BusonondyLlar Chractor na HUMERY na ɗaya daga cikin rushewar ƙwayar cuta a cikin yara kuma suna faruwa a hanyar tsinkayen tsattsauran ra'ayi dahumerral condyle.
Bayani na Clinical
SupracondyLlar karaya na HUMERRIRY MELLY 'Ya'yan HUMERRIRY ne, kumburi, tazara, da dyseness na iya faruwa bayan rauni. Rashin karaya ba a bayyane yake ba, da kuma sakon gwiwar hannu na iya zama alamar asibiti. Haɗin haɗin gwiwa a ƙasa a gaban gwiwar hannu ta musamman, inda kyamaren hadin gwiwa, wanda kuma aka sani da Softspot, ana iya ɗauka a lokacin tashin hankali. Batun sassauɗan yawanci yana da mahimmanci ga layin da ya haɗa tsakiyar kai mai radial zuwa ƙarshen elecron.
Game da wani nau'in Pastacondyyyyyy III, akwai nakasar ƙafar gwiwar biyu na gwiwar hannu, suna ba da bayyanar da alama. Akwai yawanci subcutaneot na subcutuni a gaban ɗakunan nesa na sama, kuma idan rauni ya yi gudun hijira sosai, ƙarshen ƙarshen karaya ya fi tsanani. A sakamakon haka, alamar pucker ya bayyana a gaban gwiwar hannu, yawanci yana nuna kusancin bony mai kama da ƙwayar ƙwayar cuta zuwa ƙwayar ƙwayar cuta. Idan ana bin Rauni na rauni na radial, da tsawan yatsa na iya iyakance; Raunin jijiya na Median na iya haifar da babban yatsa da yatsa mai ma'ana don ba zai iya yin madauri ba; Raunin jijiya na Ulnar jijiya na iya haifar da iyakantuwa na dama da kuma aiki.
Ganewar asali
(1) magani na asali
①have tarihin rauni; Alamu na alamu da alamu: zafin cikin gida, kumburi, taushi da dysfunction; ③x-ray yana nuna Pupacleyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyrity gutsattsrentors of Humerus.
(2) Bambancin ganewar asali
Ya kamata a biya hankali ga shaidarGano Hagu, amma ganowar abubuwan da aka tsallakewar Safaduwa na Tsawo daga gwiwar hannu yana da wahala. A cikin Superacondyyyyyyyyyyyyyyyyyyyyyyyyyyyyars na HUMERY, da Epicronondyle na Hurerus na kula da dangantakar da aka saba da ta al'ada tare da elecron. Koyaya, a cikin Gonaon Enbow, saboda Olecron yana bayan Olicronondyle na Humerus, an fi shahara. Idan aka kwatanta da Pugamondyyyyyyyylar rauni, bikin gaban hannu a cikin Genbow ya lalata shi ne mafi distal. Kasancewar ko rashi na Bony Fivatives shima yana taka rawa wajen gano matsalar rauni na Humerrata daga wayewar hadin gwiwar gwiwar hannu, kuma wani lokacin da wuya a yi matukar wahalar amfani da fam. Saboda matsanancin kumburi da zafi, magifukan da ke haifar da Bony fricatives sau da yawa sa yaron yayi kuka. Saboda haɗarin lalacewa na neurovascular. Saboda haka, magipulations da ke haifar da fa'idodin kasusuwa ya kamata a guji. Jarrabawar X-ray na iya taimakawa ganowa.
Iri
Matsakaicin rarrabewar Puntracondylar Huracrates shine raba su cikin tsawo da juyawa. Nau'in sassauƙa yana da wuya, kuma X-ray X-ray na gabatar da cewa ƙarshen ƙarshen karaya yana a gaban Humad Shaft. Tushen madaidaiciya abu ne na kowa, da Gartland ta raba shi cikin nau'in ni zuwa III (Table 1).
| Iri | Bayani na Clinical |
| Ⅰ | Karaya ba tare da gudun hijira ba, tashin hankali ko Vorgus |
| ⅠB Type | Ingra waje, medical flortication fluting, layin iyaka humeral ta ta hanyar kai |
| Ⅱ | Hyperexevers, wuce-hyperex mutuwar karama, humemeral a bayan layin iyaka humeral iyaka, babu juyawa |
| ⅡB Type | Logritudinal na tsaye ko jujjuyawar tare da lamba a kowane ƙarshen karaya |
| Ⅲ | Cikakkun gudun hijira na bayan gida ba tare da wata lambar sadarwa ba, galibi distal ga gudun hijira na tsakiya |
| ⅢB Type | A bayyane yake motsawa, nama mai laushi wanda aka saka a ƙarshen rashin ƙarfi, muhimmin overlap ko jujjuyawar ta ƙarshe |
Tebur 1 Gartland rarrabewa na PastacondLlar Huremus
Yi wa
Kafin ingantaccen magani, ya kamata a daidaita shi na ɗan lokaci a cikin matsayi na 20 ° zuwa 30 ° mai sassauci ne ga mai haƙuri, amma kuma ya rage yawan tashin hankali na garin neurovascular.
(1) Rubuta i Hemeral Pastacondylar karar: kawai buƙatar simintin simintin filastar don gyara na waje, ana amfani da simintin hannu don gyara na waje don makonni 3 zuwa 4.
