Izinhlobo eziningana zokwahlukana zenzeka emthini wesihlanu we-metatarsal wezinyawo, ezingadala ukudideka kweziguli ezizama ukuqonda ukuthi yikuphi ukwelashwa okungcono futhi uma kudingekile ukuhlinzwa okuyisithupha kwe-metatarsal.
Ithanga lesihlanu le-metatarsal liyi-bone metatarsal ithambo lonyawo. Leli thambo libunjwa ngendlela ehlukile kunezinye i-metatarsal ngoba ithambo likhothamele ngezindiza ezimbili.
Futhi futhi ithambo le-metatarsal kuphela elinamaphuzu amabili okuxhumana nomhlabathi - phezulu kwethambo (ebizwa ngokuthi ikhanda) kanye nasezansi (ebizwa ngokuthi isisekelo).
Ngokuvamile ama-fracture ama-metatarsal angu-5 avela ekudakalweni kuya enyaweni ngokubambisana okuqondile ukuxhumana ne-bone noma ukulimala okujikelezayo okwenza ithambo liphule. Kukhona isithononi esinamandla kakhulu nesinyawo esinamathemati (okubizwa ngokuthi i-peroneus Brevis tendon), engakwazi ukudlulisa amandla aqinile ngokwanele ukuze aphule ithambo ngaphansi kwezimo ezithile. Uhlobo lokuguquka kwezinyawo kanye nokulimala kwe-ankle yizona ezihamba phambili ezivame ukuholela ekuqhekekeni kwe-metatarsal yesihlanu (futhi kukhona nokulimala okufanayo okungabangela ama- fracture ama-ankle ).
- Inhloko noma i-Feck Fractures
- Abadansa Ukuhlukana
- Jones Fracture
- I-Avulsion Fractures
Inhloko yesihlanu yeMetatarsal noma iMeck Fractures
Lezi ziphuka zenzeka phezulu kwethambo esifundeni se-anatomic senhloko ye-metatarsal kanye / noma intamo.
Inhloko yesihlanu ye-metatarsal ne-neck fractures ivame kakhulu ngokulimala okuncane noma ukuhlukunyezwa okuqondile. Ngezinye izikhathi ukushaya izinzwane ezinhlanu kungaholela kulokhu ukulimala. Lapho kuqhuma ukulimala okukhulu kwezwe ngaphambilini kungase kwenzeke namanye ama-metatarsal fractures. Ukujwayela kwalezi ziphuphu kuholela ekuzimekeni futhi kungadinga ukuhlinzwa.
Yize kuvamile ukuba abagqirha bezinyawo babheke lezi zinkinga ngesonto noma ngaphezulu ukuze babone uma bephuma esikhundleni, bese batusa ukuhlinzwa, kodwa icala ngalinye lihlukile.
Abadansi bezingcingo
Abadansi abayisihlanu be-metatarsal fracture baye baba yinto yonke yokuphela kwe-five metatarsal fracture, kodwa ngokuvamile abagqirha bezinyawo bagcina abadlali beqhwa behluleka ukuhlukanisa okuhlukile. Ukuphulwa kweqiniso kwabadansi kwenzeka ikakhulukazi emzimbeni we-bone metatarsal futhi kuhloswe ngokucacile emgodini wethambo. Umzila we-fracture ungase uvule futhi ujikeleze kuwo wonke amathambo. Ngezinye izikhathi ukuhlukunyezwa kwabadlali abavela emandleni amakhulu nakho kungabangela ukuba ithambo libe yizicucu ezincane (okuthiwa i-comminution). Ukwelashwa kwabafaki beqiniso abadabuki abavame ukugwema ukuhlinzeka ngaphandle uma ithemba liphela lihlukanisiwe noma lingeniswe ngesilinganiso esingamukeleki.
Jones Fractures
I- jones yaphuka yiyona ehlukumeza kakhulu yesihlanu ye-metatarsal fractures ngenxa yobunzima bayo nokuphulukisa. Ukuqhuma kukaJones kwenzeka eduze kwethambo endaweni ethile ethi anatomic ebizwa ngokuthi i-metaphyseal-diaphyseal junction. Le ndawo yethambo, ikakhulukazi emetatarsal yesihlanu kucatshangwa ukuthi inegazi elincani eliyiyona imbangela ecacisiwe yokuphulukiswa okuqhubekayo okubonwayo nalezi zingozi.
I-Jones fractures ingelashwa noma ngaphandle kokuhlinzwa, nakuba izinyawo eziningi nezinsizakalo zezinyosi zizoncoma ukuhlinzwa uma isiguli sisasebenza. Abadlali abane-Jones fracture cishe bahlinzekwa njalo ukuhlinzwa. Ukuhlinzeka ngokuhlinzwa kwe-Jones ngokuvamile kuhilela ukubeka isikebhe esisodwa sokuhlinza emgodini wethambo ukuze uzinze. Uma ama-jones ephuka ephathwa ngaphandle kokuhlinzwa, awela emadolweni ajwayelekile emasontweni ayisithupha kuya kwezinyanga ezintathu.
Ukuhlukunyezwa Kwezingcingo ze-Fifth Metatarsal
Ukuhlukunyezwa kokuvuswa kungukuhlukumeza kwe-metatarsal yesihlanu kakhulu. Zenzeka engxenyeni engaphansi kwesithambo.
Zivame ukudideka noJones Fractures iziguli kanye nodokotela, kangangokuthi kuthiwa kuthiwa yi-Jones-fractures. Ziyi-avulsion fracture ye-term ngoba ivela kwingxenyana yethambo itholwe eceleni (noma i-avulsed) kusukela ekudonsa ngaphezulu kwethenda eliqinile kuleli thambo. Ukuphuka kokuvuvukala kungase kungaphelele kuhilela ingxenye yethambo, noma kungase kuphule ingxenye ngokuphelele kwethambo. Ngezinye izikhathi ukulimala kungaba yinto enobudlova okwenza ukuba ithambo liphuke libe izingcezu ezincane. Ukuvota okukhulu kwe-metatarsal yesihlanu akuqhubeki ukuhlinzwa, kunalokho kuphathwa ngokuvimbela ukuvikelwa kwezikhumba noma izicathulo. Uma amathambo engavumelekile ahlukanisiwe, ukuvuthwa kanye / noma ukuphuka kuyadlulisa ukuhlanganiswa kwayo kokuhlanganiswa kwesihlanu kwemetatarsal ukuhlukunyezwa kungadingeka.