Syndesmosis - He aha ka keia? Tibiofibular syndesmosis rupture

Ka wā hulina, no ka 'ike ma nā nā palapū likeʻole o nā ligaments a me ami, hiki ke loaʻa ka manawa "syndesmosis". Kēia hua'ōlelo Kû he kali hoʻi koʻu-neʻeʻana a me ke ami hoi wahi iwi o ke kanaka kino. Nā palapū i keia ligament mea, he pono ole, o ka oi aku ka wā e hele mai ai i 'âlapa a me kanaka nona ka hana komo ai, pili physical haʻawina. No laila, ka mea i syndesmosis, a me ka hope o kona eha? Anei kēia mea pepehi nahā i huina a me ka ohe. E kaumaha aku i kēia lapaau?

Syndesmosis - He aha ka keia?

E like me uaʻike, i loko o ka locomotor'ōnaehana o kanaka iwi kiko'ī a me kekahi i kekahi me ka hoʻoneʻe a me ka wahi. No ka laʻana, ami o ka iwi o ka ai pili aku hoa, ka ho'ā ana. Inā mākou e kamaʻilio e pili ana i paa ami, he meaʻoiaʻiʻo i ke kapa syndesmosis. Kēia pilina alanui ma anuanu connective'aʻaʻa kaula makalii. Ia mau hale mai,ʻaʻole i no ka neʻe. No ka laʻana, ka mea, ua ai kiko'ī a ma waena o ka iwipoo iwi o ka vertebrae spinous keʻano o ka hanaʻana, a me ka tibia iwi o ka forearm.

O ka holo ana, loaʻa nō kekahi mauʻano likeʻole o ia mau hui. ʻili lahilahi syndesmosis - keia ka mea au e ike ai, noonoo olelo fibula a me ka tibia. Akā, na iwi o ka puniu wale no e pili ana i kekahi i kekahiʻano o "na nakaka".

Hiʻona syndesmoses nā palapū

Auwe, syndesmoses eha o ka apuepue uncommon. Muli o kona kulana pinepine aia no kekahi ma waena o nā membranes tibia. pinepine na puupuu wawae nā palapū, ua palapalaia ma ka 'âlapa ana o Kepakailiula i ole e holo mai ana. Ma ka mea hookahi poino prone ballerinas, gymnasts circus acrobats.

Me ka traumatic lolo nā palapū, a spinal nā palapū i e kaʻeha o na ami ma waena o nā iwi. Neonates syndesmosis rupture ma waena o ka puniu wale no hale i kekahi manawa ia lŘlŘ i hooholo ma ka hanau ana Canal. Akā, i ka wa a ka mīkini'opihia fracture o ka spine o ka hoʻomanawanui i kekahi 'akomi i hapa poino ole aku o ka olona, - ligaments ma waena o ka vertebrae.

Distal tibiofibular syndesmosis a me ka nahā i

Wahi a ka 'ikepili helu, 10% o nā palapū na puupuu wawae sprains i pili me ka trauma' ole i kapaia "tibiofibular syndesmosis." Ua ua olelo mai ia i ka poino, mai keia i kekahi mea'ōnaehana paleʻea, mai kaʻili lahilahi hiki ke'ō a poino ka wā i ikaika ma waho kuapo o ka wāwae ana ka hoohuli ana i ka sock loko.

Ma ka kekahi lima, he mau kanaka i mea nui prone i keia ano o ka eha no ka mea, o kaʻoihana - .. It mau 'âlapa, hula, acrobats, etc. Ma ke ala, i ka ikaika komo ana kiʻekiʻe-kuekue wawae kamaa, o ka oi aku i ka ka poe e ala hou, kekahi maoli ka likelihood o ka hohola ana tibiofibularʻili lahilahi.

Symptoms tibiofibularʻili lahilahi eha

Poino distal syndesmosis - keia mea he mau pilikia, a me ka mea, ua hele pu me ia e hala loa loa lapaʻau kiʻi. I hookuu, ka mea mua symptom mea he pahi eha. Kaʻawaʻawa loa ka waiʻona ma ke i listen nunui i ka hele 'ole ka wā e ho'āʻo e hoʻololi i ke kulana o ka wāwae. No ka palupalu ma palpation ua hoi hoʻokāʻoi.

