Karaya na Tushen Metatarsal Na Biyar

Maganin da ba daidai ba na karaya tushe na metatarsal na biyar zai iya haifar da rashin daidaituwa ko jinkirta haɗin gwiwa, kuma lokuta masu tsanani na iya haifar da ciwon huhu, wanda ke da tasiri sosai ga rayuwar yau da kullum da aikin mutane.

AnatomicalStructure

Metatarsal na biyar wani muhimmin sashi ne na ginshikin gefen kafa, kuma yana taka muhimmiyar rawa wajen ɗaukar nauyi da kwanciyar hankali na ƙafa.Metatarsal na huɗu da na biyar da kuboid sun samar da haɗin gwiwar cuboid metatarsal.

Akwai tendons guda uku da ke haɗe zuwa tushe na metatarsal na biyar, jijiyar peroneus brevis yana saka a gefen dorsolateral na tuberosity a gindin metatarsal na biyar;tsoka na uku na peroneal, wanda ba shi da ƙarfi kamar jijiya na peroneus, yana sanyawa a kan diaphysis distal zuwa tuberosity metatarsal na biyar;fascia na shuke-shuken Fascul na gefe yana sanyawa a gefen shukar tuberosity basal na metatarsal na biyar.

Rarraba karaya

Dameron da Lawrence ne suka rarraba karaya daga tushe na metatarsal na biyar,

Karyewar yanki na I sune karaya na ɓarna na tuberosity na metatarsal;

Yanki na II suna samuwa a haɗin kai tsakanin diaphysis da metaphysis na kusa, ciki har da haɗin gwiwa tsakanin 4th da 5th metatarsal kasusuwa;

Karyewar yanki na III raunin damuwa ne na kusancin metatarsal diaphysis distal zuwa 4th/5th intermetatarsal hadin gwiwa.

A cikin 1902, Robert Jones ya fara bayyana nau'in raunin zone II na tushe na metatarsal na biyar, don haka yankin na II kuma ana kiransa fracture Jones.

Karyawar karaya na metatarsal tuberosity a shiyyar I shine mafi yawan nau'in karaya tushe na metatarsal na biyar, wanda ya kai kusan kashi 93% na duk karaya, kuma yana faruwa ne ta hanyar jujjuyawar tsirrai da tashin hankali.

Karaya a shiyyar II yana da kusan kashi 4% na dukkan karaya a gindin metatarsal na biyar, kuma ana haifar da su ta hanyar jujjuyawar shukar ƙafa da tashin hankali.Saboda sun kasance a cikin wurin da ake zubar da jini a gindin metatarsal na biyar, karaya a wannan wuri yana da wuyar haɗuwa ko jinkirin karaya.

Yanki na III suna lissafin kusan kashi 3% na karaya tushe na metatarsal na biyar.

Magani mai ra'ayin mazan jiya

Babban alamomi don maganin ra'ayin mazan jiya sun haɗa da ƙaurawar ɓarna ƙasa da 2 mm ko barga.Jiyya na yau da kullun sun haɗa da rashin motsa jiki tare da bandeji na roba, takalmi mai wuyar gaske, rashin motsi tare da simintin gyare-gyare, matsi na kwali, ko takalman tafiya.

Abubuwan da ake amfani da su na maganin ra'ayin mazan jiya sun haɗa da ƙananan farashi, babu rauni, da sauƙin yarda da marasa lafiya;rashin lahani sun haɗa da babban abin da ya faru na karaya ba tare da haɗin gwiwa ba ko jinkirta rikice-rikice na ƙungiyar, da kuma sauƙin haɗin gwiwa.

TiyataTmaida hankali

Alamomi don maganin fiɗa na karaya tushe na metatarsal na biyar sun haɗa da:

1. Ƙunƙarar raguwa fiye da 2 mm;

1. Haɗin kai na> 30% na saman articular na kuboid distal zuwa metatarsal na biyar;

1. Karar karaya;

1. Karya jinkirta ƙungiya ko rashin haɗin gwiwa bayan jiyya ba tare da tiyata ba;

1. Matasa marasa lafiya masu aiki ko 'yan wasa na wasanni.

A halin yanzu, hanyoyin fiɗa da aka saba amfani da su don karyewar tushe na metatarsal na biyar sun haɗa da Kirschner wire tension band gyare-gyaren ciki, gyare-gyaren anga tare da zaren, dunƙule gyaran ciki, da ƙugiya farantin ciki.

1. Kirschner waya tashin hankali band gyarawa

Kirschner waya tension band fixation hanya ce ta fiɗa ta gargajiya.Abubuwan amfani da wannan hanyar magani sun haɗa da sauƙin samun damar yin amfani da kayan gyara na ciki, ƙananan farashi, da tasiri mai kyau na matsawa.Lalacewar sun haɗa da haushin fata da haɗarin kwancen waya ta Kirschner.

2. Suture gyarawa tare da threaded anchors

Gyaran suture na anga tare da zaren ya dace da marasa lafiya masu raunin ɓarna a gindin metatarsal na biyar ko tare da ƙananan gutsuttsura.Abubuwan da ake amfani da su sun haɗa da ƙananan ƙaddamarwa, aiki mai sauƙi, kuma babu buƙatar cirewa na biyu.Lalacewar sun haɗa da haɗarin faɗuwar anga a cikin marasa lafiya masu fama da kasusuwa..

3. Gyaran farce mara kyau

Hollow dunƙule wani ingantaccen magani ne wanda aka sani a duniya don karyewar tushe na metatarsal na biyar, kuma fa'idodinsa sun haɗa da ingantaccen gyarawa da kwanciyar hankali.

A asibiti, don ƙananan karaya a gindin metatarsal na biyar, idan an yi amfani da sukurori biyu don gyarawa, akwai haɗarin raguwa.Lokacin da aka yi amfani da dunƙule ɗaya don gyarawa, ƙarfin jujjuyawar ya raunana, kuma ana iya canzawa.

4. An gyara farantin ƙugiya

Gyaran farantin ƙugiya yana da alamomi da yawa, musamman ga marasa lafiya masu raunin ɓarna ko raunin osteoporotic.Tsarin ƙirarsa yayi daidai da tushe na ƙashin metatarsal na biyar, kuma ƙarfin matsawa yana da girma.Rashin lahani na gyaran faranti sun haɗa da tsada mai tsada da ƙananan rauni.

Stakaitawa

Lokacin da za a magance karaya a gindin metatarsal na biyar, ya zama dole a zabi a hankali bisa ga takamaiman yanayin kowane mutum, kwarewar likita da matakin fasaha, da cikakken la'akari da bukatun mai haƙuri.