Fracture o ka patella: Symptoms a me ka lapaʻau

Fracture o ka patella hiki ia i nāʻano. Nō kāu ke kaʻina ua pu ma ka edema a me ka uha mua eha ka waiʻona ma ke, a i listen ma flexion, a mailaila aku tibia. Me keia ami poino e like me ka hoʻomanawanui hiki oleʻoni.

Anatomia o ka kneecap

Patella - he i lalo ua hoʻokōʻia iwi e noho ma luna o ka ili o ke kuli ke ami hoi , mai ke alo. I ka luna o ka kneecap quadriceps tendon pili ana, aia i loko o ka hip-. I ke haka pono maila ua lawe mai a lakou ma kona iho patellar ligament. Mawaho, a ma loko o ka iwi hanohano malaila a hiki i ke kīloi paʻewa ligaments.

O Kaulu o ka patella ua noho maloko, e pili ana i ka ili honua aia ma luna o ke kuli. Ke mawaho ili ka ino. Ua ua uhiia me ka olona, tendon. Ke patella o ka hoomalu ana o ke iho i ka hopena a me nā palapū.

I ka papa kuhikuhiE ano o fractures

E maopopo ma waena o nā kēia mauʻano o nā fractures:

• Patella fracture me pohupani hale. Ua Ua wehewehe aku ma ka oiaio i ka hapa o ka iwi poino,ʻaʻole hoʻoneʻe, e pili ana i kekahi i kekahi. I Ina o ka poho o kēiaʻano iwi ma ka iapaau ana i koe ma ka wahi.
• Fracture i ke alo o ka pāʻewaʻewa. Ua Ua wehewehe aku ma ka pohupani hale o na apana hakina o ke patella ma ka pili ana i kekahi i kekahi. Ma ka hapanui o hoopii,ʻoki kino ua koi 'ia e hui pu i ka hakina.
• Fracture o ke alo aku o ka iiiaanoaa o ke koena. Ua Ua wehewehe aku ma ka mea i ka kneecap shattered oi aku mamua o ekolu koena ai. Ua loli Ua manaoia e ia i ka loa paʻakikī a me ka pono loa-makahiki Inc.

Open a me ka paʻa ano o ka fracture

Patella fracture ua maheleia i hamama a me ka paʻa type.

I ka paʻa 'ano o ka fracture kaʻili i ka fracture paena mea ole malalo i ka pōʻino. Ua noho pū.

I ka la hookolokoloʻano he mea he ikaika kue o ka ili 'ole mai i ka mea, ua nānā akula au i fractured iwi. Eia hou, i ka hamamaʻano kumu hoʻohuikau nui o ka 'ole a puni ligaments, tendons a me nāʻiʻo.

E like me ka mea, he fracture?

IeAUPIIe, IAa IO, he fracture o ka patella - i ka hopena o ka loaa pololei eha ka wā e hāʻule ma luna o ke kuli flexed ai hopena o ka pahikaua a me ka paakiki mea. ʻauhau'ēʻaʻeʻano o ka eha o hiki ma ka ulia contraction o ka quadriceps femoris.

Eia nae,ʻano papa hana o ka poʻe'ē he type, ma a ka fracture ia lŘlŘ i kekahi hui malu pu ana o ka oihana mua o ke kauoha a me kaʻauhau'ēʻaʻe piʻi.

Patellar fracture ua pinepine me ka poino o ke anuenue mīkini ke aupuni 'ʻaoʻao (quadriceps tendon olona, aia i loko o ke ki) pili.

Ka wā e wāwahi ai i nā tendons aia mea he discrepancy i loko o ka patellar iwi hakina.

symptomatology poho

Pehea hoike mai ai ia ia iho, fractured kneecap?

