Raunin gwiwa shine raunin wasanni na yau da kullun wanda ke faruwa a kusan kashi 25% na raunin raunin da ya faru, tare da raunin da ya faru da raunin da ya fi dacewa. Idan ba a kula da yanayin cikin lokaci ba, yana da sauƙi don haifar da maimaita sprains, kuma mafi yawan lokuta za su shafi aikin ankle hadin gwiwa. Saboda haka, yana da matukar muhimmanci a gane asali kuma ya magance raunin marasa lafiya a farkon matakin. Wannan talifin zai maida hankali kan kwarewar bincike na raunin raunin Ligalal na Layi na ligler na rundunar karen gwiwa don taimakawa asibitoci inganta daidaito na ganewar asali.
I. Anatomy
Kuskantar da talkibal ta jijiya (ATFL): an gurfanar da shi zuwa ga Capsule na ƙarshen, ya fara lalacewa ga fibula da ƙarewa ga jikin talus.
Cystaneofififefibulle (CFL): CED-HAPEL, ya samo asali ne a iyakar ƙarshen iyakar Melleolus kuma ya ƙare a cikin distanous.
Pastrofior ƙudifile (PTFL): ya samo asali ne a saman saman Mallalle Mallalle kuma ya ƙare daga Talus Talus.
Atfl kadai da kusan kashi 80% na raunin da ya faru, yayin da Atfl hade tare da raunin CFL suka lissafta kusan 20%.
Tsarin zane mai zane da zane na zane na liglal ligler na kafa na gwiwa
II. Inji na rauni
Yankunan da suka sami rauni: LIGOFIMULE TAGOMIMET
Cycanefififififivular Rauni na Ligibanifi
III. Rauni grading
Sa na: LIGION IRIST, Babu LIPABIBEBEBRIBEBRATTRTUWTTRE, da wuya kumburi ko taushi, kuma babu alamun asarar aiki;
Sa Darasi na II: Wani yanki Macroscopic na LIGOMAN, matsakaici zafi, kumburi, da taushi, da matsanancin tausayi, da matsanancin rauni na aikin haɗin gwiwa;
Dama III: LIPITATER gaba daya tsiro kuma ya rasa amincinsa, tare da mahimmancin kumburi, zubar da jini da taushi, tare da bayyanar rashin daidaituwa.
IV. Clinical Repate Gwajin Grasser
Marasa lafiya yana zaune tare da gwiwa mai saurin juyawa da ƙarshen ɗabi'ar maraƙi, kuma mai binciken yana riƙe Tibiya a cikin wuri ɗaya kuma yana tura ƙafafun gaba a bayan diddige tare da diddigin da.
A madadin haka, mai haƙuri shine supine ko kuma zaune tare da gwiwa ya buga da yaɗu da digiri na 60 zuwa 90 digiri na ƙasa, da kuma mai binciken yana amfani da matsi mai nisa zuwa gajiyarki mai nisa.
Kyakkyawan tsinkaya tsinkaye na tsinkaye na ƙwararraki.
Gwajin damuwa
An yi amfani da wakili na proximal, kuma an yi amfani da matsanancin damuwa a cikin kafa mai zurfi don tantance ƙwayoyin talus na Talus kewaye.
Idan aka kwatanta da gefe,> 5 ° yana da tabbaci mai kyau, kuma> 10 ° tabbatacce ne; ko ba su da yawa> 15 ° tabbatacce ne.
Kyakkyawan tsinkaya na defitenceopibular jijiyoyin gwiwa.
Gwajin gwajin
X-haskoki na yau da kullun na yau da kullun
X-haskoki marasa kyau ne, amma Mri ya nuna hawaye na na Talkibululad da Libanefiorifeopibular
Abvantbuwan amfãni: X-ray shine zaɓin farko don jarrabawa, wanda ke da sauƙi kuma mai sauƙi; Ana yin hukunci da raunin raunin ta hanyar hukunta matakin Talus song. Rashin daidaituwa: Rashin kyawun kyallen takarda mai laushi, musamman tsarin tsarin da ke da mahimmanci don kula da zaman lafiya.
MRi
Fig.1 ° Matsayin Matsayi ya nuna mafi kyawun fata na talkifes (ATFL); Dubai na siffa na ATFL
Mri na Mri daban-daban na raunuka na rauni na talkibatiet ya nuna cewa: (a) Matsakaicin ƙugu na Talkibulle da Edema; (B) Kashi na Talkibuladulular Laipleat; (C) Ckupture na ƙwararrun jita-ƙasa; (D) rauni na talkibululululululululad da auren rauni.
