Ukulimala kwe-Ankle kukulimala kwemidlalo eqhelekileyo okwenzeka malunga ne-25% ye-musculoskeletal, kunye ne-ligament ye-Ilgeral I-LCIGE (LCL) ukwenzakala. Ukuba imeko enzima ayiphathwa ngexesha, kulula ukuba ikhokelele kwiiprains eziphindaphindiweyo, kwaye iimeko ezibi ngakumbi ziya kuchaphazela ukusebenza kwe-ankle dibanise. Ke ngoko, oko kubaluleke kakhulu ukufumanisa ukulimala kunye nokunyanga ukulimala kwabaguli kwinqanaba lokuqala. Eli nqaku liza kugxila kwizakhono zokuxilonga ze-LAKINEATRALL LEAMECRALY YEMINYAKA YOKUZIPHATHA KWE-ANKLE YABASELULA UKUNCEDA UKUNCULASICINATION Bayakuphucula ukuchaneka kwesifo.
I. anatomy
I-ANTAFING LIGAMITIN (i-ATFL): icekeceke, ityhutywe kwikhaphethi ye-Lateral, iqala engaphandle kwi-fibula kwaye igqibe i-figula igqibe emzimbeni we-tatus ye-tatus ye-tatus.
I-Calcaneofigul I-LIXIGRAN (CFL): Intambo yentambo, ivela kumda ongaphandle we-Trandal Malleol Solural Malleous kwaye iphelise kwi-calcaneus.
I-Posterigal Ligament (Ptfl): ivela kumphezulu we-medial ye-Mancual Malleous kwaye iphela iposti engasemva kweMedical.
I-ATFL yedwa ibalwe malunga ne-80% yokulimala, ngelixa i-ATFL edityanisiweyo kunye nokulimala kwe-CFL ibalwa malunga ne-20%.
Umzobo we-Schematic kunye nomzobo we-anatomical we-LAAMEATRAL ye-LAKLE
II. Indlela yokulimala
Ukulimala okuxhaphakileyo: I-Anteright Ligament
I-CalcaneofibiBul I-LIGAGEN DRUS YONYANGO: CalcaneofibiBul
III. Ukulimala
IBanga i: I-Ligament Strain, ingekho mfuneko ye-LIGAG ebonakalayo, kunqabile ukudumba okanye isisa, kwaye akukho zimpawu zokuphulukana nomsebenzi;
IBanga II: Ukuphuphuma kweMacroscopic yeLigament yeLigament, iintlungu eziphakathi, ukudumba, kunye nokuthantamisa, kunye nokuthintela umsebenzi omncinci;
Ibanga IIGAI: I-LIGAM ikhutshiwe kwaye ilahle ingqibelelo yayo, ihamba ngokudumba, ukopha kunye nokuthantamisa, ihamba nelahleko yokungazinzi.
Iv. Uvavanyo lweDolophu yeKlinikhi
Isigulana sihleli nedolo esitshisiweyo kwaye isiphelo sethole sivale, kwaye umvavanyi ubamba i-tibia endaweni yesandla esinye kwaye atyhalele unyawo phambili emva kwesithende elinye.
Ngenye indlela, isigulana sisesichetyi okanye sihleli nedolo nge-60 ukuya kwi-90 degrees, isithende esimiselwe emhlabeni, kwaye umvavanyi usebenzisa ingcinezelo engasemva kwe-dibia.
I-liect eqingqiweyo ye-ANLOFIFINT ye-ANTAFIFRHAR.
Uvavanyo loxinzelelo lokungaphezulu
I-proximal ankle yayingafakwanga, kwaye uxinzelelo lwe-Vussi lusetyenziswe kwi-Ankle ye-distal ukuvavanya i-angle ye-tatus.
Xa kuthelekiswa necala lokuchasene ne-courtrailatelil,> 5 ° Lingalunganga, kwaye> 10 ° lilungile; okanye i-UNILCALL> 15 ° iyodwa.
Isingqinisiso esifanelekileyo se-calcaneoofigul ligamente.
Ukuvavanya uvavanyo
I-X-rays ye-ankle eqhelekileyo ye-ankle
I-X-ray ayilunganga, kodwa i-MRI ibonisa iinyembezi zeTalofibibhar kunye ne-calcaneofiber
Izibonelelo: X-ray lukhetho lokuqala loviwo, olufanelekileyo kwaye lulula; Ubungakanani bokulimazeka bugwetywe ngokugweba inqanaba le-tarus. Izinto ezingalunganga: Ukuboniswa okungalunganga kwezicubu ezithambileyo, ngakumbi izakhiwo ze-ligamendontous ezibalulekileyo ekugcineni ukuzinza ngokudibeneyo.
Mri
I-FIG.1 I-20 ° Abique ibonisa eyona nto ilungileyo yaseTalofibibar Ligament (ATFL); Umzobo.2 I-Azimuth
Imifanekiso ye-MRI ye-ANTAFING LIGAX ye-ANLOFINARAN YINE ibonisa ukuba: (a) i-lilofibibal yaseTalofibibhar i-ANTIMING NE-EDEMA; . (C) ukugqabhuka kwe-ANTAFIFINURE LIGAX; .
