Iimpawu zeklinikhi "zokuqabula i-lesion" ye-elbow

I-Practures yeNtloko yeRinal kunye neNtloko yeRinal i-Exbow exhaphakileyo, idla ngokubangelwa kukunyanzelwa kwe-axial okanye uxinzelelo lwe-gethim. Xa ihlazo le-elbow likwindawo eyandisiweyo, i-60% yamandla e-axial kwi-waltraible idluliselwe kwintloko ye-radial. Emva kokonzakala kwiNtloko yeRadial okanye i-radial raill ngenxa yokunyanzelwa, ukucheba amandla kunokuchaphazela i-capitus, enokubakho kwithambo kunye nokulimala kwe-cartilage.

Ngo-2016, uClaissen wachonga uhlobo oluthile lokulimala apho i-geral yentloko / intamo ihamba kunye nethambo / i-cartilage kwi-humerus. Le meko ibibizwa ngokuba "yi-lesion yokuqabula," enamaqhekeza aquka oku kudityaniswa kuthintelwe njenge "phunga." Kwingxelo yabo, babandakanya iimeko ezili-10 zokuqalisa ukwaphuka kwaye kwakufumanisa ukuba amatyala ali-9 aneziqwenga zentloko ye-radial tyheli njenge-mason Tech. Oku kuphakamisa ukuba ngohlobo lwe-mason Tect II I-II yeNtloko yeNtloko yeNtloko, kufuneka kuphakanyiswe ulwazi malunga ne-capitulum ye-humerulum ye-humerus.

Kwindlela yokuqhekeka, ukuqabula gwenxa kuxhonywe kakhulu kwisifo sokuziphatha, ngakumbi kwiimeko apho kukho ukufuduka kwentloko / intamo yentamo. Oku kunokukhokelela ekukhangeleni ukulimala okungapheliyo kwi-capitulum ye humerus. Ukuphanda ngeempawu zeklinikhi kunye neziganeko zokuqalisa ukwaphuka, abaphandi bamanye amazwe baqhuba uhlalutyo lweenkcukacha-manani kubungakanani besampulu yesampulu yeminyaka engama-2022. Iziphumo zezi zilandelayo:

Olu phononongo lubandakanya izigulana ezili-101 zizonke ezinentloko ye-radial / intamo ephathwayo phakathi kwe-humerus kwicala elinye, i-capitulum iqela (iqela I).

Ngaphaya koko, iintloko zentloko yeradis zahlalutywa ngokusekwe kwindawo yazo ye-anatomical, eyahlulahlulwa yangamacandelo amathathu. Eyokuqala yindawo ekhuselekileyo, eyesibini yindawo engaphandle, kunye neyesithathu yindawo yasePostihali.

Iziphumo zophononongo zibonisa ezi zinto zilandelayo:

1. Ukuphakama okuphezulu kwe-mason ye-radial yentloko yentloko, kokukhona umngcipheko wengozi ye-capitulum. Inokwenzeka ye-Mason Tract Intloko ye-radial rackere inxulunyaniswa ne-capitulum uqhekene ne-9.5% (6/63); Nge-Mason Tech, yayiyi-25% (6/24); kunye ne-Mason Tech, yayiyi-41.7% (5/12).

1. Xa i-racralial ractures eyandiswayo ukubandakanya intamo ye-radial, umngcipheko we-capiture upctures inciphile. Uncwadi aluzange luchonge naziphi na iimeko ezikhethekileyo ze-radial ractores ezihamba kunye ne-capitulum gwenxa.

1. Ngokusekwe kwimimandla ye-anatomical ye-radial yentloko ye-radial, iqhekeza elikwindawo ethi "Indawo ekhuselekileyo" yeNtloko ye-radial yayinomngcipheko ophezulu wokunxulunyaniswa ne-capitulum gwenxa.

▲ Ukuhlelwa kwe-MAMS yeNtloko yeNtloko yeNtloko.

Imeko yokuncancisa isigulana sokuqhekeka, apho intloko ye-radial ihleliwe ngeplate yentsimbi kunye nesikali, kunye ne-capitulum ye-humerus ilungisiwe kusetyenziswa isikroba.