Okufanele Ukwazi Nge-Fraction Fracture
Ukuphuka kwe-fibula kwenzeka uma kunobungozi komunye wamathambo amabili omlenze . Umlenze (isigaba esiphakathi kwamadolo nezinyawo) sakhiwa amathambo amabili. Ithemba elikhulu, i-tibia, liphethe ubuningi besisindo somzimba. Amathambo amancane, i-fibula, atholakala ngaphandle komlenze.
I-bone fibulaer iqala nje ngaphasi kwamadolo ehlangene ngaphandle komlenze bese ihamba yonke indlela eya ehlangothini lezinyosi.
Ithemba lithemba elide, elincanyana, eliphakathi kwendawo yalo. Ngenkathi ithambo lincane kakhulu ukusekela isisindo somzimba, kuyindawo ephawulekayo yokunamathiselwa kwemigqa kokubili emadolweni kanye nokuhlanganyelana kwe-ankle futhi ixhunywe ne-tibia bone nge-ligament elibi elibizwa ngokuthi i-syndesmosis.
Ngenkathi i-fibula iyithambo elibalulekile, kungenzeka ukuba lithengise kakhulu amathambo okuhlinzeka ngezinqubo zokuhlinzeka lapho amathambo adingeka khona kwenye indawo emzimbeni. Uma lezi zinqubo zokuhlanganiswa zenziwa, abantu bayakwazi ukusebenza ngokujwayelekile, naphezu kokulahlekelwa yingxenye enkulu yethambo le-fibula.
Izinhlobo ze-Fibula Fractures
Kunezinhlobo eziningi zezinhlobo ezihlukene zokulimala emthanjeni we-fibula. Ngenhloso yale ngxoxo, ngizowahlukanisa ngezihloko eziphathekayo eziningi:
- Ama-fracture fractures okwenzeka ngenxa yokulimala ekuhlanganyeleni kwe-ankle
- I-Fibula fractures eyenzeka ngokubambisana ne-tibia fractures
- Ukucindezeleka ukuhlukana kwe-fibula
Lezi akuzona kuphela izinhlobo zokulimala ezingase zenzeke ku-fibula kodwa zilandele iningi lokulimala emthanjeni we-fibula. Ngokuvamile ukulimala okwenzeka kakhulu lapho ukuhlangana kwe-ankle kubonakalisiwe. Ngokujwayelekile, izikhwebu ze-ankle noma zisontekile futhi i-fibula yonakaliswe njengengxenye yokulimala.
Izimpawu ze-Fraction Fracture
Njengoba kukhonjisiwe, ama-fracture fracture angenziwa ngokubambisana nokulimala kwamanye amathambo, imigqa, namathethoni emadolweni nasemagqumeni. Izimpawu ezivame kakhulu ezihlobene nokuhlukana kwe-fibula zifaka:
- Babuhlungu ngqo phezu kwethambo le-fibula (ngaphandle komlenze)
- Ukuvuvukala endaweni ye-fracture
- Ukudumaza ngesayithi lokulimala
Ukuxilongwa kwesifungo se-fibular kungenziwa ngokujwayelekile ngesithombe se-x-ray. Ezinye izifundo ze-imaging ezifana ne-MRI noma i-CT scan ngokuvamile azidingekile, kodwa zikhona ezinye izimo lapho ukuphuka kwesibhamu kungabonakali kwi-ray evamile. Lezi zimo zihlanganisa ukulimala okunjengezinkinga zokucindezeleka (okuchazwe ngezansi). Udokotela wakho uzohlola indawo yokulimala, futhi ahlolisise amadolo kanye namajoyini ama-ankle okulimala okuhambisana nawo okungase kuthinte ukwelashwa kwesifo se-fibular.
Ukulimala Kwe-Ankle
Ama-fracture fractures ngokuvamile ayenzeka njengengxenye yokulimala kwe- ankle . Noma nini lapho kutholakala ukuqhuma kwe-fibula, ukuhlanganiswa kwe-ankle kufanele kuhlolwe futhi ngokulimala okungenzeka.
