Ama-fracture ayenzeka ngezinyawo ukulimala okuvamile okubonakala kubasubathi abasha, ngempelasonto ephakathi kwamadoda, kanye neziguli ezigugile ngokufanayo. Nakuba imbangela yokuhlukana ingahluka, lezi nzalo zingabonakala cishe noma yiliphi iqembu lobudala. Enye yezinhlobo ezivame kakhulu zokuhlukana kuthiwa ukuphulwa kwe-avulsion ye-metatarsal yesihlanu
Ukuhlukunyezwa kwe-metatarsal yesihlanu, okubizwa nangokuthi "Ukuhlukunyezwa kukaJones," kuwuhlobo oluvame kakhulu lokuhlukana kwe- metatarsal yesihlanu .
I-metatarsal yesihlanu yithambo eligijima lisuka phakathi kwe-midfoot kuze kube phansi kwezwane ezincane ngaphesheya kwezinyawo. Ukuphuka kokuvuswa kwe-metatarsal yesihlanu kwenzeka lapho ithoni ithinta amathambo kulokhu (i-peroneus brevis tendon). Uma kwenzeka ukuphuka kokuvuvukala , i-tendon idonsa i-fragment encane yethambo. Lezi fractures ngokuvamile ayikho kabi ngaphandle kwendawo.
Izimpawu zokuphulwa kwe-Avulsion of the Fifth Metatarsal
Izimbangela zokuphazamiseka kokuvuswa kule ndawo kufaka phakathi ukuguqulwa okuphoqelelwe kwezinyawo noma ukugoqa ngaphakathi. Amandla enza ukuba i-tendon igxile ithambo elincane kusukela ku-five metatarsal engxenyeni ye-pinkie toe.
Lokhu ukulimala kungenziwa ezinhlobonhlobo zemisebenzi ngokumane uhambe ngokungahambisani nesikhumba, ungene emgodini, uphazamise unyawo lwakho phakathi kwemisebenzi yezemidlalo noma ulandele esiteji. Noma yimuphi umsebenzi obangela ukuba unyawo luqhubekele ngaphakathi ngaphakathi lungabangela lokhu kulimala okunye.
Izibonakaliso ezivamile zokuphulwa kwe-avulsion ye-metatarsal yesihlanu zihlanganisa:
- Ukuvuvukala ngaphandle kwezinyawo
- Ukuqhaqhazela ngaphandle kwezinyawo eziya ezinzwaneni
- Ubuhlungu obunzima ngaphezu kwezinyawo
- Kunzima ukuhamba noma ukuphoqa
Ukwenza Ukuxilongwa
Ukuhlukunyezwa kwe-avulsion kungahle kudidaniswe nezinye izinhlobo ze-fractures kumathini wesihlanu we-metatarsal .
Inkinga evame kakhulu ihlukanisa lokhu kulimala kusuka ekuqhekekeni kukaJones . Ukuhlukaniswa kubalulekile ngoba ukwelashwa kwalezi zimele kuhluke.
Emva kokulimaza unyawo lwakho, cishe uzoya kudokotela wakho wokunakekela oyinhloko noma umtholampilo wokunakekelwa okuphuthumayo noma ngisho negumbi lokuphuthumayo. Udokotela uzokwenza ukuhlolwa komzimba unyawo futhi alalele umlando wakho wendlela oye waqinisa ngayo ukulimala. Mhlawumbe uzothunyelwa i-X-ray ukuthi uzoyisebenzisa ukuze uhlolisise ukuthi ingabe ukuvuvukala kwe-avulsion noma i-Jones fracture. Ungase futhi ube nokuhlolwa kwegazi ukuhlola impilo yakho jikelele kanye nanoma yiziphi ezinye izinto ezibangela ingozi. Isibonelo, uma uphelelwa amandla noma ungahambisani nalokhu lokhu kungase kubonise inkinga yezokwelapha engacacile efana nesifo sikashukela noma ukucindezelwa kwegazi eliphezulu.
Izinketho zokwelapha
Ukwelashwa kokuvuswa kwama-fracture kuvame ukufezwa ngendwangu yokuhamba noma ibhuloho lokuhamba. Lezi zivikela indawo yokuqhekeka, kodwa ikuvumele ukuthi uhambe futhi ubeke isisindo ezinyaweni. I-cast cast noma i-boot igqoke amasonto amane kuya kwanguyisithupha. Amathrekhi awavame ukudingwa ngalokhu kulimala, futhi ukuhlinzwa akudingeki njalo. Kodwa, okungadingekile ukuthi uthi, ngeke udlale kakhulu ngenyanga ezayo noma amabili njengoba uthola kabusha. Ukuphumula kanye nokucubungula le ndawo nakho kumakhadi akho ngesikhathi sokuphumula.
Ukuhlinzwa kungase kudingeke uma ukuphulwa kwe-avulsion kususwa. Udokotela angase ancoma ukunciphisa okuvulekile nokulungiswa kwangaphakathi noma ukunciphisa okuvaliwe nge-pinning.
Izwi elivela
Ukulimala okuyisihlanu kwe-metatarsal ukulimala okuvamile okwenzeka lapho unyawo luphikisana kalula. Ngenkathi lokhu kulimala kudinga ukuhlukaniswa nezinye izinhlobo ze-five metatarsal fractures ezingadinga ukwelashwa okungaphezulu okungahambi kahle, ukuhlukunyezwa kwe-metatarsal yokuvuvukala kwe-metatarsal kunezibikezelo ezinhle kakhulu futhi cishe njalo kungaphathwa ngemithi elula kakhulu. Ngaphandle kokungangabazeki ukungahambi kahle ekuqaleni kwenqubo yokwelashwa, izimpawu zizophuthuma ngokushesha ngaphezu kwamasonto, futhi abantu abaningi bangaqala kabusha imisebenzi evamile yansuku zonke ngokushesha, nemidlalo phakathi nezinyanga ezimbalwa.
Imithombo:
I-Den Hartog BD. "Ukuhlukunyezwa kwe-metatarsal yesihlanu ehamba phambili" J Am Acad Orthop Surg. 2009 Jul; 17 (7): 458-64