Ulnar ubuhlungu bomunwe obuhlangene obubangelwa yi-tendon engavamile ye-ECU
I-tendon ye-ECU, noma i-extensor carpi ulnaris, ingenye yezintambo ezinkulu zesikhumba. Kuhlangothini lwesigqoko sekhanda, ohlangothini olufanayo nomunwe omncane. I-tendon iqala ngemuva kwe-forearm, kodwa ezingeni le-joint wrist is ngqo eceleni kohlangene. Kunezimbangela eziningi zobunzima bomunyu obuhlangene, futhi enye yalezo zinkinga nge-tendon ye-ECU.
Izinkinga ezimbili ezivame kakhulu ze-ECU tendonitis i-tendonitis ne-tendon subluxation.
ECU Tendonitis
I-tendonitis ye-ECU yimbangela yokuvuvukala kwe-tendon ye-ECU. Lesi simo sivame kakhulu kunama-nonthletes, futhi ngokuvamile kwenzeka ngaphandle kwesizathu esicacile. Ngezinye izikhathi iziguli ezine-ECU tendonitis zinezimpawu ezenzeka ngemuva kokulimala okubuhlungu, njengokuhlukumeza kwesandla, kodwa isimo esivame kakhulu asikho umthombo ocacile.
Izimpawu ze-ECU tendonitis zihlanganisa:
- Ukubonisa ubuqotho ngokuqondile ngaphezu kwe-tendon ye-ECU
- Ukuvuvukala noma ukugcwala kwethemathoni
- I-crepitus ngokunyakaza kwesandla
- Ubuhlungu obuphikisana nokuhlubuka kwe-ulnar (okukhomba isikhonkwane kuya ohlangothini lwe-pinky)
Izivivinywa zivame ukuhlolwa ukuze zithole ezinye izinhlobo zemilenze yesandla. I-X-ray ingaba evamile ezigulini eziningi ezine-tendonitis, kanti i-MRI ingase ibonise ukuthi i-fluid ijikeleze ithethoni. Ngesinye isikhathi udokotela wakho uzokwenza uhlolo ngokufaka injini yemithi engelapheki (i-lidocaine) eduze kwethenda ukuze ubone ukuthi ubuhlungu buxazulula yini.
Ukwelashwa okuvamile kufaka ukuphumula, isicelo seqhwa, imithi yokulwa nokuvuvukala, kanye nokusetshenziswa kobubanzi besikhumba. Uma izimpawu ziqhubeka ngemva kokulashwa okulula, umjovo we-cortisone ungasiza. Ngokuvamile kuyinkqubo yokuhlinzwa edingekayo ekwelapheni i-ECU tendonitis, kodwa uma izimpawu ziqhubeka naphezu kokuphathwa okufanele, ukuhanjiswa okuhlinzekwa kwethenda kungacatshangelwa.
ECU Snapping noma Subluxation
Ukuphuza i-ECU syndrome yisimo esibangelwa i-tendon ye-ECU ngaphakathi nangaphandle kwendawo yayo ngakwesokunene sekhanda. Ukukhwabanisa i-ECU kuvame kakhulu kubagijimi, futhi ngokuvamile kulandela ukulimala okulimazayo esihlakaleni. Ukulimala kubangela ukulimala kwetendon sheath evamile, futhi kuvumela i-tendon ukuba ichithe endaweni yayo evamile.
Izimpawu ze-ECU subluxation zifaka:
- Ukuhlwitha okubuhlungu kwesibindi ngokunyakaza okuphazamisayo
- I-Tendon igxuma emgodleni wayo ngokuphendula isandla endaweni yesundu
- I-Tendon iphinda ibuyele endaweni lapho isandla siphenduka khona
Ngokuvamile, i-tendon ye-ECU igijima ngaphakathi kwesigqoko esibucayi eceleni komgodla ohlangothini lwesandla esihlangene. Kugcinwe kule ndawo ngesiguli. Ngezinye izikhathi ngemva kokulimala okunjengokuqhekeka kwesandla , lesi sithinte se-tendon singaba sezinzile. Uma i-tendon ye-ECU ingabanjwanga endaweni, ingase 'iqhube' phezu kwethambo njengoba isihenqo sijikelezwa. Ukwelashwa kungaphumelela ngokusivimbela isihenqo nge-tendon esesikhundleni esifanele. Uma lokhu kungaphumeleli, ukwelashwa kungadinga ukuvuselelwa kokuhlinzwa kwe-tendon sheath ukuze ithenda lihlale endaweni yayo efanele.
Imithombo:
I-Adams JE, Habbu R. "I-Tendinopathies yesandla nesandla" J Am Acad Orthop Surg. 2015 Dec; 23 (12): 741-50.