UTerry Thomas ungumhlekisi odumile waseBrithani owaziwa ngesikhala sakhe esidumile phakathi kwamazinyo akhe angaphambili.
Ekulimaleni kwesandla, kukhona uhlobo lokulimala okubonakala nge-x-ray kufana nesikhala samazinyo sikaTerry Thomas. UFrankel ubize lokhu ngokuthi "isibonakaliso sikaTerry Thomas," esaziwa nangokuthi "isibonakaliso sesikhala samazinyo esifushane."
Ukubukeka Kwe-Radiographic: Uma kukhona ukuhlukana kwe-scapholunate kanye nokudabuka kwe-scapholunate interosseous ligament, umbono we-anteroposterior wesihlakala noma umbono we-coronal ku-CT ukhombisa igebe elikhuphukile phakathi kwamathambo e-scaphoid kanye ne-lunate, okufana negebe lamazinyo elincane.
Ukuhlaziywa Kwezimpawu: Ukuhlukana kwe-Scapholunate uhlobo oluvame kakhulu lokungazinzi kwesandla, okwaziwa nangokuthi i-scaphoid rotary subluxation. Ngokuvamile kubangelwa inhlanganisela yokwandiswa, ukuphambuka kwe-ulnar, kanye namandla okufaka isandla ohlangothini lwesandla se-ulnar, okuholela ekuqhekekeni kwemisipha eqinisa i-proximal pole ye-scaphoid, okuholela ekuhlukaneni phakathi kwamathambo e-scaphoid namathambo e-lunate. I-radial collateral ligament kanye ne-radioscaphocapitate ligament nazo zingadabuka.
Imisebenzi ephindaphindayo, ukulimala kokubamba nokujikeleza, ukuyekethisa kwemisipha yokuzalwa, kanye nokwehluka kwe-ulnar okungekuhle nakho kuhlotshaniswa nokuhlukana kwe-scapholunate.
Ukuhlolwa Kwezithombe: I-X-ray (ngokuqhathaniswa okubili):
1. Igebe le-Scapholunate elingu-> 2mm liyasolisa ngokuhlukana; uma lingaphezulu kuka-5mm, lingatholakala.
2. Uphawu lwendandatho ye-cortical ye-Scaphoid, ibanga eliphakathi komngcele ongezansi wendandatho kanye nobuso obuseduze be-scaphoid bungu-<7mm.
3. Ukufinyezwa kwe-Scaphoid.
4. I-engeli ye-scapholunate ekhuphukile: Ngokuvamile, ingu-45-60°; i-engeli ye-radiolunate > 20° ikhombisa i-Dorsal Intercalated Segment Instability (DISI).
5. Uphawu lwe-Palmar "V": Uma ubheka uhlangothi olujwayelekile lwesihlakala, imiphetho yesundu yamathambo e-metacarpal kanye ne-radial yakha isimo "C". Uma kukhona ukugoba okungavamile kwe-scaphoid, umphetho wayo wesundu uhlangana nomphetho wesundu we-radial styloid, kwakha isimo "V".
Isikhathi sokuthunyelwe: Juni-29-2024
