Syndesmosis ndi dzina la ligament limene limagwirizanitsa mafupa awiri a mwendo . Matendawa, tibia, ndi fibula ali pakati pa bondo ndi mitsempha. Tibia ndi mafupa akuluakulu omwe amathandiza thupi lonse kulemera kwake, ndipo fodya ndi fupa laling'ono kunja kwa mwendo. Kugwirizanitsa mafupa awa ndi mitsempha yotchedwa syndesmosis, yomwe imatchedwanso syndesmotic ligament.
Kuvulala kwa ma Syndesmosis nthawi zambiri kumachitika mogwirizana ndi kuvulala kwina kwa mitsempha , kuphatikizapo sprains ndi fractures . Ngati syndesmosis yowonongeka yasiyidwa, zotsatira zosavuta zimachitika nthawi zambiri. Mgwirizano wa bondo umagwirizanitsidwa bwino ndi mapeto a tibia ndi fibula, omwe amatha kuzungulira mkati ndi kunja kwa mkondo. Ngati syndesmosis yowonongeka, mgwirizano wa bondo ungakhale wosakhazikika.
Kuvulala kwa syndesmosis kumachitika pamene phazi limasunthira panja moyang'anizana ndi mwendo - chomwe chimatchedwa kuwonongeka kwina kwa kunja. Mtundu uwu ukhoza kuchitika pamene bondo likuphwanyika mwamphamvu kunja, kapena pamene phazi limabzalidwa, ndipo mwendo ukupitirira mkati.
Zizindikiro
Monga tanenera, kuvulazidwa kwa syndesmosis kawirikawiri kumachitika mogwirizana ndi kuvulala kwa minofu. Choncho, aliyense amene ali ndi mavoti kapena kupweteka kwa mitsempha ayenera kuyesedwa kuti akhoza kuvulazidwa ndi syndesmosis.
Kuipa kwachilombo cha syndesmosis ndi:
- Ululu pamwamba pa khungu
- Kupweteka kwa ng'ombe
- Kulephera kuyika kulemera kwa mwendo
X-rays ayenera kupezeka ngati akudandaula ndi syndesmosis. Chifukwa zachilendo x-rays sizingasonyeze kuvulala kwa syndesmosis, mtundu wina wa x-ray wotchedwa stress x-ray umapezeka nthawi zambiri. Muzitsulo za x-ray, woyesayo amagwiritsa ntchito mphamvu kumbuyo kuti adziwe ngati syndesmosis amasintha pamene mphamvu ikugwiritsidwa ntchito.
Ngati pangakhale funso la kuvulaza, CT kapena MRI ingathandizenso kupeza matendawa.
Mitundu ya Kuvulala kwa Syndesmosis
Mtundu wofala kwambiri wa kuvulala kwa syndesmosis komwe umapezeka umatchedwa " mkulu wamatumbo ". Mitsempha yapamwamba imangotanthauza kuwonongeka kwa mitsempha pamwamba pa chiwalo cha mchiuno - syndesmotic ligament. Kuchiza kwa khungu lam'mimba kumadalira kukhazikika kwa mkondo. Ngati ma x-ray akuwonetsa mgwirizano wamatumbo, odwala ambiri amachiritsidwa ndi ziboda ndipo amatha kuyeretsa sabata 6-8.
Ngati syndesmosis ndi yosakhazikika, chithandizochi chiyenera kuonetsetsa kuti syndesmosis imakhala pamalo otetezeka pamene kuchiritsidwa. Izi zingafunike kuteteza chitetezo pa mwendo, kapena kungapangitse opaleshoni kuti ikhale yogwirizana.
Kuvulala kwa Syndesmosis kungakhalenso palimodzi ndi ma fractures a mitsempha. Mofanana ndi zida zapamwamba zapamwamba, mfundo zofunikira zodziwitsa chithandizo ndizoti mgwirizano wa bondo sukhazikika. Syndesmosis ikawonongeka pokhudzana ndi kupunduka kwa mitsempha, opaleshoni nthawi zambiri amafunika kubwezeretsa batala. Kawirikawiri opaleshoni imachitidwa pofuna kukonzanso fracture kapena kukhazikitsa syndesmosis, ndipo nthawi zina onse awiri.
Kuchita Opaleshoni ya Syndesmotic
Pamene syndesmosis imakonzedweratu opaleshoni, izi zimagwiritsidwa ntchito ndi zida zitsulo zomwe zimadutsa mu fibula ndi mu tibia. Izi ziyenera kukhala pamalo pomwe syndesmosis ayikidwa pamalo abwino ndi mgwirizano. Mwina imodzi kapena ziwiri zikuluzikulu zingagwiritsidwe ntchito, malingana ndi mtundu wa kuvulala ndi chisankho cha dokotala wanu. Kawirikawiri, dokotala wanu akulangiza kuti achotse zojambula pambuyo pa miyezi 3-4.
Ngati zojambulazo sizichotsedwa, potsirizira pake adzamasula kapena kuswa. Ngakhale kuti izi sizingakhale ndi vuto lililonse, odwala ambiri safuna kutsegula kapena kupunduka pamlendo wawo, choncho amawachotsa nthawi imeneyo isanakwane.
Zotsatira:
Zalavras C ndi Thordarson D. "Ankle Syndesmotic Kuvulala" J Am Acad Orthop Surgery June 2007; 15: 330-339.