I-ankle ephukile ingadinga ukuhlinzwa
Uma uphula i-bone yangaphakathi le-ankle yakho, ibizwa ngokuthi i-malleolus yangaphakathi ye-ankle fracture. I-malleolus engokwemvelo iyindawo yesifo se-tibia, okuyinto emikhulu yamathambo amabili angaphansi. Ungaba nomuzwa wokuthi le ndawo yi-bump engxenyeni yangaphakathi yokujoyina kwe-ankle yakho. Iphethe amaphesenti angama-90 esisisindo esithwala isisindo, ngakho-ke lokhu kuqhuma okuvamile.
Ama-fractures aphakathi kwe-malleolar afaka hlangana ne-articular surface yehlangene ye-ankle, lapho amathambo ahlangene khona. Ikhefu lingase livele ngokwalo kodwa ngokuvamile lihambisana nokulimala ngaphandle kwe-ankle noma ukuqhuma kwe-fibula kwezincane zamathambo amabili angaphansi. Iningi lama-fracture fractures yimbangela yamandla okujikeleza. Uthatha okungalungile futhi uphazamise unyawo lwakho ngaphakathi noma ngaphandle ukuze wenze ikhefu.
Ukubona ukuthi ukuhlinzwa kwe-ankle okuphukile kuyadingeka yini ukuthi ama-flection e-malleolus angama-fracture amaphakathi ngokuvamile aqonde ngqo. Kungakhathaliseki ukuthi uzodinga ukuhlinzwa noma ukuxosha nje kuncike ekulimaleni konke kwe-ankle.
Izinhlobo ezi-5 zoMphakathi we-Malleolar Fractures
Kubalulekile ukuqonda isisu se-ankle ukuze uqonde ukuthi ama-mallelar fractures aphakathi kwamathinta kanjani ama-ankle fractures.
- I-tibia bone kanye nethambo le-fibula yenza i-ankle.
- I-tibia bone ihlanganisa idolo kanye nengxenyana yama-ankle.
- I-fibula ivela nje ngaphansi kwamadolo futhi iqhubekela engxenyeni yangaphandle ye-ankle. Ibuye inikeze ukuxhaswa kwangaphandle kokujoyina kwe-ankle.
- I-ambulance eqinile yegament igcina amathambo amabili omlenze ahlanganiswe ndawonye. Ixhaswe uxhumano oluqinile lwe-ligamentous ezingeni le-ankle (elibizwa nge-ankle syndesmosis).
I-mediale malleolus fractures ihlukaniswa ukuma kwangempela komugqa wokuqhekeka. Izinhlobo ezinhlanu zezinhlanzi ziyi:
- I-chip fractures
- I-fractures eguquguqukayo
- Ama-flictures oblique
- Ukuhlukana okuqondile
- Ukuhlukumeza okuphazamisayo
I-Chip Fractures ye-Medial Malleolus
I-chip fractures yiwuphawu lokuphumula kwegamentam elangeni elingaphakathi kwe-ankle. Kunokuba amandla okulimala abangela ukuphumula kwethambo, lezi zitshalo zidonsa ngqo lapho zifaka khona ithambo. I-ligament ingadonsa ucezu lwesithambo njengoba i-ligament iphukile.
Lokhu kuphulwa kwe-chip kuyaziwa nangokuthi ukuphulwa kwe-avulsion. Ngezinye izikhathi zibonwa nge-sprains elula. Nokho, ukutholakala kwesifo sokuvuvukala, kodwa, kungabonisa ukulimala kakhudlwana.
Uma i-chip fractures ivela futhi i-ligament igubha ngokugcwele, i-ankle ingakwazi ukuvuleka.
Ama-Fractures ahlukeneyo we-Medial Malleolus
Ukuphazamiseka okuphambene kwenzeka kwenzeka ngendlela efanayo nomugqa ohlangene we-ankle futhi ngokuvamile uyingxenyana encane yethambo. Ngesikhathi lezi zintambo zanda emhlangothini wezinyosi, azifaki kwisisindo esithatha isisindo.
