Fractures yemusoro wemusoro uye radial mutsipa ndiwo akajairika elbow majoini fantures, kazhinji zvinokonzerwa nehunhu hwechirume kana kushushikana kwealgus. Kana iyo elbow yakabatanidzwa iri munzvimbo yakawedzerwa, 60% yeiyo axial simba pane iyo furaimari inoendeswa neyeproxally kuburikidza neye radial musoro. Kutevera kukuvara kune radial musoro kana mutsipa mutsipa nekuda kwekumanikidza, kurova mauto kunogona kukanganisa capitalum ye humerus, zvinogona kutungamira kune pfupa uye kukuvara kwe cartilage.
Muna 2016, kuunganidza rudzi rwakati wandei rwekukuvara uko mafirita emusoro wemusoro / mutsipa wakaperekedzwa nepafuro / cartilage kukuvara kune capitalum ye humreus. Iyi mamiriro akateedzerwa "kutsvoda lesion," ane fession ayo aisanganisira kusanganiswa uku anonzi "kutsvoda kupwanya." Mumushumo wavo, vaisanganisira zviitiko gumi zvekutsvoda uye vakawana kuti zviitiko zvina 9 zvaive zvakapfurwa musoro zvakarongedzwa seMason Type Type II. Izvi zvinoratidza kuti naMason Tyment II Radial Musoro Zvipfeko, panofanirwa kuve nekuwedzera kuziva kune zvinogona kuitika kuperekedza mapundu eCapitalum yeHumrelum.
Muchirongwa chekiriniki, kutsvoda kubvunda kwakanyanya kujairika kuti zvisizvo Izvi zvinogona kutungamira pakunyanyisa kwakabatana kukuvara kune capitalum ye humreus. Kuti uongorore maclinic maitiro uye zviitiko zvekutsvoda, vaongorori vekunze vakaita ongororo yehuwandu pane yakakura sampuli mu 2022. Mhedzisiro yacho iri seinotevera:
Chidzidzo ichocho chakabatanidzwa nevarwere gumi nevaviri vane radial musoro / mutsipa mapundu vakarapwa pakati pehuma.
Kupfuurirazve, manyoreredzo emusoro wemusoro akaongororwa zvichienderana nenzvimbo dzadzo dzenyama, ayo akakamurwa kuita matunhu matatu. Chekutanga ndiyo nzvimbo yakachengeteka, yechipiri ndiyo anterior medial nzvimbo, uye yechitatu ndiyo yepashure medial nzvimbo.
Mhedzisiro yekudzidza yakaratidza zvaitika zvinotevera:
- Iyo yepamusoro iyo Mason Kugadziriswa kweRadial Musoro Fraces, iyo yakakura njodzi yekuenda kunoperekedza capitulum fractures. Iko kugona kweMason mhando ini ndinopamba musoro kupwanya nekubatana neCapitulum kupwanya yaive 9.5% (6/63); for Mason mhando II, yaive 25% (6/24); uye for Mason mhando III, yaive 41.7% (5/12).
- Kana radial musoro fractures yakawedzera kubatanidza iyo radial mutsipa, njodzi yeCapitulum Fractures yakaderera. Mabhuku aya haana kuratidza chero nyaya dziri kure yemitsipa yemitsipa inopindwa neCapitulum Fractures.
- Zvichienderana nenzvimbo dzeanatomical dzemusoro wemusoro wemusoro, fractures iri mukati me "nzvimbo yakachengeteka" yemusoro wemusoro yaive nenjodzi yakakwira yekubatana neCapitulum Fractures.
▲ Minon kuiswa kwerima remusoro remusoro.
▲ Nyaya yekutsvoda murwere wemurwere, uko iyo radial musoro yakatemwa nedanda rechibve uye screws, uye capitalum ye humreus yakarongedzwa uchishandisa zvakashinga.
Kutumira Nguva: Aug-31-2023
