Ukubaluleka kwamaBars Tarsal ku-Function and Fracture
Amathambo ezinyawo ezinyawo asemqoka ekunyakaza nakakhulu okuningi. Zingaphi amathambo, futhi kwenzekani uma kwenzeka inqubo efana nokuhlukana?
Amathuna e-Tarsal we-Foot
Amathambo e-tarsal asezindaweni eziphakathi nendawo ye- rearfoot (ebizwa nangokuthi i-hindfoot) yonyawo lomuntu. Lawa mathambo ayaziwa nangokuthi yi-tarsus ndawonye.
Kukhona amathambo ayisikhombisa ngaphakathi kweqembu le-tarsal:
- I-Talus (ithambo lesifuba)
- I-Calcaneus (ithambo lesithende)
- I-Navicular
- I-Cuboid - I-cuboid inikeza ukuzinza ngezinyawo futhi isiza ngokunyakaza kwezinzwane
- I-cuneiform engaphakathi-Leli bone lihlanganisa izinhlamvu eziningana ezinyaweni
- I-cuneiform ephakathi - I-cuneiform ephakathi uma kubaluleke kakhulu ekuguqukeleni kwezinyawo
- I-cuneiform yamuva
I-calcaneus iyona enkulu kunazo zonke emathanjeni e-tarsal, futhi iyithambo elikhulu kunazo zonke ezinyaweni zonke.
I-Anatomy ye-Foot kanye ne-Tarsal Bones
Amathambo amathumba aveza ngamathambo we-metatarsus, iqembu lamathambo amahlanu amade aphakathi kwama-tarsal amathambo kanye nama-phalanges (amathambo emathambo). I-tarsus ihlangana nomjoqo wama-ankle ngenhla, ohlangene ne-tibia ne-fibula amathambo omlenze. Funda kabanzi ngezinyawo zamathambo nezifo .
Ukunyakaza kwama-Foot and Tarsal Bones
Ukuhlangana kwe-ankle kuvumela inyawo ukuthi iphenduke futhi ifinyelele ezindaweni ezihlukene. Inversion inyawo linyanyiswe ukuze inyawo lonyawo libheke ngaphakathi emgqeni ophakathi womzimba, futhi i- eversion inyawo liboshwe ukuze inyawo lonyawo libheke ngaphandle, kude nomugqa ophakathi komzimba.
Ukusika unyawo ukuze izinzwani zibheke phansi kuthiwa i- plantar flexion . Ukunyakaza okuphambene, ukuphonsa inyawo phezulu ukuze izinzwane zikhomba esibhakabhakeni kubizwa ngokuthi i- dorsiflexion .
Ukumemezela nokuqokwa
Amanye amagama amabili asetshenziselwa ukuchaza ukunyakaza ezinyaweni ukuphakanyiswa nokuphakanyiswa. Lezi zichaza inyawo ngokuvamile lapho lihamba futhi indlela unyawo luthinta ngayo umhlaba, njengalapho isebenza.
I-Pronation ichaza ukufika kwezingxenyeni zangaphandle zesithende kanye nokuguqa kwangaphakathi nokwehlisa izinyawo. Lokhu kuhamba okuvamile futhi okudingekile kwezinyawo ngesikhathi sokuvuthwa; kodwa izimo ezingavamile zingase zenzeke lapho ukubiza khona kuyingozi ngokweqile lapho kuhamba khona.
Ukuphakanyiswa kuchaza ukuguqulwa kwe-pronation (kubhekiselwa nangokuthi yi-under-pronation) lapho umqulu wonyawo kunendawo engaphansi kwonyawo. Ukuqokwa kuyinto evamile ekukhunjweni lapho unyawo luthinta ngesikhathi sesinyathelo; Kodwa kunezimo ezingavamile lapho ukuphakanyiswa kuyingozi phakathi nokunyakaza. Lokhu kuqhuma ngokweqile kwamagcekeni ezindaweni ezinamaqhuzu ezinzima emigqeni kanye nasezintheni zehlangene futhi kungabangela ukulimala kwe-ankle nezinye ukulimala.
Ukumemezela, ukuphakanyiswa, nokwedlula isikhathi kungathinta indlela yakho ngezindlela eziningi.
I-Tarsal Fractures
Ukuqhekeka kwe-tarsal kuvame ukusetshenziswa ukuchaza noma yikuphi ukwephuka kwezinyawo. I-tarsal yangempela ephuka emathanjeni ase-tarsal kanti izinyawo ezingemuva azivamile. Zingenzeka kusuka ekulimaweni komthelela noma ukuphoqeleka ezintweni eziphindaphindiwe.
Ukucindezeleka ukuhlukunyezwa noma izinwele zezinwele zingase zenzeke kaningi emathanjeni noma emathambo. Uma ubhekene nokuhlukunyezwa kwe-tarsal, ikakhulukazi ukuphuka kwamanzi, qiniseka ukuthi udokotela wakho uhlola izinga lakho le- vitamin D ngoba lokhu kubaluleke kakhulu ekuphulukiseni.
Izimpawu ezisuka ku-tarsal fractures zifaka ubuhlungu obuzezelelwe kanye nobunzima bokuthwala isisindo ezinyaweni, nokubekezela endaweni yokuqhekeka . Ngokuvamile ukuphazamiseka kokucindezeleka kubangela ukuqala kancane kokubuhlungu kanye nobunzima bokuthwala isisindo.
Ukwelashwa kwama-tarsal fractures ngokuvamile kuhilela i-cast egqoke ezinyaweni cishe amasonto ayisithupha futhi isiguli sihlala enyantini ephukile. Ukuze uthole ukuhlukunyezwa kwengcindezi, i-boot ekhethekile ingabekwa. Amathrekhi asetshenziselwa amacala omabili ukugcina isisindo ezinyaweni ngenkathi ephulukisa. Ngezinye izikhathi ukuhlinzwa kuyadingeka, futhi kungasiza abantu babuyele ezemidlalo kunalokho okungenzeka kube khona.
Izindlela zokwelapha ezintsha ezinjenge-shock wave therapy kanye ne-bone marrow i-aspirate concentrate nazo zisetshenziselwa ezinye izindlela.
Izinhlungu Zezinyawo
Uma sicabangela inani lamathambo nezinye izakhiwo ezinyaweni, akumangazi ukuthi ngezinye izikhathi kungase kube nzima ukucacisa umthombo wezinhlungu zonyawo . Thatha isikhathi sokufunda kabanzi mayelana ne-gait yakho, nokuthi yini ongayenza ukuze uvikele izinyawo zakho ekulimazeni.
Imithombo:
Shaked, R., Walters, E., noMnu O'Malley. I-Tarsal Navicular Stress Fractures. Ukubuyekeza Kwamanje ku-Musculoskeletal Medicine . 2017 Jan 21. (Epub ngaphambi kokuphrinta).