ubuhlungu ku-elbow, noma ubunzima bokuhambisa i-elbow, kufanele kuhlolwe ukuphulwa kwe-olecranon. Izimpawu ze-olecranon fracture zifaka:
- Ubuhlungu ngemuva kwesigqoko
- Kunzima ukugoqa umhlanganiso wesigqoko
- Ukuvuvukala nokulimaza kwe-elbow
- Ukukhubazeka kwethambo ngemuva kwesigqoko
I-Olecranon fractures ivame ukusola ngokususelwa ekutholeni ukuhlolwa kwezinto ezibonakalayo, nakuba ukuxilongwa okucacile kuvame ukuhlolwa nge-x-ray. Ama-X ray ngokuvamile akwanele kokubili ukuhlonza futhi anqume ukwelashwa kwenkinga.
Kwezinye ukulimala okucashile, njengokuhlukana kokucindezeleka, i-MRI ingaba usizo ekwenzeni ukuxilongwa.
Ukwelashwa kwe-Olecranon Fracture
Ukwelashwa kwe-olecranon fracture kuncike ekutheni ukufuduka kwezingcezu zokuqhekeka kanye nomsebenzi we-muscle triceps. Uma ukuphuka kungabikho-displaced, noma ukuhlala endaweni encane, futhi imisipha ye-triceps iyakwandisa i-elbow, kanti ukuhlinzwa kungase kungadingekile.
Kulezi zimo, ukuvikelwa emisebenzini (ukugoqa noma ukudubula) futhi isikhathi sizophulukisa ukuhlukana. Kungenjalo, ukwelapha ukwelashwa kwe-olecranon fractures yindlela yokwelapha evamile.
Ukwelashwa ukuphathwa ngendlela efanele uma izingcezu zethambo zingekho, noma uma imisipha ye-triceps ingasebenzi ngenxa yokulimala. Kunezindlela eziningana zokuhlinza ngokuhlinzekwa i-olecranon fracture. I-incision yenziwe ngemuva kwehlangothini lomgodi , futhi izingcezu zethambo ziphinde zenziwe endaweni efanelekile. Kungakhathaliseki ukuthi izikhonkwane, izintambo, izikrini, noma amapuleti angasetshenziswa ukuvikela izicucu zethambo endaweni efanele.
Ukwelashwa kuyadingeka lapho ukulimala kuvulekile . Ukuphuka okuvulekile kwenzeka lapho ithambo lingena esikhunjeni, okwenza indlela yokutheleleka ingene endaweni yethanga lokuphulukisa. Kuvulwa ama-fracture cishe njalo kudinga ukuhlinzwa ukuze kunciphise ithuba lokutheleleka.
Ngemuva kokuhlinzwa, iziguli zivame ukungasebenzi kahle isikhathi esifushane, kodwa umgomo ukuqala ukunyakaza kwe-elbow ngokushesha ngangokunokwenzeka. Ngokuvamile ukunyakaza okuncane kuqalwe ngaphakathi kwamasonto okuqala ngemva kokuhlinzwa. Inani lokuhamba elivunyelwe lixhomeke emandleni okulungiswa kokuphulwa kanye nethambo elizungezile. Isilinganiso sokuphulukiswa kwe-olecranon siphelelwa amasonto angaba ngu-10-12.
Izinkinga ze-Olecranon Fractures
Ukuhlukumeza okuvame kakhulu emva kokuhlinzwa kokuphuka kwe-olecranon yilokhu ngokuvamile izikhonkwane zensimbi, izintambo, kanye / noma izikulufa kufanele zisuswe . Kukhona isikhwama esincane esithambile esingaphansi kwesigqoko, futhi lezi zimila zensimbi zingabangela ukukhathazeka-ikakhulukazi uma uncike emgqeni wakho. Kulezi zimo, insimbi izosuswa, ngokuvamile okungenani izinyanga ezingu-6 ngemuva kokuhlinzwa.
Iziguli nazo zivame ukunyakaza kancane kwe-elbow elimele ngemva kokuhlinzwa, nakuba lokhu ngokuvamile kungabonakali. Uma ukunyakaza kwe-elbow kuqaliswa ngemuva kokuhlinzwa, iziguli eziningi ziyakwazi ukuvuselela ukunyakaza kwazo, kuphela ukuqaphela umehluko omncane uma kuqhathaniswa nokunyakaza nge-elbow yabo engafanelekile.
Ezinye izinkinga ezikhona kungenzeka zibandakanya:
- Ukutheleleka
- Ukuphulukiswa okungenayo ukuphulukiswa
- Ukwehluleka kokulungiswa ukubamba iziqephu endaweni
- Ubuhlungu be-Elbow
Ukuphulukiswa kokulimala ngokuvamile kuthatha amasonto 10-12, nakuba ukulimala kakhudlwana kungathatha isikhathi eside ukuze kuphinde kubuyele ukuhamba nokuqina okuvamile. Kulabo bantu abasebenza ngokweqile, ukwelashwa ngokomzimba kungasiza ekuphinda uthole amandla agcwele futhi uhambisane nomhlanganiso we-elbow.
Umthombo:
U-Elbow (Olecranon) Fractures, i-American Academy of Orthopedic Surgeons, Okthoba, 2007
> Rouleau DM, uSandman E, van Riet R, Galatz LM. "Ukulawulwa Kwezinhlanzi Ze-Ulna Ekudlulele" J Am Acad Orthop Surg. 2013 Mar; 21 (3): 149-60.