Terry Thomas ane mukurumbira weBritish Comedian anozivikanwa neyechinoni gomba pakati pemeno ake epamberi.
Mune kukuvara kweruoko, pane mhando yekukuvara iyo radiographic chitarisiko chakafanana neTerry Thomas's zino gaba. Frankel akataura nezve izvi se "Terry Tomasi chiratidzo," anozivikanwawo se "Sparse zino chiratidzo."
Radiographic chitarisiko: Kana paine scapholunate kupurukirwa uye nekukwezva kwescapholen ligrosseous lignament, iyo coronal maonero eCT inowedzera pakati pekona uye kufanana nemapfupa emazino, kufanana neyekuvhara mazino emazino.
Kuongorora Signsis: Scapholunate dissociation ndiyo yakajairika mhando yekusagadzikana kwechiuno, inozivikanwawo se scaphoid inotenderera subluxation. Izvo zvinowanzo kukonzerwa nekusanganiswa, Ulnar kutsauka, uye masimba ekuzvidza anoshandiswa neyekucheka kwechigadzirwa chinomutsa proxid danda rezviputi, zvichitungamira kupatsanurana pakati peanopatsanurana nemapfupa evamwe. Iyo radial collateral ligament uye radioscancaphocaphocaphocaphitere ligament inogona zvakare kubvamburwa.
Zvekudzokorora zviitiko, zvinokatyamadza uye kutenderedza kukuvara, kuunganidza ligament laxity, uye zvisina kunaka Ulnar kusiana kunoenderana necapholunate dissocation.
Kufungidzira bvunzo: X-ray (ne bilateral enzaniso):
1. Scaphollunate GAP> 2MM inofungidzira kuti dissociation; Kana> 5mm, inogona kuongororwa.
2. Scaphoid cortical mhete chiratidzo, ine chinhambwe pakati peiyo yepasi muganho weiyo mhete uye iyo proximal yakabatanidzwa pamusoro peiyo scaphoid kuve <7mm.
3. Scaphoid kupfupikisa.
4. Kuwedzera scapholunate angle: Kazhinji, ndeye 45-60 °; A radioLunate angle> 20 ° inoratidza dorsal yakabatanidzwa segment kusagadzikana (Dishi).
5. Palmar "V" Sign: Pane yakajairika sole yekuona chiuno, iyo maPalmar edges yeiyo metacarpal uye radial mapfupa ema "c" chimiro. Kana paine zvisina kujairika kushandurwa kwesiputa, iyo maPalmar mugumo unopindirana nemucheto wemifananidzo weiyo radial styloid, gadzira "V" chimiro.
Kutumira Nguva: Jun-29-2024
