I-syndesmosis yigama le-ligament elixhuma amathambo amabili omlenze . Lawa mathambo, i-tibia, ne-fibula iphakathi kwamadolo namajoyini. I-tibia iyisithambo esikhulu shinti esisekela kakhulu isisindo somzimba, kanti i-fibula iyithambo elincane ngaphandle komlenze. Ukuxhuma lamathambo kuyisigament esibizwa ngokuthi i-syndesmosis, ebizwa nangokuthi i-ligament syndesmotic.
Ama-syndesmosis ukulimala kwamagciwane ngokuvamile kwenzeka ngokuhlanganyela nezinye ukulimala kwe-ankle , kufaka phakathi i- sprains ne- fractures . Uma i-syndesmosis eyonakele ishiywe ingaphathwa, imiphumela embi ngokuvamile ivele. Ukuhlanganiswa kwe-ankle kubanjwe ngokuvumelana kahle kwemikhawulo ye-tibia ne-fibula, ehambisana nohlangothi lwangaphakathi nangaphandle lwesikhumba. Uma i-syndesmosis ibonakalisiwe, ukujoyina kwe-ankle kungase kuhlale kungazinzile.
Ukulimala kwesifo se-syndesmosis kwenzeka lapho unyawo luthinta ngaphandle lihambisana nomlenze - ukulimala okungaphandle kokujikeleza kwangaphandle. Lolu hlobo lokulimala lungenzeka lapho i-ankle iphoqelelwa ngaphandle, noma lapho inyawo litshala, nomlenze uphazamisa ngaphakathi.
Izimpawu
Njengoba kukhonjisiwe, ukulimala kwe-syndesmosis kuvame ukuvela ngokuhambisana nokulimala kwe-ankle. Ngakho-ke, noma ubani one- ankle sprature noma fracture kufanele futhi ahlolwe ngokulimala okungenzeka ku-syndesmosis.
Izimpawu ezivamile zokulimala kwe-syndesmosis zihlanganisa:
- Ubuhlungu ngaphezu kwesikhumba
- Ubuhlungu benkomo
- Ukungakwazi ukubeka isisindo emlenzeni
Ama-X-ray kufanele atholakale uma kubonakala sengathi ukulimala kwi-syndesmosis. Ngenxa yokuthi i-x-ray evamile ingabonakali ukulimala kwesifo se-syndesmosis, uhlobo oluthile lwe-x ray olubizwa ngokuthi i-x-ray luvame ukutholakala. E-x-ray ekucindezelekeni, umhloli uzosebenzisa amandla esikhwameni ukuze anqume ukuthi i-syndesmosis iyashintsha lapho kusetshenziswa amandla.
Uma kusekhona umbuzo wokulimala, i-CT scan noma i-MRI ingaba usizo nakakhulu ekwenzeni ukuxilongwa.
Izinhlobo zokulimala kwe-Syndesmosis
Uhlobo oluvame kakhulu lokulimala kwe-syndesmosis olwenzekayo lubizwa ngokuthi " ukuphakama kwe-ankle ". I-ankle ephakeme kakhulu ibhekisela emonakalweni wemijondolo engaphezu kwesigxobo se-ankle - i-ligament syndesmotic. Ukwelashwa kwesikhumba esiphezulu kuncike ekuzinzeni kwe-ankle. Uma i-x-ray ibonisa ukuhlanganiswa kwe-ankle esitebeleni, iziguli eziningi ziphathwa ngokukhubazeka kanye nezintambo futhi zingalindela ukutakula kwamaviki ayisithupha kuya kwangu-8.
Uma i-syndesmosis engazinzile, ukwelashwa kufanele kuqinisekiswe ukuthi i-syndesmosis ingabanjwa endaweni ezinzile ngenkathi ipholisa. Lokhu kungadinga ukufaka isivikelo esisiswini emlenzeni, noma kungadinga ukuhlinzekwa ukuze kuqiniswe ukuhlanganiswa kwe-ankle.
Ukulimala kwe-Syndesmosis nakho kungenziwa ngokuhlangana nama-fracture ama-ankle. Njengama-sprains aphezulu, ulwazi olubalulekile lokunquma ukwelashwa ukuthi ngabe ukuhlanganiswa kwe-ankle akuzinzile. Lapho i-syndesmosis ibonakaliswe ngokuhlangana nokuhlukana kwezinyosi, ngokuvamile kuvulwa ukuhlinzwa ukuze ubuyisele ukuzinza kokujoyina kwe-ankle. Kuvame ukuhlinzwa ukuze kulungiswe ukuphuka noma ukuqiniswa kwesifo se-syndesmosis, futhi ngezinye izikhathi kokubili.
Ukwelashwa kokulimala kwe-Syndesmotic
Lapho i-syndesmosis ilungiswa ngokuhlinzwa, ngokuvamile lokhu kwenziwa nge-screws zensimbi ezidlula i-fibula futhi zingene kwi-tibia. Lezi zikhonkwane kumele zibekwe lapho i-syndesmosis ifakwe endaweni efanele nokulungiswa. Kungakhathaliseki ukuthi isikrini esisodwa noma ezimbili singasetshenziswa, kuye ngohlobo lokulimala kanye nokuthandwa komhlinzeki wakho. Ngokuvamile, udokotela wakho ohlinzayo uyotusa ukukhipha izikrini ngemva kwezinyanga ezingu-3-4.
Uma izikhwama zingasusiwe, ekugcineni zizokhipha noma ziphule. Nakuba lokhu kungase kungabonakali noma yiziphi izinkinga, iziguli eziningi azifuni ukugoqa okungahambisani noma okuphukile emlenzeni wabo, ngakho-ke ngabe zizosuswa ngaphambi kwalesi sikhathi.
Imithombo:
I-Zalavras C no-Thordarson D. "I-Ankle Syndesmotic Injury" J Am Acad Orthop Surg ngoJuni 2007; 15: 330-339.