Kutyoka kwemusoro weradial uye radial mutsipa zvinowanzoputsika majoini egokora, kazhinji zvichikonzerwa neaxial force kana valgus stress. Kana gokora rejoini riri panzvimbo yakarebeswa, 60% yeaxial force paruoko inotapurirwa proximally kuburikidza neradial head. Kutevera kukuvadzwa kwemusoro we radial kana mutsipa wemagetsi nekuda kwekumanikidza, kuveura masimba anogona kukanganisa capitulum yehumerus, inogona kutungamirira kumapfupa uye kukuvara kwekatekete.
Muna 2016, Claessen akacherechedza rudzi rwakati rwekukuvara apo kuputsika kwemusoro / mutsipa kwaiperekedzwa nefupa / cartilage kukanganisa kune capitulum yehumerus. Ichi chirwere chainzi "ronda rekutsvoda," nekutyoka kwaisanganisira uku kusanganiswa kunonzi "kutyoka kutsvoda." Mumushumo wavo, vakasanganisira gumi nyaya dzekutsvoda kutyoka uye vakawana kuti 9 nyaya dzine radial musoro fractures inonzi Mason type II. Izvi zvinoratidza kuti neMason type II radial head fractures, panofanira kunge yakawedzera ruzivo rwezvinogona kuperekedza kuputsika kwecapitulum yehumerus.
Muchiito chekiriniki, kutsvoda kuputsika kunowanzoitika kune zvisizvo, kunyanya mumamiriro ezvinhu apo pane kutama kukuru kweiyo radial musoro / mutsipa kuputsika. Izvi zvinogona kutungamirira kune kutarisana nekukuvara kwakabatana kune capitulum ye humerus. Kuongorora maitiro ekiriniki uye chiitiko chekutsvoda kuputsika, vaongorori vekunze vakaita ongororo yehuwandu pane yakakura saizi yemuenzaniso muna 2022. Mhedzisiro yacho ndeiyi:
Chidzidzo chacho chaisanganisira huwandu hwevarwere ve101 vane radial musoro / mutsipa fractures avo vakabatwa pakati pe2017 ne2020. Zvichienderana nokuti vaiva nekuputsika kwakabatana kwe capitulum yehumerus kune rumwe rutivi, varwere vakakamurwa kuva mapoka maviri: boka re capitulum (Group I) uye boka risina capitulum (Group II).
Uyezve, iyo radial head fractures yakaongororwa zvichienderana nenzvimbo yavo yeanatomical, iyo yakakamurwa kuita matunhu matatu. Yekutanga inzvimbo yakachengeteka, yechipiri inzvimbo yepakati yepakati, uye yechitatu ndiyo posterior medial zone.
Zvigumisiro zvechidzidzo zvakaratidza zvinotevera:
- Iyo yakakwirira iyo Mason classification ye radial head fractures, iyo yakakura njodzi yekuperekedza capitulum fractures. Mukana weMason type I radial head fracture yakabatanidzwa ne capitulum fracture yaiva 9.5% (6/63); yeMason type II, yaive 25% (6/24); uye yeMason type III, yaive 41.7% (5/12).
- Apo radial musoro fractures yakatambanudzwa kuti isanganise mutsipa we radial, njodzi ye capitulum fractures yakaderera. Mabhuku haana kuratidza chero zviitiko zvakasarudzika zveradial neck fractures zvichiperekedzwa necapitulum fractures.
- Zvichienderana neatomical regions of radial head fractures, fractures iri mukati me "nzvimbo yakachengeteka" yemusoro we radial yakanga ine ngozi yakawanda yekubatanidzwa ne capitulum fractures.
▲ Mason classification ye radial head fractures.
▲ Nyaya yekutsvoda murwere wekutyoka, apo musoro weradial wakagadziriswa neplate yesimbi uye screws, uye capitulum yehumerus yakagadziriswa neBold screws.
Nguva yekutumira: Aug-31-2023
