Ukuqhekeka kwentloko ye-radial kunye nentamo ye-radial kukwaphuka okuqhelekileyo kwejoyinti ye-elbow, okuhlala kubangelwa ngamandla e-axial okanye uxinzelelo lwe-valgus. Xa ijoyinti ye-elbow ikwindawo ende, i-60% yamandla e-axial kwingalo idluliselwa kufutshane nentloko ye-radial. Emva kokwenzakala kwentloko ye-radial okanye intamo ye-radial ngenxa yamandla, amandla okucheba anokuchaphazela i-capitulum ye-humerus, okunokubangela ukwenzakala kwamathambo kunye ne-cartilage.
Ngowama-2016, uClaessen wafumanisa uhlobo oluthile lokulimala apho ukwaphuka kwentloko/intamo yeradial kwakuhambisana nomonakalo wethambo/i-cartilage kwi-capitulum ye-humerus. Le meko yabizwa ngokuba yi-"kissing lesion," kunye nokuqhekeka okwaquka olu nxu lumano olubizwa ngokuba yi-"kissing fractures." Kwingxelo yabo, baquka amatyala ali-10 okuqhekeka kokuqabulana kwaye bafumanisa ukuba amatyala ali-9 ayene-radial head fractures ehlelwe njengohlobo lwe-Mason II. Oku kuthetha ukuba nge-Mason type II radial head fractures, kufuneka kubekho ulwazi oluphangaleleyo malunga nokuqhekeka okunokubakho okuhambayo kwe-capitulum ye-humerus.
Kwimisebenzi yezonyango, ukwaphuka kwentamo xa uqabulana kudla ngokubangela ukuxilongwa okungafanelekanga, ingakumbi kwiimeko apho kukho ukufuduka okukhulu kwentloko/intamo eqhekekileyo. Oku kunokukhokelela ekungajongi ukwenzakala okunxulumene ne-capitulum ye-humerus. Ukuze baphande iimpawu zonyango kunye nokwanda kokuqhekeka kwentamo xa uqabulana, abaphandi bamanye amazwe benze uhlalutyo lwezibalo kubungakanani besampulu enkulu ngo-2022. Iziphumo zezi zilandelayo:
Olu phononongo luquke izigulane ezili-101 ezazineentloko/intamo ezaphukileyo eziphathwe phakathi kowama-2017 nowama-2020. Ngokusekelwe ekubeni zazineentlungu ezihambelanayo na kwi-capitulum ye-humerus kwicala elinye, izigulane zahlulwe zangamaqela amabini: iqela le-capitulum (iQela I) kunye neqela elingelona i-capitulum (iQela II).
Ngaphezu koko, ukwaphuka kwentloko ye-radial kuhlalutywe ngokusekelwe kwindawo yazo yomzimba, eyahlulwahlulwa yaba ziingingqi ezintathu. Eyokuqala yindawo ekhuselekileyo, eyesibini yindawo yangaphambili ye-medial, kwaye eyesithathu yindawo engasemva ye-medial.
Iziphumo zophando zityhile ezi ziphumo zilandelayo:
- Okukhona udidi lweMason lwee-radial head fractures luphezulu, kokukhona umngcipheko wokwaphuka kwe-capitulum ohamba nayo uphezulu. Amathuba okuba ukwaphuka kwentloko ye-radial yohlobo lwe-Mason I kudibaniswe nokuqhekeka kwe-capitulum yayiyi-9.5% (6/63); kuhlobo lwe-Mason II, yayiyi-25% (6/24); kwaye kuhlobo lwe-Mason III, yayiyi-41.7% (5/12).
- Xa ukwaphuka kwentloko ye-radial kwanda ukuze kubandakanye intamo ye-radial, umngcipheko wokuqhekeka kwe-capitulum wehla. Uncwadi aluzange luchaze naziphi na iimeko zokuqhekeka kwentamo ye-radial ezihamba kunye nokuqhekeka kwe-capitulum.
- Ngokusekelwe kwiindawo zomzimba zokuqhekeka kwentloko ye-radial, ukwaphuka okukwindawo "ekhuselekileyo" yentloko ye-radial kwakunomngcipheko omkhulu wokunxulunyaniswa nokuqhekeka kwe-capitulum.
▲ Ukuhlelwa kweMason kwee-radial head fractures.
▲ Ityala lesigulana esiphuke imilenze, apho intloko ye-radial yayiqiniswe ngepleyiti yentsimbi kunye nezikrufu, kwaye i-capitulum ye-humerus yayiqiniswe kusetyenziswa izikrufu zeBold.
Ixesha lokuthumela: Agasti-31-2023