Uhlobo oluvame kakhulu lokuphuka okwenzeka emthanjeni we-fibula ukulimala okungekude kuze kube sekupheleni kwethambo le-fibula ezingeni lehlangene lezinyosi. Lezi zimo zenzeke ngendlela efana ne-ankle ekhishwe kabi, futhi ngokuvamile ukulimala kungaphathwa ngendlela efanayo nangesikhumba esingenalutho.
I-Fraction Fracture Ngaphandle Kokulimala Ku-Ankle
Ama-fractures ase-Isolated fractures, lapho ukuhlanganiswa kwe-ankle kungathinteki, ngokuvamile kungaphathwa ngokuvikelwa okulula. Eyaziwa ngokuthi "i- lateral malleolus fracture ", lokhu kulimala kwenzeka lapho i-ankle iguquka noma igoba ngokungenakwenzeka futhi ingxenyeni yangaphakathi (yangaphakathi) ye-ankle ayithintekile.
Kulezi zimo, i-brace yanele ukusekela isonto. Amathinki avame ukusetshenziswa emasontweni ambalwa noma amasonto ukuze kuvunyelwe ukuvuvukala nobuhlungu ekudleni. Uma ubuhlungu buye buthakathaka, iziguli ziqala ukuvuselelwa ukuqhubeka nokuzivocavoca umzimba, ukuqinisa nokuhamba.
I-Fraction Fracture Ne-Antiated Ankle Injury
Ama-fracture fractures ahlobene nokulimala ohlangothini lwangaphakathi lwe-ankle, i -malleolus engaphakathi noma i-deltoid ligament, ngokuvamile badinga ukwelashwa okunamandla.
Kulezi zimo, okuthiwa "i- bimalleolar ankle fractures ," ukuhlinzwa kuvame ukudingwa ukuze kuqiniswe ukuhlanganiswa kwe-ankle. Ngaphandle kokuhlinzwa, ukujoyina ama-ankle kuvame ukuphilisa ukungahambisani okungavamile, okuholela ekuthuthukiseni i- ankle arthritis .
Olunye uhlobo lokulimala okungenzeka nge-fracture ye-fibular umonakalo ku- syndesmosis we-ankle . I-syndesmosis yiqembu lezigxobo ezibamba amathambo amabili omlenze ndawonye, ngenhla ngaphezu kokuhlanganiswa kwe- ankle . Uma i-syndesmosis ibonakaliswe ekhanda, ukulimala okungahle kwenzeke kanye nokuhlukana kwe-fibula, kuvame ukuhlinzwa ukubuyisela ukulungiswa kwamathambo.
I-Fibula Fractures Ne-Tibial Shaft Fractures
Ukulimala okukhulu okubangelwa ukushayisana kwemoto, ukulimala kwezemidlalo, noma ukuwa kungabangela ukulimala kokubili i-tibia kanye ne-fibula ngaphezulu kwehlangothini le-ankle. Lezi zingozi, ngokuvamile ezibizwa ngokuthi "i-tib-fib" fractures, ngokuvamile zidinga ukuhlinzwa ukusekela ukulungiswa komlenze.
Uma i-tibia ilungiswa ngokuhlinzwa, i-fibula ayidingi ukuhlinzwa okuhlukile ukuze ivumelanise leli thambo. Kwamanye ama-tib-fib fractures, ukukhishwa komlenze omude (ithanga kuya enyaweni) kuzohlinzeka ukwesekwa okudingekile ngaphandle kokudinga ukuhlinzwa.
Ukucindezeleka Ukuhlukana Kwe-Fibula
Kwamanye abantu, ikakhulukazi abagijimi obude noma abagibeli, i-fibula ingalimala ngenxa yokucindezeleka okuphindaphindiwe. Lolu hlobo lokulimala luyaziwa ngokuthi ukuphazamiseka kokucindezeleka . Ubuhlungu bokuphazamiseka kokucindezeleka kungaqala kancane kancane. Ngokuvamile, ubuhlungu bubonakala ngokukhula kwamazinga womsebenzi futhi kukhululeka ngokuphumula.