Kekahi symptom mea he pahee'aʻaʻa haanou ana a puni ka ino - hoʻokano, piʻi pū hoʻomaka koke, e māhuahua ana ma ka mea o ka minuke. I ka wāwae o ka hoʻomanawanui 'ana i loaʻa i ka poe ikaika no lakou, ku pono i nā hana - i loko o ka hapanui o na hihia i huli mai. Eia hou, i ka ili, i loko o ka wahi o ka hewa, ua ulaula mai, e mea pinepine hiki ke nana ole liʻiliʻi subcutaneous hemorrhages.

O ka holo ana, e diagnose tibiofibular syndesmosis rupture, e noi mai ana i kekahi mau ikea ai. Ma physical ninaninau, i ke kauka ke ano manao i ke alo o ka hoʻopilikia 'oleʻili lahilahi pōʻino, akā, no ka pololeiʻike, a me ka manao paa o ka lapaʻau regimens Pono e undergo X-Ray mahele. Nā kiʻi hoʻomalu ke maopopo ike i ke anoe o ka nahā i waena o na iwi, e like me ka hooholo i kaʻoluʻolu o ka laina, a nana i ke alo o fractures.

Makeʻe kulana lapaau a me kona hiʻona

No ka hoʻomaka e e makeʻe kulana Inc. I mea e kōkua ai i ke ahonui o ke ano, eha, paʻapū, paʻa ana novocaine blockade. I ka papa kuhikuhiE Pahuhopu o ka Inc i loko o kēia manawa - e immobilize i ka lala oOeEIAOO mezhdubertsovuyu nahā i, a ae manawa no na nā'aʻaʻa, e ola anei ma luna o lākou iho. Ua Ua nolaila, he paʻa mau hehee ai o ka lapaau o ka nou ana la o, a ua pili i loko o ka palapala o ke kīpaku. Komo i ka puna, e i kahi o 5-6 pule.

A laila, i ka lole wili ua wehe 'a auou caiaiai ia ma luna o ka weheʻia Turo - i loko o kēia wā, hana neʻe i eea, akā, i ka hoʻomanawanui nele hoʻopulapula. No keia mea, kanaka lawelawe, e koi 'ia kekahi physiotherapy a me ka mau massages. E pono ai a me ka kūikawā 'inikua gymnastics, a ua mālama' ia ma lalo o ka hooponopono ana o ka hoʻomalu, i ia kaʻohiʻana i mai i ka lākou o nā kino, e kuhikuhi i ka manawa, a me ka AYEIE haawe ana.

Syndesmosis rupture pinepine ua pili i nā nā palapū, me ka hoʻohuikau o maʻamau koko pele. Me lakou i mea hoike, complications hiki i thrombosis o na aa koko, no laila, i ke ano o ke hoʻomanawanui, e e kiai loa mai no ua kanaka, a, ina he pono, e komo i loko o ka noaia o ka anticoagulation Inc.

Koke ia E e mai la oia i ka makeʻe kulana Inc - he lengthy kaʻina. Pinepine, i mea e hoihoi loa ana ka ka hoʻoneʻe a me nā mea hiki kino ai, nele ka hoʻomanawanui oi ma mua o 6 mahina.

Ma kekahi mau hihia,ʻoki kino ka pono?

Eia naʻe, ka mea makeʻe kulana lapaʻau mea i mana ma na hihia. Me ka ikaika trauma, kūpono splicing iwi, a ma ka wa e kaawale aku o ke kanawai o ka physical Inc ke kahuna lapaau e pono ke hooholo i kaʻoki kino.

I kēia lā, he mea nui 'ana i kūpono e hoʻihoʻi ligament. Muli o kona kulana pinepine, i loko o ke kaʻina hana, implantation o ka hou hoopaa. Ua ua hana mai o ka la i ka malamaia tendons, fascia lata a me ka wehe 'ana o Dacron. Ke tibia hana ana i ka kūikawā auwai a, i puolo a hoopaa iho la. Incidentally, ma ka 92% o ka hihia o ka hana ka holomua, a me ka hoi mai i ka hoʻomanawanui ka hoʻoneʻe.

Aia i kekahi ala,ʻo ia ka hoʻohana 'ana o ka mīkini'opihia nā kui nao i o ka mea hiki ke hooheheeia oka a pau. Kēia hoʻohewa ua puakai maluhiaʻano papa hana - ia fixes ka tibia ma ka kekahi mamao aku,ʻaʻole hiki iā lākou i ka neʻe 'ole coalesce.

Ma kekahi ano, e mea pono e ike i ka pōʻino, ua make syndesmosis - keia mea he nui pilikia, a me ka hoʻoponopono 'mea ole aʻaneʻi. Koke ma hope o ka ino e ike i ke kauka.