Fig.3 The -15 ° Matsayin Matsayi ya nuna mafi kyawun Libasfibular (CFI);
Fig.4. CFL Scanning Azimuth
M, cikakken hawaye na defitasfifiorifibular
Hoto na 5: Duba jihun jita yana nuna mafi kyawun Ligofial Ligativ (PTFL);
Fig.6 PTFL SCAN AZIMUth
M hawaye na pasterificular jijiya
Grading na ganewar asali:
Class ni: Babu lalacewa;
Dama II: Ligatus centusion, kyakkyawan yanayin yanayi, m na jijiya, hypechogenicity, hypema na kewaye kyallen takarda;
Sa Darasi na III: Rashin daidaituwa na LIGIMET, Thinning ko wani yanki na ɓarna na ci gaba, sai ka yi kauri na jijiyoyi;
Sa TIV: Kammala rudani na cigaban Liga, wanda zai iya kasancewa tare da rauni na jijiyoyin jiki, lokacin da ake amfani da shi, kuma ƙara sigina na gida ko yadudduka.
Abvantbuwan amfãni: Babban ƙuduri don kyallen takarda mai taushi, bayyanannun lura da nau'in jijiyoyin Liga. Zai iya nuna lalacewar kabad, contus na kashi, da kuma yanayin yanayin rauni na fili.
Rashin daidaituwa: Ba zai yiwu ba a tantance abin da aka karya da lalacewa da lalacewa ta articular da lalacewa; Saboda hadadden Ankle ligament, nazarin nazarin ba shi da yawa; Mai tsada da kuma cin abinci lokaci-lokaci.
Matsanancin duban dan tayi
Hoto na 1A: Raunin Jigarci Hoto na 1B: Likita na yau da kullun talkibelular ya tsage, kututture yana farin ciki, kuma an gan kututture a sararin samaniya.
Hoto na 2a: raunin LIcitanefibular, yanki mai tsinkaye; Hoto na 2B: Raunin LICABATONALURLUD, Cikakken Rucure
Hoto na 3a: al'ada na yau da kullun Talkibulle: Hoton duban dan tayi nuna alwatika ta hanyar juyawa hypochoic; Hoto na 3B: Al'ada na yau da kullun: Ainihin Echogenic da Tsarin Filakulan A kan hoton duban dan tayi
Hoto 4a: Wani yanki mai tsarkewar raunin kazanci a kan duban danshi; Hoto na 4B: Cikakken hawaye na Cilalifiorififile a kan hoton duban danshi
Grading na ganewar asali:
Hoto: Hotunan Acoustic suna nuna m tsari, mai kauri da kumburin kumburi; RANAR KYAUTA: Akwai kumburi a cikin jita-jita, akwai rikicewar wasu zaruruwa, ko zaruruwa suna thinned. Hanyoyi mai tsauri ya nuna cewa tashin hankali ya raunana, kuma ligaftin tunned da ƙaruwa kuma yana ƙaruwa da kuma elasation da raunana a cikin yanayin Valgus ko varius.
Cikakken hawaye: Cikakken jijiyoyin gwiwa tare da nisantar da rabuwa, da yayyage tsagewa lidar, ba tare da wani makami ba kuma tare da hadin gwiwa.
Abvantbuwan amfãni: low farashi, mai sauƙin aiki, mara amfani; Tsarin yanayin kowane Layer na subcutaneous yana bayyana a fili, wanda ke da dacewa ga lura da raunin nama. Binciken sashi na sabani, bisa ga ligan bel don gano dukkan tsarin jiji, wurin raunin Ligion an bayyana shi da sauƙin sauye.
Rashin daidaituwa: ƙananan ƙudurin nama idan aka kwatanta da Mri; Dogaro kan aikin fasaha masu sana'a.
Binciko na Arthroscy
Abvantbuwan amfãni: Kai tsaye kiyaye tsarin Tagalus (kamar ƙwararrun Ligalam, da Kulkifesa Ligamancin kuma ku taimaka wa likitan tiyata.
Rashin daidaito: Mahimmanci, na iya haifar da wasu rikice-rikice, kamar lalacewa na jijiya, kamuwa da cuta, a yanzu ana amfani da shi a cikin raunin raunin LIGILE.
Lokaci: Satumba-29-2024