Nā symptoms e like penei:

• Inā ka poho 'ōili mai loa kukuli haanou ana i loko o ke kuli ami.
• Palpation hōʻike pahi eha, he mea i ke alo o nā wahi i wāhiʻia ma waena o nā hakina mākaukau kaua paha ma hemarthrosis (e kapio ana i ke koko i loko o ka iho ami).
• Pinepine hōʻike'āno'ē ka hoʻoneʻe a me ka loaʻa nui crepitations (kamumu) o ka iwi koena ai.
• Pain ka wā e ho'āʻo e lena i ke kuli pahi. ʻeleu palena manawa i hiki ole ai ia i kaupalena '.
• I Ina o ka eha me ka aeʻalo ana i ka hoʻomanawanui 'aʻole i nele i ka hiki i ka hele, akā, na ka neʻe' ana i hele pu me ia e pahi kaua manaʻo.
• Fracture o ka patella me ke alo o ka pāʻewaʻewa i hele ole i ke Akua. Nō hoʻi, i ka hoʻomanawanui hiki ole e hoala i ka lala piha io moku'āina a me ka paka i kaʻeleu neʻeʻana o ke ami.

diagnosing nā palapū

Diagnosing fracture trauma surgeon lawe mai ma luna o ka muli o ka lapaʻau kiʻi, i mea typical no kēia 'ano o ka lesion. ʻikepili loaa mai ma ka X-Ray diffraction haʻawina i kekahi 'Imi i hoʻohana.

Additional ano o diagnosing i ka ino o kaʻume mākenēki resonance kiʻi o ka loli ana o ami. Hemarthrosis hookupaa iho la ia ma ka PalekanaEND_LINK puncture o ka ami.

palena pauʻike,

Fracture kiaha kukuli ua differentiated mai ka patellar ligament rupture, rupture o ka quadriceps tendon a me ke alo o ka arthritis, a traumatic ano prepatellyarnogo bursitis. Ma nā mea a pau i ka luna hihia hiki ole ke Hahai I ola ana o kekahi ma waena o ka iwi hakina.

Fracture o ka patella eiaao e differentiate me ka'āno'ē kūpono 'ana o ke ami (mahae kneecap). Akä naÿe i ka fracture, ma keia pathology ua i hoike hoopaapaa trauma a me kaʻeha. Kahi nahā i waena o ka iwi hakina o kekahi evenness a me ka smoothness. Nō kāu, e like me ka maʻi ua 'akomi i ma na aoao elua.

lapaʻau

Koho ana o kekahi mau ano o ka lapaʻau hilinaʻi nui ma luna o nā papa aʻe: keʻano a me ka ano o ka fracture hakina offset.

Fractures i ka pilina paʻa, a lolelua. A hiki aku i ka pilina paʻa palapala mālama i ka hoʻololi. He hu wale palapala hoʻohuʻu ke alo o fractures ma i ka iwi i hoʻoneʻe paha e hoʻololi no manawa.

Nā loina o ka makeʻe kulana Inc

He nui nā kanaka kahaha pehea ua malamaia lakou nei, fractured kneecap? Ke lapaau i ke alo o ka pāʻewaʻewa ma 0.5 knm me ka mākaʻi makeʻe kulana hana. No ka lawe ana mai ia Inc ua kuhikuhi i kūloko anesthesia fracture ma ka lawelawe ana anesthetics.

Hoʻokōʻia keʻano o ka fixation o ka loli ana o ka lala puna hoomanawanui Turo ana ae i ka neʻe 'oaʻiʻo. Ma hope o ka wehe 'ana i ka luhi o ua? Aeiiaiaoaony e hana massages, physical Inc kau. I lawe physiotherapeutic hana (electrophoresis magnitolazer listen'ōlelo.).

I ka wa e kaawale aku o ka pāʻewaʻewa poino lala ua paa ia ma ka rectified moku'āina. Superimposed kaʻa'ōhua o ka puna ma luna o ka uha a hiki i ke kuʻekuʻe wāwae iho. E like me ka rula, o ka lōʻihi like 'ole o ia ka fixation mea 4-6 pule. Ua Ua hoike mai lakou malama ana i ka X-Ray hooponopono.

Makeʻe kulana lapaʻau komo ai hooloihi ae i immobilization o ka hui, i mea e ulu ai - he lōʻihi, a painstaking kaʻina.

ʻoki lāʻau lapaʻau 'uao

E like me ka trauma, fracture o ka patella me ka patella pohupani hale o ke koena ai oi aku ma mua o 2 mm o pono ka hana ma i na hakina i hoʻohālike, aia no he hoihoi hou ia ana o ka articular ili o ka patella a me ka fixation. Ke kāpaeʻana e like me ka moku'āina 'ole-ʻoki lāʻau lapaʻau iaoia mea hiki ole.

