Ama-fractures ekhanda le-radial nentamo ye-radial ajwayelekile ama-elbow ehlanganisiwe ukuphazalelwa, okuvame ukubangelwa yi-axial Force noma i-Valgus Direction. Lapho i-elbow ehlanganisiwe isesimweni eseluliwe, ama-60% ama-axial Force e-Forcemm ye-Feroarm adluliselwa ngenhla kwekhanda le-radial. Ukulandela ukulimala ekhanda le-radial noma intamo ye-radial ngenxa yokuphoqelela, amabutho okugunda angathinta i-capitulom ye-humerus, eholela ekulimaleni kwethambo kanye ne-cartilage.
Ngo-2016, uClaessen wakhomba uhlobo oluthile lokulimala lapho ama-fractures e-radial head / intamo ehambisana nomonakalo wamathambo / u-cartilage kwi-capitulom ye-humerus. Lesi simo sabizwa ngokuthi "isilonda sokuqabula," ngokuqhekeka okubandakanya le nhlanganisela okukhulunywa ngayo njengokuthi "ukwanga kwaqhekeka." Embikweni wabo, bahlanganisa amacala ayi-10 okuqabulana futhi bathola ukuthi amacala angu-9 abene-radial head fractures ehlukaniswe njengoMason Uhlobo II. Lokhu kusikisela ukuthi ngohlobo lweMason Type II Radial Head Fractures, kufanele kube nokuqashelwa okukhuphukelwe ngokuhambisana nokuqhekeka okuhambisana neCapitulom ye-Humerum.
Ekusebenzeni kwemitholampilo, ukwanga kwamahlaya kuthambekele kakhulu ku-misdiagnosis, ikakhulukazi ezimweni lapho kunokufudumalo okukhulu kwekhanda le-radial head / fracture. Lokhu kungaholela ekubhekeni ukulimala okuhambisana ne-capitulom ye-humerus. Ukuphenya izici kanye nezehlakalo zokuqabulana, abacwaningi bakwamanye amazwe benze ukuhlaziya kwezibalo ngosayizi omkhulu wesampula ngo-2022. Imiphumela imi ngale ndlela elandelayo:
Lolu cwaningo lubandakanya ingqikithi yeziguli eziyi-101 ezinamakhanda we-radial ekhanda / entanjeni ezaphathwa phakathi kuka-2017 no-2020. Kususelwa ekutheni bahlukaniswe yi-capitulom of the Humerus yohlangothi olufanayo, iziguli zahlukaniswa ngamaqembu amabili: iqembu le-capitulum (iqembu I) neqembu elingeyona iCapitulum (iqembu II).
Ngaphezu kwalokho, ama-radial head fractures ahlaziywa ngokususelwa endaweni yawo ye-anatomical, eyahlukaniswa izifunda ezintathu. Owokuqala yindawo ephephile, eyesibili yindawo ye-anterior medial you, kanti okwesithathu yindawo yokulala yangemuva.
Imiphumela yokufunda iveze okutholakele okulandelayo:
- Ukuphakama kwe-mason ukuhlukaniswa kwe-radial head fractures, kukhulu ubungozi bokuhambisana nokuhlaselwa kwe-capitulum. Amathuba wohlobo lwe-mason i-radial head fracture ehambisana ne-capitulum fracture yayingu-9.5% (6/63); Okwe-mason uhlobo II, kwakungu-25% (6/24); Futhi ngohlobo lwe-mason III, kwakungu-41.7% (5/12).
- Lapho ama-radial head fractures enwetshiwe ukubandakanya intamo ye-radial, ubungozi bokuphazamiseka kwe-capitulum kwehlile. Izincwadi azizange zikhombe noma yiziphi izimo eziqhelile zentamo yentamo yentamo ehambisana neCapitulum Fractures.
- Kususelwa ezifundeni ze-anatomical ze-radial head fractures, ama-fractures atholakala ngaphakathi "kwendawo ephephile" yekhanda le-radial abenengozi enkulu yokuhlotshaniswa neCapitulum Fractures.
▲ Ukuhlukaniswa kweMason kwe-radial head fractures.
Icala lokuqabulana isiguli, lapho ikhanda le-radial lalilungiswa ngeplate yensimbi nezikulufo, kanti i-capitulom ye-humerus yalungiswa kusetshenziswa izikulufa ezinesibindi.
Isikhathi sePosi: Aug-31-2023
