I-tendon ye-peroneal yizintambo ezixhuma imisipha yecala langaphandle lethole ezinyaweni. Imisipha emibili enkulu ye-peroneal (i-peroneus longus ne-peroneus brevis) ikhona ngaphandle komlenze, eduze kwesisindo samathole. Imisipha ixhunywe ithambo ngamathonti , okuyinto ehamba eceleni kwe-ankle futhi inamathisele ezinyaweni.
Imisipha ye-peroneal ibalulekile ekuqhubeni unyawo -isisindo sokugubha unyawo ngaphandle ngaphandle kwekhanda. Esimweni esivamile, ukunyakaza kwemisipha ye-peroneal kuhloswe yimisipha eguqula unyawo (edwaleni unyawo ngaphakathi ngaphakathi kwekhanda).
Amathononi amabili e-peroneal ahlobene kakhulu-eqinisweni, ahlala omunye phezu kwesinye ngemuva kwesigamu. Ubuhlobo obuseduze bucatshangelwa ukuthi bufaka engxenyeni yezinkinga ezenzeka kumathononi e-peroneal, njengoba zixubana ndawonye ngemuva kwesikhumba.
I-Tendonitis ephelele
Inkinga ejwayelekile kunazo zonke ezenzeka nge-tendon eziphathekayo yi-inflammation noma i- tendonitis . I-tendon ivame ukuvuvukala ngemuva kwesifuba se-fibula esikhungweni se-ankle. Le ngxenye ye-fibula yi-bump ngaphandle kwe-ankle (ebizwa nangokuthi i -malleolus lateral ), futhi amathoni angama-peroneal atholakale ngemuva kwalokhu kuvelela okuvelele.
I-tendonitis ye-Peroneal ingaba umphumela wokuphindaphinda ngokweqile noma ukulimala kanzima .
Izimpawu ezijwayelekile ze-tendonitis ephikisanayo zihlanganisa ubuhlungu obusuka ngemuva kwekhanda, ukuvuvukala phezu kwamathononi e-peroneal, kanye nobubele bezintambo. Ubuhlungu buvame kakhulu uma unyawo ludonsa phansi futhi lungaphakathi, ludlulisa izintambo ezimele. I-X-ray yama-ankle ngokuvamile evamile, futhi i-MRI ingabonisa ukuvuvukala kanye nomswakama nxazonke ze-tendon.
Ukwelashwa okuvamile kwe-tendonitis ye-peroneal kufezwa ngezinyathelo ezithile ezilula, kubandakanya:
- Isicelo se-Ice
Ukusebenzisa i-ice endaweni kungasiza ukunciphisa ukuvuvukala nokusiza ukulawula ubuhlungu. - Ukuphumula
Ukuphumula kuyisihluthulelo futhi kuvame ukusizwa ngokusetshenziswa kwamathanga noma umhlanga . - Imithi Yokulwa Nezivunguvungu
Imithi, njenge-Motrin noma i-Aleve, iyamelana nokuvuvukala futhi inganciphisa ukuvuvukala eduze kwethenda. - Ukwelashwa Kwemvelo
Ukwelashwa ngokomzimba kungasiza ekusizeni ukubuyisela imishini yokuxhumana yama-ankle evamile. - Ukuhamba amabhuzu / i-Ankle Brace
Ama-braces kanye nezimbabha enye enye indlela yokunciphisa ukucindezeleka emathethini futhi avumela ukuphumula nokuvuvukala ukuphazamiseka. - I-Cortisone Injections
I-Cortisone injection isetshenziswa kakhulu, njengoba ingaholela ekulimaleni kwetendon. Kodwa-ke, ezimweni ze-tendonitis eziphindaphindiwe ezingathuthuki, ukudubula kwe-cortisone kungacatshangwa.
Izinyembezi ze-Tendon Izinyembezi
Izinyembezi zamathononi ezizimele zingavamile, futhi cishe njalo zenzeka ku-peroneus brevis tendon. Izinyembezi kucatshangwa ukuthi ziwumphumela wezinkinga ezimbili ne-tendon. Enye inkinga i-blood supply. Izinyembezi ze-peroneus brevis zivame ukuhlala endaweni engaphansi komhlaba lapho igazi likhona khona, ngakho-ke ukudla okunomsoco we-tendon, kubi kakhulu. Okwesibili, ubuhlobo obuseduze be-tendon ezimbili, okwenza i-peroneus brevis ihlukaniswe phakathi kwe-peroneus longus tendon kanye namathambo.
Odokotela abaningi bazama ukukhipha izinyembezi ze-peroneus brevis nezinqubo ezifanayo ze-tendonitis ezibalwe ngenhla. Ngeshwa, eziningi zalezi ziguli azitholi ukuphumula okuhlala njalo kwezimpawu, ngakho-ke ukuhlinzwa kungadingeka. Kunezinketho ezimbili zokuhlinzekela izinyembezi ze-peroneus brevis:
- I-Tendon Debridement nokulungisa
Ngesikhathi sokukhishwa kwamathambo, isithoni esonakele kanye nezicubu ezivuvukazayo ezungezile zingasuswa. Izinyembezi zezintambo zingahle zilungiswe, futhi ithethoni "isetshenziselwe" ukubuyisela isimo sayo esivamile. I-tendon debridement nokulungiswa kuphumelela kakhulu uma ngaphansi kwe-tendon engaphansi kuka-50%. - I-Tenodesis
I-tenodesis yinkqubo lapho ithethoni ewonakele ifakwe ku-tendon evamile. Kulesi simo, ingxenye ewonakele ye-peroneus brevis isusiwe (ngokuvamile amamentimitha ambalwa), futhi ukuphela kwesokunxele kukhonjiswe ku-peroneus longus tendon eseduze. I-Tenodesis inconywa ngezinyembezi ezibandakanya ngaphezulu kuka-50% wethenda.
Ukubuyiselwa emva kokuhlinzwa kuhilela amasonto ambalwa okulinganiselwe ukulinganisa nokulinganisa, kuye ngokuthi uhlobo lokuhlinzwa lwenziwa. Ukulandela ukukhubazeka, ukwelashwa kungaqala. Isikhathi esiphelele sokutakula ngokuvamile amaviki ayisithupha kuya kwangu-12, kuye ngokuthi izinga lokuhlinzeka. Izingozi zokuhlinzwa zifaka ukutheleleka, ukuqina, nokuhlunguphazela okuqhubekayo . Lokho kusho ukuthi ukuhlinzwa kuphumelela kakhulu, kanti iziguli zibika ama-85-95% amazinga okuphumelela.
Imithombo:
Philbin TM, et al. "Ukulimala Kwetendon Peroneal" J Am Acad Orthop Surg Meyi 2009; 17: 306-317.