Raunin idon sawu rauni ne na wasanni da ake yawan samu wanda ke faruwa a kusan kashi 25% na raunin tsoka, tare da raunin da ya fi yawa a kan jijiyoyi na gefe (LCL). Idan ba a yi maganin wannan mummunan yanayi a kan lokaci ba, yana da sauƙi a haifar da maimaita karyewar gwiwa, kuma mafi tsanani lokuta za su shafi aikin haɗin idon sawu. Saboda haka, yana da matuƙar muhimmanci a gano da kuma magance raunin da ya faru ga marasa lafiya a matakin farko. Wannan labarin zai mayar da hankali kan ƙwarewar gano raunin da ya faru a kan jijiyoyi na gefe na haɗin idon sawu don taimakawa likitoci su inganta daidaiton ganewar asali.
I. Ilimin Halittar Jiki
Jijiya talofibular ta gaba (ATFL): mai lanƙwasa, an haɗa shi da kapsul na gefe, yana farawa daga gaba zuwa fibula kuma yana ƙarewa a gaba zuwa jikin talus.
Lakabin Calcaneofibular (CFL): mai siffar igiya, wanda ya samo asali daga gefen gaba na malleolus na gefe na nesa kuma yana ƙarewa a kashin baya.
Lakabin talofibular na baya (PTFL): Yana farawa ne daga saman tsakiyar malleolus na gefe kuma yana ƙarewa a bayan talus na tsakiya.
ATFL kaɗai ta kai kusan kashi 80% na raunin, yayin da ATFL tare da raunin CFL suka kai kusan kashi 20%.
Zane-zanen tsari da zane-zanen anatomical na ligament na gefe na haɗin idon sawu
II. Tsarin rauni
Raunin da ya ji rauni a baya: jijiyar talofibular ta gaba
Lamarin calcaneofibular: raunin varus
III. Ƙimar raunin da ya faru
Aji na I: matsalar jijiya, babu fashewar jijiya a bayyane, kumburi ko taushi ba kasafai ake gani ba, kuma babu alamun rashin aiki;
Aji na II: fashewar jijiyar da ba ta da wani ɓangare, zafi mai matsakaici, kumburi, da taushi, da kuma ƙaramin rauni na aikin haɗin gwiwa;
Aji na Uku: jijiyar ta tsage gaba ɗaya kuma ta rasa mutuncinta, tare da kumburi mai yawa, zubar jini da taushi, tare da asarar aiki mai yawa da alamun rashin kwanciyar hankali na haɗin gwiwa.
IV. Gwajin Asibiti Gwajin gaban aljihun tebur
Ana zaune da majiyyaci a gwiwoyi tare da lanƙwasa gwiwa da ƙarshen maraƙin a rataye, kuma mai duba yana riƙe da tibia a wurin da hannu ɗaya kuma yana tura ƙafar gaba a bayan diddige da ɗayan.
A madadin haka, majiyyaci zai kwanta ko ya zauna tare da durƙusawa a digiri 60 zuwa 90, diddige ɗinsa a ƙasa, sannan mai duba ya shafa matsi na baya a kan tibia ta baya.
Kyakkyawan sakamako yana annabta fashewar jijiyar talofibular ta gaba.
Gwajin damuwa na juyawa
An dakatar da idon ƙafar da ke kusa da idon, kuma an sanya matsin lamba na varus a kan idon ƙafar da ke nesa don tantance kusurwar karkatar da talus.
Idan aka kwatanta da ɓangaren da ke da alaƙa da juna, >5° yana da tabbas mai kyau, kuma >10° yana da kyau; ko kuma gefe ɗaya >15° yana da kyau.
Mai hasashen karyewar jijiyar calcaneofibular mai kyau.
Gwaje-gwajen hoto
X-ray na raunin wasanni na idon sawu na yau da kullun
X-rays ba su da kyau, amma MRI yana nuna hawaye na jijiyoyin talofibular na gaba da calcaneofibular
Ribobi: X-ray shine zaɓi na farko don dubawa, wanda yake da araha kuma mai sauƙi; Ana auna girman raunin ta hanyar auna matakin karkacewar talus. Rashin amfani: Rashin kyawun nuna kyallen jiki mai laushi, musamman tsarin jijiyar da ke da mahimmanci don kiyaye kwanciyar hankali na haɗin gwiwa.
MRI
Hoto na 1 Matsayin da aka yi da 20° ya nuna mafi kyawun jijiyar talofibular ta gaba (ATFL); Hoto na 2 Layin Azimuth na gwajin ATFL
Hotunan MRI na raunuka daban-daban na jijiyar talofibular a gaba sun nuna cewa: (A) kauri da kumburi na jijiyar talofibular a gaba; (B) yagewar jijiyar talofibular a gaba; (C) fashewa na jijiyar talofibular a gaba; (D) Raunin jijiyar talofibular a gaba tare da karyewar avulsion.
