UTerry Thomas ungumuntu odumile waseBrithani odumile owaziwa ngegebe lakhe lesithonjana phakathi kwamazinyo akhe angaphambili.
Ekulimaleni kwesandla, kunohlobo lokulimala ukubukeka kwalo lwe-radiographic lufana negebe likaTerry Thomas. UFrankel ubhekise kulokhu njengo "terry thomas sayina," eyaziwa nangokuthi isibonakaliso se- "sparse izinyo."
Ukubukeka kwe-radiographic: Lapho kuba nokuhlukaniswa kwe-scapholunate kanye nokudwengula kwe-scapholnate intentes ligament, ukubukwa kwe-anteropolterote yesihlakala noma ukubukwa kwe-coronal ku-CT amathambo akhuphukayo phakathi kwegebe le-scaphoid namathambo.
Ukuhlaziywa kwesiginali: Ukuhlukaniswa kwe-ScaphoLate kuyinto evame kakhulu yokungazinzi kwe-Wrist, eyaziwa nangokuthi i-Scaphoid Rotary Subluxation. Ngokuvamile kubangelwa inhlanganisela yokwandiswa, ukuphambuka kwe-ulnar, kanye namabutho okuhlanza asetshenziswa ohlangothini lwe-walnar yesandla, okuholela ekuqhekekeni kwama-ligaments aqinisa isigxobo se-scaphoid, okuholela ekwahlukanisweni phakathi kwamathambo e-scaphoid nama-lunate amathambo. I-radial collateral ligament kanye ne-radioscaphocapitatatic ligamement futhi kungadatshulwa.
Imisebenzi ephindaphindwayo, ukulimala okuxakile nokujikelezayo, i-laxiasity ye-ligament ye-congenital, kanye nokwehluka okungalungile kwe-ulnar nakho kuhlotshaniswa nokuhlukaniswa kwe-scapholunate.
Ukuhlolwa kokucabanga: I-X-ray (ngokuqhathanisa kwe-BILATER):
1. Scapholonate Gap> 2mm isola ukuhlukaniswa; Uma> 5mm, kungatholakala.
2. Scaphoid cortical ring uphawu, ngebanga phakathi komngcele ophansi wendandatho kanye ne-proximal ehlanganisiwe ingaphezulu kwe-Scaphoid eba <7mm.
3. Ukufinyeza kwe-Scaphoid.
4. I-Angle ekhuphukile ye-ScaphoLunate: Imvamisa, ngu-45-60 °; I-angle ye-radiolunate> 20 ° ikhombisa ukungazinzi kwengxenye ye-dorsal ephakathi nendawo (i-disi).
I-5. Lapho kunokuguquguquka okungajwayelekile kwe-Scaphoid, ukuncipha kwayo kwe-Palmar emaphethelweni we-Palmar ye-radial styloid, kwakha ukwakheka kwe- "v".
Isikhathi sePosi: Jun-29-2024
