UTerry Thomas ngumhlekisi odumileyo waseBritane owaziwayo ngomsantsa wakhe odumileyo phakathi kwamazinyo akhe angaphambili.
Kwizihlunu zesandla, kukho uhlobo lokulimala olubonakala nge-radiographic efana nomngxuma wamazinyo kaTerry Thomas. UFrankel ubize oku ngokuthi "uphawu lukaTerry Thomas," okwaziwa nangokuthi "uphawu lwe-sparse tooth gap."
Inkangeleko yeRadiographic: Xa kukho ukuhlukana kwe-scapholunate kunye nokukrazuka kwe-scapholunate interosseous ligament, umbono we-anteroposterior wesandla okanye umbono we-coronal kwi-CT ubonisa umsantsa owandisiweyo phakathi kwamathambo e-scaphoid kunye ne-lunate, ofana nomsantsa wamazinyo omfutshane.
Uhlalutyo lweZimpawu: Ukuhlukana kwe-Scapholunate lolona hlobo luqhelekileyo lokungazinzi kwesandla, okwaziwa ngokuba yi-scaphoid rotary subluxation. Ngokuqhelekileyo kubangelwa kukudibana kolwandiso, ukuphambuka kwe-ulnar, kunye namandla okubambelela asetyenziswa kwicala le-ulnar palmar lesandla, okubangela ukuqhekeka kwe-ligaments ezizinzisa i-proximal pole ye-scaphoid, okukhokelela ekwahlukaneni phakathi kwamathambo e-scaphoid kunye ne-lunate. I-radial collateral ligament kunye ne-radioscaphocapitate ligament nazo zinokukrazuka.
Imisebenzi ephindaphindayo, ukwenzakala kokubamba nokujikeleza, ukungakwazi ukuqina kwemisipha yokuzalwa, kunye nokwahluka kwe-ulnar okungalunganga nako kunxulunyaniswa nokuhlukana kwe-scapholunate.
Uvavanyo lweMifanekiso: i-X-ray (ngokuthelekiswa kwamacala omabini):
1. Isithuba se-Scapholunate esingaphezulu kwe-2mm siyarhaneleka ukuba singaqhekeka; ukuba singaphezulu kwe-5mm, sinokufunyaniswa.
2. Uphawu lwendandatho ye-Scaphoid cortical, umgama ophakathi komda ongezantsi wendandatho kunye nomphezulu odibeneyo we-scaphoid ungaphantsi kwe-7mm.
3. Ukufinyeza kwe-Scaphoid.
4. I-engile ye-scapholunate eyonyukileyo: Ngokwesiqhelo, yi-45-60°; i-engile ye-radiolunate > 20° ibonisa ukungazinzi kwe-Dorsal Intercalated Segment Instability (DISI).
5. Uphawu lwePalmar "V": Kwimbonakalo eqhelekileyo yesandla, imiphetho yesundu yamathambo e-metacarpal kunye ne-radial yenza imo "C". Xa kukho ukugoba okungaqhelekanga kwe-scaphoid, umphetho wayo wesundu udibana nomphetho wesundu we-radial styloid, wenze imo "V".
Ixesha leposi: Juni-29-2024
