Ukuqhekeka kwentloko ye-radial kunye nentamo ye-radial zizinto eziqhelekileyo ezidibeneyo ze-elbow fractures, ezihlala zibangelwa yi-axial force okanye uxinzelelo lwe-valgus. Xa i-elbow joint ikwimo eyandisiweyo, i-60% ye-axial force kwi-forearm idluliselwa ngokusondeleyo ngentloko ye-radial. Ukulandela ukulimala kwintloko ye-radial okanye intamo ye-radial ngenxa yokunyanzeliswa, imikhosi yokucheba inokuchaphazela i-capitulum ye-humerus, enokuthi iholele kwithambo kunye nokulimala kwe-cartilage.
Kwi-2016, uClaessen uchonge uhlobo oluthile lokulimala apho iifractures zentloko ye-radial / intamo ihamba kunye nomonakalo wethambo / i-cartilage kwi-capitulum ye-humerus. Esi sifo sasibizwa ngokuba “sisilonda sokuncamisa,” kunye nokwaphuka okuquka le ndibaniselwano ekubhekiselwa kuyo “njengezaphuko zokuncamisa.” Kwingxelo yabo, baquka iimeko ezili-10 zokuqhawula ukwanga kwaye bafumanisa ukuba iimeko ze-9 zineentloko ze-radial fractures ezichazwe njenge-Mason type II. Oku kuphakamisa ukuba kunye ne-Mason type II i-fractures ye-radial head fractures, kufuneka kuphakanyiswe ulwazi malunga neefractures ezihamba kunye ne-capitulum ye-humerus.
Kwinkqubo yeklinikhi, i-kissing fractures ithandeka kakhulu kwi-misdiagnosis, ngakumbi kwiimeko apho kukho ukufuduka okuphawulekayo kwentloko ye-radial / i-neck fracture. Oku kunokukhokelela ekujongeni ukulimala okuhambelanayo kwi-capitulum ye-humerus. Ukuphanda iimpawu zeklinikhi kunye nezehlo zokuqhawula iifractures, abaphandi bamazwe angaphandle baqhube uhlalutyo lwamanani kumlinganiselo omkhulu wesampuli ngo-2022. Iziphumo zezi zilandelayo:
Uphononongo lubandakanya izigulane ze-101 ezine-radial head / neck fractures eziye zaphathwa phakathi kwe-2017 kunye ne-2020. Ngokusekelwe ekubeni babenokuphazamiseka okuhambelanayo kwe-capitulum ye-humerus kwicala elifanayo, izigulane zahlula ngamaqela amabini: iqela le-capitulum (Iqela I) kunye neqela elingelona i-capitulum (iGroup II).
Ngapha koko, iifractures zentloko yeradial zahlalutywa ngokusekelwe kwindawo yazo ye-anatomical, eyahlulahlulwe yangamacandelo amathathu. Eyokuqala yindawo ekhuselekileyo, eyesibini yindawo ephakathi yangaphambili, kwaye eyesithathu yindawo ye-medial yangasemva.
Iziphumo zophononongo zibonakalise oku kulandelayo:
- Ukuphakama kwe-Mason classification of radial head fractures, ingozi enkulu ehamba kunye ne-capitulum fractures. Ithuba le-Mason type I-fracture ye-radial head edityaniswa ne-capitulum fracture yayingu-9.5% (6/63); kuba Mason uhlobo II, kwaba 25% (6/24); kunye ne-Mason type III, yayiyi-41,7% (5/12).
- Xa i-radial head fractures yandisiwe ukubandakanya intamo ye-radial, umngcipheko we-capitulum fractures wehla. Uncwadi aluzange luchonge naziphi na iimeko ezizimeleyo ze-radial neck fractures ezihamba kunye ne-capitulum fractures.
- Ngokusekelwe kwimimandla ye-anatomical ye-radial head fractures, i-fractures ehlala ngaphakathi "kwendawo ekhuselekileyo" yentloko ye-radial yayinomngcipheko ophezulu wokudityaniswa ne-capitulum fractures.
▲ Ukuhlelwa kweMason kweefracture zentloko yeradial.
▲ Ityala lokuncanyiswa kwesigulane esaphukileyo, apho intloko ye-radial yalungiswa ngepleyiti yentsimbi kunye nezikrufu, kunye ne-capitulum ye-humerus ilungiswe kusetyenziswa izikrufu zeBold.
Ixesha lokuposa: Aug-31-2023