(2) INYEN II SANIN II SPRALLARYLONONDYLYLARYLARDYLATLARY BASRACKES: Rage hoto da gyara na gwiwar hannu da angulation sune mahimman batutuwa a lura da wannan nau'in karaya. °) gyararrawar tana kula da matsayin bayan saukarwa, amma yana ƙara haɗarin raunin neurovascularcular na cutar da abin ya shafa da haɗarin ciwon cikin sauri. Saboda haka, percutaneusKayayyakin waya na Kirschnerya fi kyau bayan rage rage karaya (Fig. 1), sa'an nan kuma gyara waje tare da simintin waje a cikin amintaccen 60 °).
Hoto 1 Hoto na kayan adircin waya na Percutaneo
(3) Type III supracondylar humerus fractures: All type III supracondylar humerus fractures are reduced by percutaneous Kirschner wire fixation, which is currently the standard treatment for type III supracondylar fractures. Rage rufewa da kuma ficewar waya na auna yawanci zai yiwu, amma ana buƙatar rage bude idan raunin nama mai laushi ba zai yiwu ba ko rauni na Brachial (Hoto na 2).
Hoto na 5-3 Figureatiatiatiative da Postousative X-Ray na Pastacondllar Huremus Karshe
Akwai hanyoyin da ke tafe guda huɗu don buɗe ragewar Superaconlar rauni na Humerus: (1) tsarin gwiwar hannu (gami da tsarin gwiwar hannu); (2) tsarin gwiwar gwiwar hannu; (3) hade da lambar zinare da kuma a kusa da taken gwiwar hannu; da (4) tsarin gwiwar hannu.
Dukansu tsarin gwiwar gwiwar hannu da kuma kusancin medial suna da fa'idodi na ƙarancin lalacewar nama da tsari mai sauƙi. Ingaran Ingila yana da aminci fiye da karkarar da aka makala kuma zai iya hana lalacewar cututtukan Ulnar. Rashin kyau shine cewa ba ɗayansu na iya ganin fashewar ɓangaren ɓangaren karkara na ɓangaren karkara, kuma ana iya rage shi kuma gyarawa ta hanyar ji, wanda ke buƙatar ingantacciyar dabara ga mai aiki. Tsarin gwiwar gwiwar hannu ta farko tana da jayayya saboda halakar da amincin tsoka da babbar illa. Haɗin kusancin medial da na kaikai na iya gyara don rashin nasarar da ba zai iya ganin farfajiya kai tsaye ta hanyar karkace ba. Yana da fa'idodi na medial da na ƙarshen gwiwar gwiwar hannu, wanda ke da mai dacewa ga rage karaya da gyaran, kuma zai iya rage tsawon ƙarshen karkara. Yana da amfani ga agaji da kuma subbityarfin ƙwayar kumburi; Amma rashin ingancinsa shine yana ƙaruwa da hanzarin. Ma sama sama da tsarin kula.
Wahala
Cikakkun rikicewar Supulononondylar humeralads sun hada da: (1) rauni neurvascular; (2) matsanancin ciwo na Septal; (3) gefuwar gwiwar hannu; (4) myositis ossfificans; (5) necrosis scascrosis; (6) Tsammaɗewar Cubitus; (7) Cubibus nagari nagari.
Taƙaita
SupracondyLlar karar Huremus na daga cikin mafi yawan rauni a cikin yara. A cikin 'yan shekarun nan, ƙarancin rage girman Superacondylar karaya na Humerus ya kawo hankalin mutane. A da, cubitus varius an dauke shi da shi ne ta hanyar kama farantin mai cike da ruwa mai zurfi, maimakon ragi mara kyau. Yawancin hujjojin karfi yanzu suna tallafawa cewa rage ɓacewa mara kyau shine mahimmancin mahimmanci a cikin nakasar Cubitus. Saboda haka, rage madadin ƙasar Superacondyllar Hureerus.
Akwai hanyoyi da yawa masu magani da yawa don cin nasarar Superacondylar karar Huhameus, kamar raguwar hannu + gyara na wajeTare da simintin filastar, elecranon harkar, gyara na waje tare da daskararre, raguwa da raguwa na ciki, da kuma gyaran ciki. A da, raguwa mai amfani da filastar ta kusa shine ainihin jiyya, wanda Cubitus ya ruwaito har zuwa 50% a China. A halin yanzu, don type ii da nau'in III Supracedlarsars, percutaneous m bayan ragin karar ya zama hanyar da aka yarda dashi gabaɗaya. Yana da fa'idodi na rashin lalata jini da sauri warkarwa.
Hakanan akwai kuma ra'ayoyi daban-daban akan hanyar da kuma mafi kyawun adadin kayan waya na Kirschn bayan rufewar rauni. Kwarewar edita ita ce cewa wayoyin Kirirschner yakamata suyi bifurcated tare da juna a lokacin gyarawa. FARKER BUNA CIKIN SAUKI CIKIN SAUKI NE, mafi tsayayye shi ne. Wayoyin Kirirschner kada a tsallaka jirgin sama mai rauni, in ba haka ba za a sarrafa juyawa kuma ƙayyadadden zai zama m. Ya kamata a kula ya guji lalacewar ulnar jijiya lokacin amfani da gyaran waya na Kischner. Kada kuyi amfani da allura a cikin madaidaicin matsayi na gwiwar hannu don ba da izinin gwiwar gwiwar ulman don komawa baya, taɓa shi kuma ku mayar da shi kuma a amince da shi kuma a amince da shi kuma a hankali a cikin amintaccen zaren. Aikace-aikacen tsattsarkar kirirchner waya waya yana da damar da aka dawo da shi, karancin warkar da warkarwa, da kuma kyakkyawan tsari na murmurewa karaya, wanda yake da amfani ga farkon murmurewa.
Lokacin Post: Nuwamba-02-2022
