Ukwaphuka kwesiseko se-metatarsal yesihlanu

Unyango olungafanelekanga lwe-ratictal yesiseko se-metatarsal isiseko sinokukhokelela kwi-Union Anmonion okanye i-Union Union, kwaye iimeko ezinzima zinokubangela i-artigiti, eneempembelelo ezinkulu kubomi bemihla ngemihla babantu.

Ai-natomicalStructure

I-Fetatal yesihlanu yeMetatal yinto ebalulekileyo yekholamu yoLwandle, kwaye idlala indima ebalulekileyo kubunzima kunye nokuzinza konyawo. I-metatals yesine neyesihlanu kunye nefom ye-cuboid i-metatarsid cuwoid gead.

Zintathu iitheko eziqhotyoshelwe kwisiseko se-bietatal yesihlanu, i-peroneus bres farson ifaka kwicala le-dorsoadral ecaleni kwe-tuberosity kwisiseko sesihlanu seMetatareal; the third peroneal muscle, which is not as strong as the peroneus brevis tendon, inserts on the diaphysis distal to the fifth metatarsal tuberosity; I-Sumarcar Fascia i-Statcicle i-Statcicle i-Starcicle kwicala lesiseko se-basial tuberasity ye-metatarsis yesihlanu.

Ukwahlulahlulahlulahlulahlulahlulo

Ukwaphuka kwesiseko sesihlanu se-metatarsal sahlelwa nguDameron noLawrence,

Indawo i-quarts i-quatures ye-adulsion yefratity ye-tuberasity ye-tuberosity;

I-EYO YI ifumaneka kunxibelelwano phakathi kwe-diaphysis kunye ne-proximal metaphysis, kubandakanya ukudityaniswa phakathi kwamathambo ama-4 nama-5;

I-Zone ye-III I-TAIRS i-quarts i-property ye-proximal metatarsis distapsis distarsis ukuya kwi-4th / 5 ye-5th Merint edibeneyo.

Ngo-1902, uRobert Jones waqala wachaza uhlobo lwendawo ye-II ye-II yesiseko se-metatarsal yesihlanu, ngoko ke yabizwa i-II Prat

I-Aviulsion ye-Aviulsion ye-tuberosity ye-metatarsal ye-metatarsal kwindawo yohlobo oluqhelekileyo lwesahlulo se-Metatarsis yesiseko, inika ingxelo malunga ne-93% yazo zonke iqhekeza, kwaye ibangelwa lugonyamelo lwamarcoy kunye nogonyamelo.

I-phritory kwi-Akhawunti ye-II malunga ne-4% yazo zonke izinto eziqhekezayo kwisiseko sesihlanu seMetatal, kwaye zibangelwa yingcambu ye-starxion kunye nokuDutywa ubundlobongela. Kuba zikwindawo enamanzi egazi kwisiseko sesihlanu se-metatarsal, ukwaphulwa kule ndawo sithambeka kwi-NURENST okanye isiseko sokuchithwayo.

I-ONT ye-III I-Akhawunti ye-Akhawunti malunga ne-3% yeSihlanu seMetatal Seatares.

Unyango lolondolozo

Ezona zinto ziphambili zonyango lolondolozo zibandakanya ukuqhutywa kwefraftity ngaphantsi kwe-2 mm okanye iqhekeza elizinzileyo. Unyango oluqhelekileyo luquka ukungasebenzi kakuhle kunye nebhasikhi ye-elastic, izihlangu ezenziweyo ezinzima, i-caltility ene-plasters, iipasile zekhadibhodi, okanye iibhutsi.

Izibonelelo zonyango lolondolozo zibandakanya iindleko eziphantsi, akukho ntlungu, kunye nokwamkelwa ngokulula kwezigulana; Izinto ezingalunganga ziquka imeko ephezulu yokwaphuka okanye ukulibaziseka kweManyano, kunye nokuhlaselwa ngokulula.

UtyalaTukuthatyathwa

Isalathiso sonyango lonyango lwe-teratal ye-metatarsis yesiseko se-metatarsal isiseko siquka:

1. Ukuqhekeka kwesahlulo esingaphezulu kwe-2 mm;

1. Ukubandakanyeka kwe-> 30% yomphezulu wobugcisa we-cuboid distal ukuya kwi-metatares yesihlanu;

1. Ukwaphuka kwenziwe;

1. I-Fratured Imanyano ye-Pratimed okanye i-Nonuon emva konyango olungasebenziyo;

1. Izigulana eziselula ezisebenzayo okanye iimbaleki ezemidlalo.

Okwangoku, iindlela ezisetyenziswa ngokukodwa ze-subgicals ze-charity metataral wire ye-kirschner wire, i-Anchor Sutotion i-SUTE ye-Teanderes i-Tound ngentambo, ukucwangciswa kwangaphakathi, kunye ne-hook ye-HOCK ilungiso lwangaphakathi.

1

I-KirsChner Wire I-Wire Sundy Band yinkqubo yoqhaqho ngokwesiko. Izibonelelo zale ndlela zonyango zibandakanya ukufikelela ngokulula kwizinto zokulungisa zangaphakathi, iindleko eziphantsi, kunye nefuthe elilungileyo lokunyanzelwa. Izinto ezingalunganga ziquka ukucaphukisa ulusu kunye nomngcipheko wokucinywa kwentambo yeKirschner ukukhulula.

I-2. Ukulungiswa kwe-suture nge-anchers ekhutshiweyo

Ukulungiswa kwe-Anchor Suture ngentambo kulungele izigulana ezinamaqhekeza ashushu kwisiseko sesihlanu seMetataral okanye kwiziqwengana ezincinci zokuqhekeka. Izibonelelo zibandakanya ukuncipha kwabantu, ukusebenza okulula, kwaye akukho sidingo sokukhupha isibini. Izinto ezingalunganga ziquka umngcipheko we-anchorse kwizigulana ezine-osteoporosis. .

I-3. Ukulungiswa kwendlela

I-Screw Screw lunyango olusebenzayo lwamanye amazwe lwexhwili lesiseko se-metatarsal yesihlanu, kwaye izibonelelo zayo zibandakanya ukulungiswa okuqinileyo kunye nokuzinza kakuhle.

Ngokokukoreyitha, ngenxa yamanzi amancinci kwisiseko sesihlanu seMetatal, ukuba isikrikhi ezimbini sisetyenziselwa ukulungiswa, kukho umngcipheko wokuphiliswa. Xa i-screw enye isetyenziselwa ukulungiswa, amandla ajikelezayo ajikelezile, kwaye indawo yokuhlala inokwenzeka.

I-4. Hook Plate

Ukulungiswa kwe-Hook Plate kunoluhlu olubanzi lweempawu ezibonakalayo, ngakumbi kwizigulana ezinamaqhekeza ashushu okanye i-osteoporotic. Ulwakhiwo lwayo loyilo lihambelana nesiseko sethambo lesihlanu se-metatarsal yethambo, kwaye amandla oxinzelelo lokulungisa liphezulu. Izinto ezingalunganga zolungiso lweplate zibandakanya iindleko eziphezulu kwaye zintle kakhulu.

SUmmary

Xa unyanga i-quatares kwisiseko se-metatarsal yesihlanu, kuyimfuneko ukuba ukhethe ngononophelo ngokwemeko yomntu ngamnye, amava obuqu kagqirha ogqirha kunye nenqanaba lobugcisa kunye nenqanaba lobugcisa, kwaye uqwalasele ngokupheleleyo iminqweno yobuqu yesigulana.