UTerry Thomas ungusomahlaya odumile waseBrithani owaziwa ngegebe lakhe elimangalisayo phakathi kwamazinyo akhe angaphambili.
![Isiqephu 2](http://www.medtechcah.com/uploads/图片-2.png)
Ekulimaleni esihlakaleni, kunohlobo lokulimala okubukeka kwayo ngeradiographic kufana negebe lamazinyo likaTerry Thomas. UFrankel ubize lokhu ngokuthi "uphawu lukaTerry Thomas," owaziwa nangokuthi "uphawu lwegebe lezinyo elincane."
![Isiqephu 4](http://www.medtechcah.com/uploads/图片-4.png)
![Isiqephu 1](http://www.medtechcah.com/uploads/图片-1.png)
![Isiqephu 3](http://www.medtechcah.com/uploads/图片-3.png)
Ukubukeka Kwe-Radiographic: Uma kukhona ukuhlukaniswa kwe-scapholunate nokudabuka kwe-scapholunate interosseous ligament, umbono we-anteroposterior wesandla noma umbono we-coronal ku-CT ubonisa igebe elikhulayo phakathi kwamathambo e-scaphoid kanye nenyanga, efana negebe lezinyo elincane.
Ukuhlaziywa Kwezimpawu:I-scapholunate dissociation uhlobo oluvame kakhulu lokungaqini kwezihlakala, okubuye kwaziwe ngokuthi i-scaphoid rotary subluxation. Ngokuvamile kubangelwa inhlanganisela yokwandiswa, ukuchezuka kwe-ulnar, kanye namandla okugoba asetshenziswa ohlangothini lwesandla sesandla se-ulnar, okuholela ekuqhekekeni kwemigqa eqinisa i-proximal pole ye-scaphoid, okuholela ekuhlukaneni phakathi kwe-scaphoid ne-lunate bone. . Umsipha we-radial collateral ligament kanye ne-radioscaphocapitate ligament kungase futhi kudabuke.
Imisebenzi ephindaphindiwe, ukulimala okubambekayo nokujikelezayo, i-congenital ligament laxity, kanye nokuhlukahluka okungalungile kwe-ulnar nakho kuhlotshaniswa nokuhlukaniswa kwe-scapholunate.
Ukuhlolwa Kwesithombe:I-X-ray (ngokuqhathanisa kwamazwe amabili):
1. Igebe le-scapholunate > 2mm liyasolisa ngokuzihlukanisa; uma > 5mm, kungatholakala.
2. Uphawu lweringi ye-scaphoid cortical, nebanga phakathi komngcele ongezansi weringi kanye nendawo ehlangene ehlangene ye-scaphoid ingu-<7mm.
![Isiqephu 6](http://www.medtechcah.com/uploads/图片-6.png)
3. Ukunciphisa i-scaphoid.
4. Ukwenyuka kwe-angle ye-scapholunate: Ngokuvamile, i-45-60 °; i-engeli ye-radiolunate > 20° ikhombisa Ukungaqini Kwesigaba Se-Dorsal Intercalated Segment (DISI).
5. Uphawu lwe-Palmar "V": Ekubukeni okuvamile kwesandla sesihlakala, imiphetho yesundu ye-metacarpal kanye namathambo e-radial akha umumo othi "C". Uma kukhona ukugoba okungavamile kwe-scaphoid, unqenqema lwentende yesandla lunqamula unqenqema lwentende yesitayela se-radial, kwakheka umumo othi "V".
![Isiqephu 5](http://www.medtechcah.com/uploads/图片-5.png)
Isikhathi sokuthumela: Jun-29-2024