Karyewar kan radial da wuyan radial sune raunin haɗin gwiwa na gwiwar hannu na yau da kullun, sau da yawa yana haifar da ƙarfin axial ko damuwa na valgus.Lokacin da haɗin gwiwar gwiwar hannu ya kasance a cikin matsayi mai tsawo, 60% na ƙarfin axial a kan gaba yana watsawa kusa da kai ta radial kai.Bayan rauni ga kan radial ko wuyan radial saboda karfi, sojojin da aka yi wa shear na iya shafar capitulum na humerus, wanda zai iya haifar da raunin kashi da guringuntsi.
A cikin 2016, Claessen ya gano wani nau'in rauni na musamman inda raunin radial kai / wuyansa ya kasance tare da kashi / guringuntsi lalacewa ga capitulum na humerus.Wannan yanayin ana kiransa "lesion kissing," tare da karaya wanda ya haɗa da wannan haɗin da ake magana da shi a matsayin "kasuwar sumba."A cikin rahoton nasu, sun hada da kararraki guda 10 na sumbata kuma sun gano cewa kararraki 9 sun samu karaya a kai a matsayin Mason type II.Wannan yana nuna cewa tare da karyewar kai na Mason nau'in II, yakamata a ƙara wayar da kan jama'a game da yuwuwar rakiyar karaya na capitulum na humerus.
A cikin aikin asibiti, sumbatar karaya suna da saurin kamuwa da rashin ganewa, musamman ma a lokuta inda akwai gagarumin ƙaura na radial kai/karya.Wannan na iya haifar da rashin kula da raunin da ke tattare da capitulum na humerus.Don bincika halaye na asibiti da abin da ya faru na sumbatar karaya, masu bincike na kasashen waje sun gudanar da bincike na kididdiga akan girman samfurin mafi girma a cikin 2022. Sakamakon shine kamar haka:
Nazarin ya haɗa da jimlar marasa lafiya 101 tare da radial kai / wuyan wuyansa waɗanda aka bi da su tsakanin 2017 da 2020. Dangane da ko suna da raunin da ke tattare da capitulum na humerus a gefe guda, an raba marasa lafiya zuwa kungiyoyi biyu: Rukunin capitulum (Group I) da kuma rukunin da ba capitulum ba (Rukunin II).
Bugu da ƙari kuma, an yi nazari akan karaya ta radial bisa ga yanayin jikinsu, wanda aka raba zuwa yankuna uku.Na farko shi ne yankin aminci, na biyu shi ne yankin tsakiya na gaba, na uku kuma shi ne yankin tsakiya na baya.
Sakamakon binciken ya bayyana sakamakon binciken kamar haka:
- Mafi girman rarrabuwar Mason na radial head fractures, mafi girman haɗarin rakiyar karayar capitulum.Yiwuwar nau'in Mason I radial head fracture da ke hade da raunin capitulum shine 9.5% (6/63);na nau'in Mason II, ya kasance 25% (6/24);kuma ga nau'in Mason na III, ya kasance 41.7% (5/12).
- Lokacin da ɓawon kai na radial ya faɗaɗa don haɗa wuyan radial, haɗarin faɗuwar capitulum ya ragu.Littattafan ba su gano wani keɓantaccen lokuta na ɓarkewar wuyan radial ba tare da raunin capitulum.
- Bisa ga yankuna na jiki na radial head fractures, ɓarke da ke cikin "yanki mai aminci" na radial shugaban yana da haɗari mafi girma na haɗuwa da raguwar capitulum.
▲ Mason rarrabuwa na radial head fractures.
▲ Wani lamari na sumbatar karaya, inda aka gyara kan radial da farantin karfe da screws, kuma an gyara capitulum na humerus ta hanyar amfani da sukurori mai ƙarfi.
Lokacin aikawa: Agusta-31-2023
