Kutyoka kwemusoro we radial nemutsipa we radial kunowanzo tyoka majoini egokora, kazhinji kunokonzerwa nesimba re axial kana valgus stress. Kana gokora riri panzvimbo yakatambanudzwa, 60% yesimba re axial paruoko rinopfuudzwa pedyo nemusoro we radial. Mushure mekukuvara kwemusoro we radial kana mutsipa we radial nekuda kwesimba, masimba ekuchekerera anogona kukanganisa capitulum yehumerus, zvichikonzera kukuvara kwemapfupa ne cartilage.
Muna 2016, Claessen akaona rudzi rwakasiyana rwekukuvara uko kutyoka kwemusoro/mutsipa we radial kwaiperekedzwa nekukuvara kwemapfupa/cartilage ku capitulum yehumerus. Dambudziko iri rainzi "kissing lesion," nekutyoka kwaisanganisira musanganiswa uyu unonzi "kissing fractures." Mumushumo wavo, vaisanganisira nyaya gumi dzekutyoka kwekissing uye vakaona kuti nyaya pfumbamwe dzaive nekutyoka kwemusoro we radial kwakanyorwa seMason type II. Izvi zvinoratidza kuti nekutyoka kwemusoro we radial we Mason type II, panofanira kuva neruzivo rwakanyanya rwekutyoka kunogona kuperekedzwa ne capitulum yehumerus.
Mukurapa, kutyoka kwemutsipa kunowanzoonekwa zvisirizvo, kunyanya kana paine kutyoka kwemusoro/mutsipa we radial. Izvi zvinogona kukonzera kusatariswa kwekukuvara kunoenderana ne capitulum ye humerus. Kuti vaongorore hunhu hwekiriniki uye kuwanda kwekutyoka kwemutsipa, vaongorori vekune dzimwe nyika vakaita ongororo yehuwandu hwesampuro yakakura muna 2022. Mhedzisiro yacho ndeiyi inotevera:
Chidzidzo ichi chakabatanidza varwere vanosvika zana nerimwe vane kutyoka kwemusoro/mutsipa we radial vakarapwa pakati pa2017 na2020. Zvichienderana nekuti vaive nekutyoka kwe capitulum ye humerus kurutivi rumwe chete here, varwere vakakamurwa kuita mapoka maviri: boka re capitulum (Boka I) neboka risiri re capitulum (Boka II).
Uyezve, kuputsika kwemusoro we radial kwakaongororwa zvichienderana nenzvimbo yawo yemuviri, iyo yakakamurwa kuita matunhu matatu. Yekutanga inzvimbo yakachengeteka, yechipiri inzvimbo yepakati pemusoro, uye yechitatu inzvimbo yepakati pemusoro.
Zvakabuda muchidzidzo zvakaratidza zvinotevera:
- Kana kutyoka kwemusoro we radial kwakakwira muMason, njodzi yekutyoka kwemusoro we capitulum inowedzera. Mikana yekuti kutyoka kwemusoro we radial werudzi rweMason I kuve pamwe chete nekutyoka kwe capitulum yaive 9.5% (6/63); yerudzi rweMason II, yaive 25% (6/24); uye yerudzi rweMason III, yaive 41.7% (5/12).
- Kana kutyoka kwemusoro we radial kwakawedzera kusvika pamutsipa we radial, njodzi yekutyoka kwe capitulum yakaderera. Zvinyorwa hazvina kuratidza chero zviitiko zvakati wandei zvekutyoka kwemutsipa we radial zvichiperekedzwa nekutyoka kwe capitulum.
- Zvichienderana nenzvimbo dzemuviri dzekutyoka kwemusoro we radial, kutyoka kuri mukati me "nzvimbo yakachengeteka" yemusoro we radial kwaiva nenjodzi yakakura yekubatanidzwa nekutyoka kwe capitulum.
▲ Kupatsanurwa kwemusoro we radial muzvikamu zveMason.
▲ Nyaya yemurwere akatyoka nekutsvoda, uko musoro we radial wakasungirirwa nesimbi ne screws, uye chikamu che humerus chakasungirirwa uchishandisa Bold screws.
Nguva yekutumira: Nyamavhuvhu-31-2023
