Nhau - Mifananidzo yeMafupa: "Chiratidzo chaTerry Thomas" uye Kuparadzaniswa kweScapholunate

Mifananidzo yeMafupa: "Chiratidzo chaTerry Thomas" uye Kuparadzaniswa kweScapholunate

Terry Thomas museki ane mukurumbira wekuBritain anozivikanwa nekuva pakati pemazino ake epamberi.

Mukukuvara kweruoko, kune rudzi rwekukuvara uko chitarisiko cheX-ray chakafanana nepaburi remazino raTerry Thomas. Frankel akataura izvi se "chiratidzo chaTerry Thomas," chinozivikanwawo se "chiratidzo chepaburi remazino diki."

Kuonekwa kweX-ray: Kana paine kupatsanurwa kwe scapholunate uye kubvaruka kwe scapholunate interosseous ligament, maonero e anteroposterior eruoko kana maonero e coronal paCT anoratidza mukana wakawedzera pakati pemapfupa e scaphoid ne lunate, zvichiita semukana wemazino mashoma.

Kuongorora Zviratidzo: Kuparadzaniswa kweScapholunate ndiyo mhando inonyanya kuzivikanwa yekusagadzikana kwemaoko, inozivikanwawo se scaphoid rotary subluxation. Inowanzo kukonzerwa nekusanganiswa kwekuwedzera, kutsauka kweulnar, uye masimba ekupinda anoshandiswa kurutivi rweulnar palmar rweruoko, zvichikonzera kuputika kwema ligaments anodzikamisa danda reproximal re scaphoid, zvichikonzera kuparadzaniswa pakati pemapfupa e scaphoid ne lunate. Radial collateral ligament uye radioscaphocapitate ligament zvinogonawo kubvaruka.

Kudzokorora mabasa, kukuvara kwekubata uye kutenderera, kusagadzikana kwemagokora ekuzvarwa nawo, uye kusiyana kweurwere hwemusana zvinobatanidzwawo nekupatsanurwa kwe scapholunate.

Kuongorora Mifananidzo: X-ray (nekuenzanisa kwemativi maviri):

1. Mukana weScapholunate > 2mm unofungirwa kuti hauchabudi zvakanaka; kana uri > 5mm, unogona kuongororwa.

2. Chiratidzo chemhete yeScaphoid cortical, chinhambwe chiri pakati pemuganhu wepazasi wemhete nepamusoro pejoinhi reScaphoid chiri <7mm.

3. Kupfupisa ganda reScaphoid.

4. Angle ye scapholunate yakawedzera: Kazhinji, inenge iri 45-60°; angle ye radiolunate > 20° inoratidza Dorsal Intercalated Segment Instability (DISI).

5. Chiratidzo che "V" chePalmar: Pachinoonekwa zvakanaka paruoko, mipendero yemipendero yemapfupa emetacarpal neradial inoumba chimiro che "C". Kana paine kupeta kusina kujairika kwescaphoid, mupendero wayo wemipendero unosangana nemupendero wemipendero yeradial styloid, zvichiita chimiro che "V".