I-tendon quadriceps (i-quad tendon) yi-tendon enkulu nje ngenhla kwe-kneecap yakho. I-tendon ye-quad iyingxenye ye-extensor indlela yamadolo ehlanganisa imisipha ye-quadriceps , i-tendon quad, i-kneecap (i-patella) ne-tendon patellar. Yindlela yokwehlisa amandla evumela ukuthi siqondise ibhande lethu noma senze isimemo sokukhahlela. Lapho izinkontileka ze-quadriceps (imisipha yamathanga), amandla adluliselwa nge-tendon quadriceps, ngaphesheya kwe-patella (kneecap), nge- tendon patel , futhi idolo liqondiswe.
Ithenda ye-quadriceps iyinhlanhla eqinile, eqinile engakwazi ukumelana namandla amakhulu. I- tendon isakhiwo esithinta isisulu nesithambo. Amandla e-muscle contraction adluliselwa nge-tendon ukuhambisa ithambo.
Abantu abalimaza indlela yokwehlisa amandla bangabhidliza i-tendon patellar , baqhekeze i-kneecap , noma basuse i-tendon ye-quad. Zonke lezi zimele zinezokwelapha ezifanayo kanye nezinhlelo zokuvuselela.
Kuyini Ukukhishwa Kwe-Quad Tendon?
Ukulimala okwenziwe nge-quad ye-quad kungenziwa ngokubambisana nemisebenzi yezemidlalo noma yokuphila okusebenzayo. Lezi zimpawu zingabangela ubuhlungu kancane kancane phezu kwe-kneecap futhi kungabhekwa njengenkinga ye- kneecap .
Ukuqeda izinyembezi ze-quadriceps tendon ukulimala okungavamile. Zivame ukuvela kubantu abangaphezu kweminyaka engu-40, futhi ngokuvamile kubantu abanezimo zezokwelapha ezingahle zibangele ukwehlisa amandla kwethenda.
Uma i-tendon iphukile ngokuphelele, isiguli ngeke sikwazi ukuqondisa idolo ngaphandle kosizo futhi ngeke sikwazi ukuphakamisa umlenze oqondile .
Iziguli eziningi ziyoba nokuvuvukala kwamadolo futhi udokotela wakho uzokwazi ukuzwa ithononi eboshiwe ngenhla nje kwe-kneecap. I-X-ray ingasiza udokotela wakho ukuba anqume ukuthi i-kneecap yonakalisiwe. Nakuba i-MRI ivame ukudingeka, udokotela wakho angalawula ukuhlolwa ukuze ahlolisise omunye umonakalo ngaphakathi kwamadolo .
Ukwelashwa kwe-Quadriceps Tendon Rupture
Izinyembezi eziyingxenye ye-tendon quadriceps ngokuvamile zingaphathwa ngezokwelapha okungezona ukuhlinzwa . Lezo zokwelapha zingase zihlanganise nokusetshenziswa kwamadolo noma ama-immobilizer, isicelo seqhwa, imithi elwa nokuvuvukala , ukwelashwa ngokomzimba, nokuphumula emisebenzini yezemidlalo.
Izinyembezi eziphelele ze-tendon quadriceps zidinga ukungenelela okuhlinzekwa ukuze kutholakale amandla emkhawulweni. Ukuhlinzwa kuvame ukwenziwa phakathi kwamasonto ambalwa okulimala, njengoba imibiko ethile ibonise ukuthi ukwelashwa okulibalekile kungaholela emiphumeleni engaphumelelanga. Ukwelashwa kwenziwa ukuze suture i-tendon eboshiwe emuva kokunamathiselwe kwayo kwi-patella (kneecap). Ukuze ufeze lokhu, udokotela wakho ohlinzayo uzosebenzisa i-drill ukwenza imigodi (imigudu) ku-patella, bese u-loop sutures ngokusebenzisa lezi tunnels ukuze udonsa i-tendon ethandeni.
Ukuhlinzwa okulandelayo, odokotela abaningi abahlinzayo basebenzisa i-brace ukuze bavikele ukulungiswa. Iziguli zingasebenzisa imicu, nakuba isisindo singasetshenziswa emlenzeni uma nje idolo ligcinwa liqondile. Abahlinza abaningi abahlinzayo bavumela ukuqala kokuzivocavoca, kodwa lokhu kufanele kwenziwe ngaphansi kokuqondiswa kwengqondo yomzimba . I-brace ingasuswa ngemva kwezinyanga ezingu-3, futhi imidlalo ibuyele ezinyangeni ezine kuya kweziyisithupha.
Imithombo:
Ilan DI, et al. "I-Quadriceps Tendon Ukuphakama" J Am Acad Orthop Surg May / June 2003 vol. 11 cha. 3 192-200.