Okufanele Ukwenze Lapho Ukuphulwa Kwe-Fibula Kuqala
Njengoba kuchaziwe, ukwelashwa kwama-fracture fractures kuncike ezintweni eziningi ezihlukene, kufaka phakathi lapho kutholakala khona ukuphazamiseka nokuthi yikuphi ukulimala okwenzekile ngokuhambisana nokwehlukana. Ukuhlinzwa kungahle kunconywe, kodwa ngokuvamile, ukugqama noma ukuphonswa kunikezwa ukusiza ukuvimbela ukunyakaza. Uma kunokwenzeka, udokotela wakho angakwazi ukuguqula amathambo akho aphukile ngaphandle kokuhlinzwa okuvulekile.
Ngesikhathi ukuhlukunyezwa kwe-fibula okuqhelile kuvame ukuphulukisa ngokushesha, ukulimala okulukhuni kungadinga ukwelashwa okwengeziwe. Ngakho-ke, kubaluleke kakhulu ukuthi udokotela wezokwelapha ojwayele ukwelashwa kwe-fibula fractures uhlola ukulimala kwakho futhi uqinisekise ukuthi ukwelashwa okufanele kunconywa.
Kungenxa yokuthi isisindo esincane kuphela sesisindo somzimba sisakazwa nge-fibula (isisindo esiningi sisakazwa nge-tibia enkulu). Izinhlobo eziningi ze-fibula fractures zingaphathwa ngendlela engavamile. Kodwa-ke, njengoba kuchaziwe, ukuhlukunyezwa kwe-fibula okwenzeka ngokuhlangana nezinye ukulimala noma ukulimala kweligament kuvame ukudinga ukwelashwa okungaphezulu okunamandla.
Ukuhlinzwa ku-Fibula
Indlela ejwayelekile kakhulu yokulungisa isifuba se-fibula ephukile iphethe ipeni yensimbi nezikuluzi. Ngokuvamile ipuleti isetshenziselwa ngaphandle kwethambo, okungenani izikhwama ezingu-3 ngenhla indawo yokuphuka, futhi okungenani izikuluvu ezintathu ngezansi. Ngezinye izikhathi uma ukuqubuzana kusondele ekupheleni kwethambo, kungase kungabi khona indawo yezicucu ezintathu ezihlangothini zombili zomgwaqo, kodwa ngokuvamile, lezi zizovumelana.
Lapho ubukeza umbiko osebenzayo kusukela ngesikhathi sokuhlinzwa, udokotela wakho ohlinzayo uzokwenza indlela yokulungisa ngayo i-fibula ephukile, kanye nanoma iyiphi enye imithi edingekayo. Ukutholakala kwesifo se-fibula kubhalwe njengekhodi ye-ICD-10 S82. Noma yimaphi amakhodi wokuguqula angachaza ohlangothini lwe-fracture, indlela, nezinye izici.
Izwi elivela
Yiba nengxoxo evulekile nodokotela wakho mayelana nesisombululo esihle kakhulu sokuphulwa kwakho. Ungaba nokwesaba uma kunezokwelapha eziningi ezingavamile. Xoxa ukuthi ngempela bangcono futhi bakhethe ukuthi ezinye izindlela ngeke ziwusizo. Khumbula ukuthi ekugcineni, inqubo ihloswe ukuphulukisa i-fibula yakho eyalimala.
Uma usuphulukisiwe, qiniseka ukuthi ubuze udokotela wakho ngezinjongo zokuvimbela nokuphepha ukuze unciphise ingozi yokulimala okuqhubekayo, ikakhulukazi uma ukulimala kwakho kubangelwa umsebenzi. Kungase kuphazamise ukulinda kuze kube ngcono ukuqhubeka nokwenza okuthandayo, kodwa kufanelekile.
Ngokuvamile, unganciphisa ingozi yokuhlukunyezwa kwe-fibula ngokusebenza ukuze ulondoloze amathambo akho. Ezinye izinto ezifana nobudala nobulili azikho ngaphansi kokulawula kwakho, kodwa ezinye ezifana nokuyeka ukubhema nokusebenzisa ukuphepha kwezemidlalo zingasiza.
> Imithombo:
> Amasimu, KB. I-Fibular Fractures. Ku: UpToDate, uGreyzel, J (Ed). Kusesikhathini. 2017.
> Anderson RB, Hunt KJ, McCormick JJ. "Ukuphathwa kwezimo ezivamile ezithinta ezemidlalo ngezinyawo nangezinyawo." J Am Acad Orthop Surg. 2010 Sep; 18 (9): 546-56.