Ebusika, inani lokulimala ohlelweni lwe-musculoskeletal landa. Enye yezinhlobo ezivame kakhulu zokulimala ukuhlukana kwengqikithi yengalo.
Ukuphuka kwekhanda nentamo yengqimba yesandla
I-bone radial iyithambo elihleliwe elide, elide elibhekwe ngaphambili. Ikhanda laleli thambo lenziwa yingxenye yalo engaphezulu, futhi kancane ngaphansi kwekhanda yintamo - ingxenye encane yethambo. Ukuhlukana kwalezi zingxenye zethambo ngokuvamile kubonakala ngokuwa ngokugcizelela engxenyeni ehlangene.
Lapho ikhanda le-radius liphukile, i-cartilage ivame ukulimala, futhi lokhu kukhwabanisa akutholakali nganoma iyiphi indlela. Okwamanje, ukulimala kwe-cartilage kungaholela ekunciphiseni kokuhamba ngokuhlanganyela. Hlunga ukuhlukana kwekhanda ngaphandle kokuhamba, ukuqhuma okweqile ukuhamba, kanye nokwehlukana okuphukile.
Izimpawu zokuphulwa kwekhanda le-radius yizi:
- ubuhlungu ekuhlanganyeleni, okwandayo uma ezama ukuhamba;
- ukuhamba okulinganiselwe;
- ukuvuvukala;
- i-hemarthrosis (ukuphuma ehlangene).
Ukubonakaliswa kwemitholampilo yomlomo wesibeletho:
- ubuhlungu ohlangothini lwesigqoko;
- ukuvuvukala esifundeni sohlangothini lwe-arm-beam;
- ukunyakaza okulinganiselwe.
Ama-fractures of the cervix angase aphule i-axis ye-radius ne-congruence (ehambisana ne-articular surfaces) ekuhlanganyeleni kwezingalo futhi ngaphandle kokuphulwa okunjalo.
Ukuqhekeka kwendawo ehlukanisiwe yesandla nesihenqo
Ukuhlukana kwesigaba sokuhlukanisa (okuphansi) kujwayelekile kubantu besifazane futhi kwenzeka, ikakhulukazi uma bewela engxenyeni ehlangene nengozi . I-fractures yendawo ehlukanisiwe yendawo, kuye ngokuthi isimo sokuhamba kwezingcezu, zihlukaniswa kanjani zibe izinhlobo ezimbili:
- i-extensor (i-Collis) - uma ukufuduka kokuphela kwe-distal kwenzeka ngemuva;
- i-flexion (Smith) - lapho ukufuduka kwenzeka khona ekuqondeni kwesundu.
Lolu hlobo lokulimala lubonakala ngezibonakaliso ezinjalo:
- ubuhlungu ehlangothini lwesibindi, okwandayo lapho ezama ukuhamba;
- ukuzwela ukuzwela;
- i-edema ne-deformation ngemuva kwesandla.
Ukulimala kuGaleazzi
Lesi sigameko siphuka ngethambo lomzimba ophezulu ohlangothini lwalo oluphakathi, lapho isiqephu esingaphansi sichithwa khona futhi ikhanda le-ulnar lihlukanisiwe esihlakaleni. Ukuphuka okunjalo kungenzeka uma uwela engxenyeni ehlangene, uma ushaya.
Izimpawu zokulimala kweGaleazzi:
- ukuvuvukala okuphawulekayo, ukukhubazeka nobuhlungu esibukweni kanye nesithathu esingaphansi kwe-forearm;
- ukungenakwenzeka kokunyakaza kwesandla kanye nesibindi.
Ukwelashwa kokuphuka kwengqimba yesandla
Ngokwehlukana ngaphandle kokuhamba kwezingcezu, ukwelashwa okulindelekile, okubandakanya ukusebenzisa i-gypsum longus ukufeza ukuphindaphindiwe kwezinto eziphilayo nokulungiswa kweziqephu. Ubude besikhishwe ngamasonto angu-4.
Ngokwehlukana nokufuduka, iziqephu ziphinde zenziwe kabusha (emva kwe-anesthesia). Okulandelayo, kusetshenziswa i-gypsum nesondo. Ngosuku lwesishiyagalolunye nesikhombisa, emva kokuphela kwe-edema, i-X-ray yenziwa ukuqapha ukufuduka kwesibili.
Ngokuthambekela kokuhamba endaweni yesibili, ukungenelela okuhlinzekwayo kwenziwa, lapho enye yezindlela ze-osteosynthesis isetshenziselwa - ngamazwi noma amapulethi.
Ukuvuselelwa ngemuva kokuphulwa kwengalo edingeni
Irejista ye-radius ihlukunyezwe cishe
Ekupheleni kwenkathi yokuphoqeleka, izinyathelo zokubuyisela ezilandelayo ziqokwa:
- sebenzisa i-therapy;
- ukusikhipha ;
- i-phonophoresis.
Emva kwe-fusion, kuboniswa okugeza okufudumele - coniferous, coniferous-usawoti, njll.