Ukulimala komlenze okubizwa ngokuthi umuntu wokuqala owawufunda
Ukuphuka kwe-Jones, eyaziwa nangokuthi ukuchithwa kwe-metatarsal yesihlanu, ukulimala kwithambo lesihlanu le-metatarsal lonyawo. Amathambo ayisithupha e-metatarsal aphansi kwesinyosi esincane, kanti ukuqhuma kukaJones kwenzeka endaweni engaphansi (phezulu kwethambo), ukuya emagqumeni kusukela phansi kwezwane ezincane.
Lokhu ukulimala kwaqale kwachazwa ngo-1902 nguSir Robert Jones esihlokweni esithi "Ama-Fractures of the Base of the First Metatarsal Bone nge Violence Indirect." Wabandakanya izichazo zeziguli eziyisithupha (enye eyedwa) eyabamba ukuhlukumeza kule ndawo ngaphandle komthelela oqondile (ukulimala kwakhe kubikwa ukuthi kwenzeka ngesikhathi ngidansa ngaseMexico).
Lesi sihloko sasihlanganisa ama-fractures esiwahlukanisa manje njengama- fracture avulsion , ukucindezeleka ukuhlukumeza , nokuthi yini thina manje kubhekisela njengendlela Jones ukuphuka.
Izimpawu
Iziguli ezisekela u-Jones ukuphuka zibuhlungu ngale ndawo enphakathi / ngaphandle kwonyawo, ukuvuvukala, nobunzima ukuhamba. Ngokuvamile ukuhlukunyezwa kukaJones kubangelwa ngaphandle kokulimala okuphawulekayo noma umthelela, kodwa ngezinye izikhathi kungaba nzima (njengokungathi noDkt Jones) futhi kubonwe ngenkathi kuqhutshwa ibhola noma ibhasikidi lapho isithende siphelile phansi. Ngokuvamile kuye kwaba nokwakhiwa kancane kobuhlungu endaweni futhi ekugcineni, kufinyelela endaweni lapho uthola khona ukuhlupheka futhi unquma ukubona udokotela. Lokhu kungaba amasonto kuya ezinyangeni kusukela uqala ukuzwa ubuhlungu. Ungase futhi ungavuvuli futhi udideke endaweni.
Ukuxilongwa
Udokotela wakho uzokwenza ukuhlolwa komzimba futhi alalele umlando wakho wezimpawu zakho. Ngokuqinisekile uzothola i-X-ray, ezosiza ukuhlukanisa ukuhlukana kukaJones kusukela ekuqothukeni kokucindezeleka noma ukuhlukunyezwa kwe-avulsion nokusuka ku-os peroneum.
Indawo yezinsizakalo zokuqhekeka ekuxilongweni. I-Jones fractures i-Zone 2 ye-metatarsal yesihlanu, kanti ukuhlukunyezwa kwe-fractures ku-Zone 1 ezisekelweni nokuhlukunyezwa kwengcindezi kuse-Zone 3 eceleni kwe-shaft metatarsal yesihlanu.
Ukwelapha
Ukwelashwa kwesifo esibucayi sikaJones kuqukethe ukungabi nendawo nge-cast.
Iziguli akufanele zibeke isisindo ezinyaweni kuze zifundiswe udokotela wazo. Amathanga azosetshenziselwa isigaba sokuqala sokuphulukisa, okungenzeka kube amasonto ayisithupha kuya kwangu-8.
I-Jones fractures ingaba izimo ezingapheli uma ukuphuka kuhluleka ukuhlanganisa noma ukuphulukisa. Uma kunjalo, ukuhlinzwa kungase kuphakanyiswe ukuze kutholakale ukuphuka endaweni kanye ne-screw, kanye ne-bone graft ingasetshenziselwa ukuvuselela impendulo yokuphulukisa.
Ukuhlinzwa
Kwezinye iziguli, ikakhulukazi abagijimi bezokuncintisana, ukuhlinzekwa kungase kunconywe ukuze kuzame ukugwema isikhathi eside sokuphulukisa sokuhlukana kukaJones. Ukuhlinzwa kunezingozi ezihambisanayo okumelwe zilinganiswe ngesidingo sokuphulukiswa okufika ngesikhathi. Khuluma nodokotela wakho uma ucabanga ukuthi ukuhlinzwa kungadingeka esimweni sakho.
Imithombo:
Ukuhlinzwa okuyisihlanu kwe-Metatarsal Fracture, i-American Orthopedic Foot & Ankle Society.
UScott M. Strayer, ama-Fractures we-Proximal Fifth Metatarsal, i- Am Fam Physician. 1999 Meyi 1; 59 (9): 2516-2522.