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Hoto Orthopedic: Alamar Terry Thomas da Rarraba Scapholunate

Terry Thomas sanannen ɗan wasan barkwanci ne ɗan ƙasar Burtaniya wanda ya shahara da tazara tsakanin haƙoransa na gaba.

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A cikin raunin wuyan hannu, akwai nau'in rauni wanda bayyanarsa ta rediyo yayi kama da tazarar haƙoran Terry Thomas. Frankel ya kira wannan a matsayin "alamar Terry Thomas," wanda kuma aka sani da "alamar ratar hakori."

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Bayyanar Radiyo: Lokacin da akwai rarrabuwa na scapholunate da tsagewar ligament na scapholunate interosseous ligament, ra'ayi na anteroposterior na wuyan hannu ko ra'ayi na coronal akan CT yana nuna karuwar rata tsakanin scaphoid da ƙasusuwa masu lunate, kama da ƙarancin haƙori.

Binciken Alamar: Scapholunate dissociation shine mafi yawan nau'in rashin zaman lafiyar wuyan hannu, wanda kuma aka sani da scaphoid rotary subluxation. Yawanci yana faruwa ne ta hanyar haɗaɗɗun tsawaitawa, ɓarna na ulnar, da rundunonin da ake amfani da su a gefen tafin hannu na wuyan hannu, wanda ke haifar da fashewar ligaments waɗanda ke daidaita madaidaicin sandar scaphoid, wanda ke haifar da rabuwa tsakanin ƙasusuwa da ƙasusuwan lunate. . Hakanan za'a iya tsage ligament na radial da ligament na radioscaphocapitate.

Ayyukan maimaitawa, riko da raunin jujjuyawa, laxity na ligament na haihuwa, da kuma mummunan bambance-bambancen ulnar kuma suna hade da scapholonate dissociation.

Gwajin Hoto: X-ray (tare da kwatancen bangarorin biyu):

1. Scapholunate rata> 2mm yana da shakku don rarrabawa; idan> 5mm, ana iya gano shi.

2. Scaphoid cortical alamar zobe, tare da nisa tsakanin ƙananan iyakar zobe da kuma kusancin haɗin gwiwa na scaphoid shine <7mm.

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3. Scaphoid gajarta.

4. Ƙara girman kusurwar scapholunate: Kullum, yana da 45-60 °; kusurwar rediyolunate> 20° yana nuna Rashin Tsabtace Sashe na Dorsal Intercalated Segment (DISI).

5. Alamar Palmar "V": A kan madaidaicin gefe na wuyan hannu, gefuna na dabino na metacarpal da kasusuwan radial suna samar da siffar "C". Lokacin da scaphoid ya kasance mara kyau, gefen dabinonsa yana haɗuwa da gefen dabino na radial styloid, yana samar da siffar "V".

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Lokacin aikawa: Yuni-29-2024