Hoto na 3 Matsayin da aka yi wa lanƙwasa -15° ya nuna mafi kyawun jijiyar calcaneofibular (CFI);
Hoto na 4. azimuth na binciken CFL
Tsagewar ƙashi mai tsanani, cikakke na jijiyar calcaneofibular
Hoto na 5: Kallon zuciya yana nuna mafi kyawun jijiyar talofibular ta baya (PTFL);
Hoto na 6: azimuth na PTFL scan
Yagewar wani ɓangare na jijiyar talofibular ta baya
Ma'aunin ganewar asali:
Aji na I: Babu lalacewa;
Aji na II: raunin jijiyar, ci gaba da kyakkyawan tsari, kauri na jijiyoyin jini, rashin daidaituwar yanayin jiki, kumburi na kyallen da ke kewaye;
Aji na III: rashin cikakkiyar siffar ligament, rage sirara ko wani ɓangare na rashin ci gaba da rubutu, kauri na ligaments, da ƙaruwar sigina;
Darasi na IV: cikakken katsewar ci gaba da jijiyar, wanda zai iya kasancewa tare da karyewar bugun jini, kauri na jijiyoyi, da kuma ƙaruwar siginar gida ko ta yaɗuwa.
Ribobi: Babban ƙuduri ga kyallen takarda masu laushi, lura sosai game da nau'ikan raunin jijiyar; Yana iya nuna lalacewar guringuntsi, raunin ƙashi, da kuma yanayin raunin da ya shafi haɗin gwiwa gaba ɗaya.
Rashin Amfani: Ba zai yiwu a tantance ko an katse karyewar ƙashi da lalacewar guringuntsi na ƙashi ba; Saboda sarkakiyar jijiyar idon sawu, ingancin gwajin ba shi da yawa; Yana da tsada kuma yana ɗaukar lokaci.
Babban na'urar duban dan tayi
Hoto na 1a: Raunin jijiyar talofibular ta gaba, ɓarkewar wani ɓangare; Hoto na 1b: Jigon talofibular na gaba ya tsage gaba ɗaya, kututturen ya yi kauri, kuma an ga wani babban ɗigon ruwa a sararin gefen gaba.
Hoto na 2a: Raunin jijiyar Calcaneofibular, ɓarkewar wani ɓangare; Hoto na 2b: Raunin jijiyar Calcaneofibular, fashewa gaba ɗaya
Hoto na 3a: Jigon talofibular na gaba na yau da kullun: hoton duban dan tayi wanda ke nuna tsarin hypoechoic mai kama da alwatika mai juyawa; Hoto na 3b: Jigon calcaneofibular na yau da kullun: Tsarin filamentous mai matsakaici da yawa akan hoton duban dan tayi
Hoto na 4a: Yagewar wani ɓangare na jijiyar talofibular ta gaba akan hoton duban dan tayi; Hoto na 4b: Cikakkiyar yagewar jijiyar calcaneofibular akan hoton duban dan tayi
Ma'aunin ganewar asali:
rauni: hotunan sauti suna nuna tsarin da ba shi da matsala, jijiyoyin da suka yi kauri da kumbura; Wani ɓangare na tsagewa: Akwai kumburi a cikin jijiyar, akwai katsewar wasu zaruruwa akai-akai, ko kuma zaruruwan sun yi ƙanƙanta a cikin gida. Na'urar daukar hoto mai ƙarfi ta nuna cewa tashin hankalin jijiyar ya yi rauni sosai, kuma jijiyar ta yi ƙanƙanta da ƙaruwa kuma sassaucin ya yi rauni idan aka yi amfani da valgus ko varus.
Cikakkiyar tsagewa: jijiyar da ta katse gaba ɗaya kuma mai ɗorewa tare da rabuwar nesa, na'urar daukar hoto mai ƙarfi tana nuna babu tashin hankali na jijiyar ko ƙaruwar tsagewa, kuma a cikin valgus ko varus, jijiyar tana motsawa zuwa ɗayan ƙarshen, ba tare da wani sassauƙa ba kuma tare da haɗin gwiwa mai sassauƙa.
Amfani: ƙarancin farashi, sauƙin aiki, ba ya cutarwa; Tsarin kowace Layer na kyallen ƙashi an nuna shi a sarari, wanda ke taimakawa wajen lura da raunukan kyallen ƙashi. Binciken sashe na ba tare da wani sharaɗi ba, bisa ga bel ɗin ligament don gano dukkan tsarin ligament, an fayyace wurin da raunin ligament ya faru, kuma ana lura da tashin hankali da canje-canjen siffar ligament a hankali.
Rashin amfani: ƙarancin ƙarfin nama mai laushi idan aka kwatanta da MRI; Dogara da aikin fasaha na ƙwararru.
Duba Arthroscopy
Ribobi: A lura kai tsaye da tsarin malleolus na gefe da na baya (kamar haɗin gwiwa na ƙasa da ƙasa, jijiyar talofibular ta gaba, jijiyar calcaneofibular, da sauransu) don tantance sahihancin jijiyoyin da kuma taimaka wa likitan tiyata wajen tantance tsarin tiyatar.
Rashin Amfani: Yana da haɗari, yana iya haifar da wasu matsaloli, kamar lalacewar jijiya, kamuwa da cuta, da sauransu. Gabaɗaya ana ɗaukarsa a matsayin ma'aunin zinare don gano raunin jijiyoyin kuma a halin yanzu ana amfani da shi galibi wajen magance raunin jijiyoyin.
Lokacin Saƙo: Satumba-29-2024