Umzobo.3 I-15 ° I-Bibiquique ibonisa eyona i-calcaneofigulbubibar (CFI);
Fig.4. I-CFL Scanning Azimuth
I-abution, inyeziyikhi epheleleyo ye-calcaneofigul ligament
Umzobo we-5: Imbonakalo ye-coronal ibonisa eyona ndawo ilungileyo yase-Talofibibar Ligament (Ptfl);
I-Fig.6 ptfl scanuth Azimuth
Inxalenye yenxalenye ye-posteribar liigament ligament
Umgangatho wokuxilongwa:
Iklasi i: akukho monakalo;
Ibanga II: I-Ligament iphithizela, ukuqhubeka kwengqondo elungileyo, ukuqina kwe-ligaments, i-hypoecethogenisity, edema yezicubu ezijikelezileyo;
Ibanga IIGAI: I-LIGARECEECE GIGGEROLOGY, UKUTHENGA OKANYE UKUQHUTYWA KOLWAZI, UKUTHUNYELWA KWEXESHA LOKUGQIBELA
Ibanga IV: Ukuphazamiseka kweBanga elipheleleyo loKhuseleko lweLigament, olunokuhamba kunye nokuqhekeka kwe-auvilation, ukuqina kwe-ligaments, kunye nokunyuka komqondiso.
Izibonelelo: Ukusonjululwa okuphezulu kwizicubu ezithambileyo, ukujongwa ngokucacileyo kweentlobo zokulimala i-ligament; Ingabonisa ukonakaliswa kwe-cartilage, i-bone sussion, kunye nemeko ekonzakaleni yento yokwenzakala.
Izinto ezingalunganga: Akunakwenzeka ukuba ubone ngokuchanekileyo ukuba i-tycrat kunye nomonakalo we-cartilage we-cartilage uphazamiseko; Ngenxa yobunzima be-Ankle LIGAX, ukusebenza kweemviwo ezifanelekileyo akukho phezulu; Ixabiso eliphantsi kunye nexesha.
Isithuba esiphakamileyo se-ultrasound
Umzobo 1A: I-ANTAPING LIGAGEN ye-LALOFING, i-TAR ye-TAR; Umzobo 1B: I-ANATIN: I-ANTAFING LIGAMINE iqwengiwe, isiphunzi sityhutywe, kwaye i-effrion enkulu ibonwa kwindawo engasemva.
Umzobo 2A: I-CalcaneofibiBul ye-LIGAGEN ye-LIGAGER, i-TAR ye-TAR; Umzobo 2b: I-CalcaneofibiBul ye-LIGAGEN ye-LIGA iphela
Umzobo 3A: I-ANATARINE YABASINGLINGLINERAN YINGAMINGLINE: I-Ultrasound umfanekiso obonisa ubume be-charpicle ye-hypoechoc; Umzobo 3B: I-CELCANAOOOOOOOOOOFRULLINGINGL: NGOKUGQIBELA I-ECIICIC YOKUGQIBELA I-FINICTOUS EKUKHONA UMGAQO-NKQUBO
Umzobo 4A: Iinyembezi zenxalenye yeTalofibibar Lilofibimbar umfanekiso we-Ultrasound; Umzobo 4B: Iinyembezi ezigcweleyo ze-calcaneofigul ligament umfanekiso we-Ultrasound
Umgangatho wokuxilongwa:
I-Cousion: Imifanekiso ye-acoustic ibonisa ubume, i-lixickered kunye ne-ligallents; I-Teartial Teart: Kukho ukudumba kwiLigament, kukho ukuphazamiseka okuqhubekayo kweentsinga, okanye iintsinga zivaliwe ekuhlaleni. I-scan scans ibonisa ukuba imbambano ye-LIGE ibuthathaka kakhulu, kwaye i-ligament inyibilikisiwe kwaye inyuke kwaye i-elastice yenze buthathaka kwimeko ye-gethi okanye i-VUS.
Gqibezela iinyembezi: i-ligament ephazamisayo ngokupheleleyo kunye nokwahlulahlula i-digs, iskena iskena i-scan ibonisa i-ligament ye-ligament okanye i-var ye-ligames okanye i-varis, i-ligames, ngaphandle kokudibana okukhulu.
Iingenelo: Iindleko eziphantsi, kulula ukusebenza, ezingahlaseli; Ubume obufihlakeleyo bomaleko ngamnye wezicubu ze-subcutaneus zibonisiwe ngokucacileyo, ezilungele ukujongwa kwezilonda ze-misculoskeletal. Icandelo le-Accebirary ngokubhekisele, ngokutsho kwebhanti le-LIGG ukulandelela yonke inkqubo yeLigament, indawo yokulimala i-LIGA icacisiwe, kwaye utshintsho lwe-ligament luye lwaqwalaselwa.
Ukungancedi: Isisombululo esisezantsi se-tissue esithambileyo xa kuthelekiswa neMRI; Ixhomekeke kumsebenzi wobugcisa obufanelekileyo.
Itshekhi ye-Arthroscopy
Izibonelelo: Qwalasela ngokuthe ngqo izakhiwo ze-Mancual Malleous kunye ne-Hindfoot (efana nelifa elingaphantsi, i-lilofigul liigament ye-ligament, i-Intercle.
Ukungancedi: Ukuhlasela, kunokubangela ukuba iingxaki, ezinjengomonakalo wemithambo, usulelo ngokubanzi lujongwa njengomgangatho weGolide wokuLawula i-Ligament kwaye kwangoku uninzi lusetyenziswa kunyango lwenzakala ye-ligament.
IXESHA LOKUQALA: USep-29 ukuya ku-4024