Ama-Flictures Oblique A-Malleolus Aphakathi
Ngokuvamile ukuqhuma kwe-mallelar oblique kubonakala kwenzeka kanye nokulimala okujikelezayo okuqala ngaphandle kwekhanda. Ihlanganiswa ne-oblique fracture fracture futhi ivame ukuvela ekhoneni lehlangene lezinyosi.
Ukutholakala kwesifo se-malleolar esiphambanweni ngokuvamile kubonisa ukuthi ukuphuka okungazinzile nokuhlinzwa kwe-ankle kungaboniswa.
I-Fractures ecacile yama-Medial Malleolus
Ngokuvamile ukuqhuma okubonakalayo kwenzeka lapho amandla eqondiswa kakhulu emathangeni omlenze. Lezi fracture zingadluliselwa engxenyeni ethwele isisindo somjoqo we-ankle.
Ukuhlukunyezwa Okungaqondakali kweMalleolus Ephakathi
Ukuhlukunyezwa okubangelwa yi-malleolus engokwemvelo ngokuvamile kulimala kakhulu kwamandla okwenza ithambo libe yizicucu eziningi.
Ngabe Kudingeka Ukuhlinzwa Kwe-Ankle?
Udokotela wakho uzocabangela ukulimala kuzo zonke izingxenye zesikhumba sakho uma unquma ukuthi ungancoma yini ukuhlinzwa. Lokhu kungenxa yokuthi ama-ankle fractures ngokuvamile ayenzeka njengokulimala kokujikeleza futhi kungenzeka ukuthi uphinde uhlakazeke.
Akuwona wonke ama-fracture aphakathi kwe-malleolar adinga ukuhlinzwa. Ithefu lizophulukisa noma ngaphandle kokuhlinzwa futhi kuthatha amasonto ayisithupha kuya kwangu-8 ukuthi ithambo liphuluke. Inhloso yanoma yikuphi ukuhlinzwa ukuqinisa ithambo endaweni yalo efanele ngenkathi ithambo liphulukisa.
Ngokuvamile, ukuhlukumeza kwe-malleolar okudinga ukuhlinzekwa yilabo abahlala ezindaweni ezifudukayo, abazungezile noma abavulekile. Uma ingxenye ephukile ye-ankle ingazinzile ingase ikhoze nokuhlinzwa.
Okubalulekile ukucatshangelwa ukuthi lezi zincipha zingabangela ukuba i-arthritis ithuthuke ngoba idluliselwa emzimbeni wezinyosi futhi ibangele ukungalungiswa kwe-cartilage surface. Kuvame ukuhlinzwa ukunciphisa le ngozi.
Indlela Udokotela Ohlinzayo Ozokwenza Ngayo I-Ankle Yakho
Ukulungiswa kokuhlinzwa komzimba we-malleolus ephukile kuvame ukushiwo yi-orientation yephethini ye-fracture. Amathambo aphukile angagcinwa ngezintambo, izigqoko, izikhwama ngeplate, nanoma yikuphi ukuhlanganiswa kwalokhu.
- Ama-fractures ahloswe ngokuzenzakalelayo azibophezela ku-plate and screw fixes.
- Ama-flictures oblique ajwayele ukulungiswa ngezikuluvu ezibamba amathambo ndawonye.
- Ama-fractures ahamba phambili angalungiswa ngezikuluvu kanye / noma amasu wokulungisa ucingo.
- Amanye ama-fracture alungiswa ngokuhlinzwa okuphazamiseka kwe-ankle ukuphulwa kwe-ankle .
Qinisekisa ukuthi uxoxe ngemibuzo yakho kanye nokukhathazeka mayelana nokuhlinzwa kwe-ankle nodokotela wakho.
> Umthombo:
> I-Ankle Fractures (i-Broken Ankle). I-American Academy Yabahlinzeki Bama-Orthopedic. https://orthoinfo.aaos.org/en/diseases--conditions/ankle-fractures-broken-ankle/.