Terry Thomas shahararren ɗan wasan barkwanci ne ɗan ƙasar Birtaniya wanda aka san shi da babban gibin da ke tsakanin haƙoransa na gaba.
A cikin raunin da ya faru a wuyan hannu, akwai nau'in rauni wanda kamannin hoton rediyo ya yi kama da na Terry Thomas. Frankel ya kira wannan da "alamar Terry Thomas," wanda kuma aka sani da "alamar raunin hakori mara iyaka."
Bayyanar Hoto ta Radiyo: Idan aka sami rabuwar scapholunate da kuma yagewar ligament ɗin da ke tsakanin scapholunate, kallon wuyan hannu ko kuma kallon coronal akan CT yana nuna ƙaruwar gibi tsakanin ƙasusuwan scaphoid da lunate, wanda yayi kama da ƙaramin gibin haƙori.
Binciken Alamomi: Rarrabuwar scapholunate ita ce nau'in rashin kwanciyar hankali na wuyan hannu da aka fi sani, wanda kuma aka sani da scaphoid rotary subluxation. Yawanci yana faruwa ne sakamakon haɗuwar tsawo, karkacewar ulnar, da ƙarfin supination da aka sanya a gefen ulnar palmar na wuyan hannu, wanda ke haifar da fashewar jijiyoyin da ke daidaita sandar kusa da scaphoid, wanda ke haifar da rabuwa tsakanin ƙasusuwan scaphoid da lunate. Hakanan za a iya yage ligament na radial collateral da radioscaphocapitate ligament.
Ayyukan maimaitawa, raunin kamawa da juyawa, lanƙwasawar jijiyar haihuwa, da kuma bambancin ulnar mara kyau suma suna da alaƙa da rabuwar scapholunate.
Gwajin Hoto: X-ray (tare da kwatantawa tsakanin ɓangarorin biyu):
1. Gibin Scapholunate > 2mm yana da shakku game da rabuwar kai; idan ya wuce 5mm, za a iya gano shi.
2. Alamar zoben cortical na Scaphoid, tare da nisan da ke tsakanin iyakar ƙasan zoben da kuma saman haɗin gwiwa na scaphoid ɗin <7mm.
3. Rage girman scaphoid.
4. Ƙara kusurwar scapholunate: Yawanci, tana da 45-60°; kusurwar radiolunate da ta fi 20° tana nuna Dorsal Intercalated Segment Insability (DISI).
5. Alamar "V" ta Palmar: A gefen wuyan hannu na al'ada, gefunan tafin hannu na metacarpal da ƙasusuwan radial suna samar da siffar "C". Idan akwai lanƙwasa na scaphoid mara kyau, gefen tafin hannun sa yana haɗuwa da gefen tafin hannu na radial styloid, yana samar da siffar "V".
Lokacin Saƙo: Yuni-29-2024