I kaʻoki lāʻau lapaʻau 'uao i ke hoopili hoʻohana likeʻole kāu kiʻina hana suture palupalu'aʻaʻa, iwi ami a me ka Muscle tendons lula ea.

Na Huaolelo droops pakahi aku la ia mahalo lilo ana Schultze-Berger, oiai i ka hoʻohui o ka hakina hope o ka hookomo ana i ka patella kokoke nā'aʻaʻa. Ka lōʻihi like 'ole o ka immobilization ma hope oʻoki kino o 1 mahina. Ma hope o ana o ka luhi o mai gypsum ia lomilomi, physiotherapy a me ka physiotherapy.

Ma ke alo o fractures o ka ai iiiaanoaa i ke koena ai, a me ka hikiʻole, e loaa i ka patella i excisedʻoki lāʻau lapaʻau 'uao i hoʻohana, a pū i ka wehe' ana o ka iwi koena ai a patella.

Inā he mea hiki, e hoola i ka ami, ka mea, ua i paipai i ka hoʻomaka i ka hana.

Pehea e hookeai ai, ua malamaia lakou nei, fracture o ka kneecap? Lapaʻau manawa hilinaʻi nui ma luna o ka degere o fragmentation o ka ami. Nō kāu, hoʻopulapula paa wahi i loko o 2 mahina. Inā i ke ami i 'ohi koko, ia mea ia e wehe' ia ma ka puncture o ka patella. A lohe o na mea ano fractures piha loaa ana ia lŘlŘ i loko o 3 mahina.

Hoʻopulapula a me ka physiotherapy

Ma hope o wehe i ka luhi o mai o ka puna Pono e hele remedial ana, a loaʻa i ka lākou o kūikawā hoounauna, physical Inc, a me ka lomilomi. He mea nui i nā mea a pau ana o ka hoʻopulapula, kā lākou alapine (frequency) E kukulu paa ia ka hele kauka.

An kūlana nui ua pâʻani 'o ia ma ka kahua hoʻonohonohoʻana kino, e like me ka mea, i kaʻaoʻao maikaʻi e hoʻomōhala i ka poino ami.

Hoʻohana 'ia i ke kaʻina o nā kino ke nana me keia:

• A olakino wawae ua waiho ma lalo o ka iki i wāwae, i hana ka neʻe 'ana i loko o ka poai nei i loko o ke kuli ami.
• Ke hoomanawanui Ua kū kokoke i ka pā pōhaku. Ma hope ona mea he nui poepoe me i hanaʻi squats.
• Ua lawe mai e hele ana ma luna o ka Makamae ma ka nana e hoole. Hotel E e ole aku ma mua o 2 ei no hora.
• Lawe mai i ka hoʻokō 'ia ma kekahi wahi Bike me pedals hou ma mua o 10 knm, pono e hoʻonoho ke noho i loko o ia ke ala i ka hoʻohuli ai i nā wāwae hiki ke straightened loa.
• Lawe mai o Kepakailiula ma ka iki i wāwae. An mea nui ana o ka wa e kaawale aku o ka eha.

hiki complications

He aha hiki i ka fracture o ka kneecap hopena? It E e hoʻomaopopo i ka makeʻe kulana ano o ka lapaʻau mea kiʻekiʻe loa pilikia o kūpono kuʻi nukeliu o nā iwi i loko o ke kuli hui, a ma ka huli e hoopilikia kona papa, a alakai ai i ka hooulu ana o ka loa pathological olelo e like me osteoarthritis a gonarthrosis kneecap.

ka hopena

Patella fracture mea he nui eha. It E e kaulana ia ia ka moku'āina he meaʻole ai lawa. E like me ka rula, fragmentation ia lŘlŘ ka wā o nā bumps a me ulia. Ma ka hanana o ia i ka maʻi e e like hikiwawe e loaa ana, e noi i kōkua i ka traumatologist. Ma ka hoʻokō 'kūpono PalekanaEND_LINK ke kaʻina hana i ke kauka ke hooholo i ka degere o ka hui ka luku, a koho i ka mea kūpono lapaʻau ka hoʻolālā.