Cruciate ligament o ke kuli: trauma, lapaʻau, hoʻopulapula

Ke kukuli ke ami hoi - ka mea nui i loko o ke kanaka kino. A ua ike i ka mechanics o kona neʻe a me ka'anatomia e pono like. No ka 'inikua nā haumāna, aohe mea i oi huikau ma mua o artrosindesmologiya, ka mea, o ka' epekema o ami. Ke climax o ka ka manaʻo pohihihi o ke kuli ami ua noʻonoʻo pono. A ma mua kamailio e pili ana i kona maʻi, e ike mua i ka 'ole.

iwi

Ke kumu o ke kahua o ke ami, he mau iwi lōʻihi - ka femur a me ka tibia - a hoʻokahi uuku patella. Kue i ka mahaloia manaoio, i ka fibula komo i loko o ke kuli ami, eʻae. Ua loaʻa he ami a me ka tibia pono ma lalo nei. I ka pau malalo o ka tibia , ma laila nō nā elevations, i ka poe i kaheaia condyles. ko lakou i ka luna o ka hui, a ua uhiʻia me ka cartilage. Ma kaʻaoʻao e ku pono ana o ka tibial plateau eiaao ia kinona hemolele i ka condyles. Ua ua i uhiia me cartilage no ka maikaʻi ka hāʻuleʻana. Hope i lalo iwi - patella - ua aia ma waena o nā condyles ma pela i hana i ka recess. e uhi i na iwi komo i loko o ke ami ma hyaline cartilage, elima millimeters manoanoa. He anuanu, ka lā'ī a me ka loa laumania. Kona kuleana pili i mea e emi ai ka haawe ana i ka hele, a emi kū'ē ma waena o nā iwi. Ma luna o ka mea a pau 'ole ua uhiʻia i ka connective'aʻaʻa mea hōʻikeʻikeʻuʻuku.

laulau

I mea e hui pu iho la i ka iwi ekolu pu, cartilage mea,ʻaʻole lawa no kekahi. Ua lawe i ka pono, mākia ihola mea kani i ka mea o ka poe'ōlewa a me ka resilient, a me kaʻaʻahu. He kuleana pili i ua hana ma ka pūpū. Ka mea i hanaʻia o ka anuanu connective'aʻaʻa, a hohola ma waena o nā iwi.

No laila, ma kaʻaoʻao surfaces o ke ami i ke aupuni 'collateral ligaments i hooikaika i ka mea hōʻikeʻikeʻuʻuku. Elua o ia: kīloi paʻewa a me ka medial. I ka hana o kēia mau kaula makalii mea, e kali ami ka hoʻoneʻe i loko o ka lima. Loko o ka mea hōʻikeʻikeʻuʻuku hoʻi maiʻoukou i pūpū. Ka mea, i aia ma waena o ka articular surfaces, a ua haawi ia i like crosswise. Ko lakou hana - e, e haawi aku he olelo neʻe aku hoʻi a me ka mai. Anterior cruciate ligament o ke kuli hoʻomaka ma luna o ka tibia. He anticipates kona neʻe aku i mua, a hoʻopöholo mai o ka articular ili honua. Ke posterior cruciate ligament o ke kuli, a hoʻomaka i ka tibia, a 'aʻole hoʻi kona neʻe hope i pili i ka femur.

Together, e kōkua malama i ke ami i loko o ka moku'āina o equilibrium, hōʻoia kumupaʻa a me ka laumania ka neʻe 'ana.

menisci

Mawaho, nana aku la lakou e like me ka pua kiele, akā, structurally oi like me ka cartilage. Ke aupuni 'Midway ma waena o ka tibia, a me ka femur, a me ka nele no ka congruence oi o ka ami. Lākou ka papa hana: he oiaio, o ka makana o ke kino ke kaumaha ma luna o ka ami, a kaulike kona kumupaʻa ka wā e hoohauhee ana i loko o ka kūpaʻa kūlana.

He aliʻi nui, no ka mea, ina uaʻaʻohe meniscus, ka holoʻokoʻa kaumaha o ke kino e noʻonoʻo ma kekahi mau heluʻai i loko o ka hui, a me keia e alakai i ka kokololio trauma a me ke kīnā.

nāʻiʻo

Ma ka mua ili o ke kuli extensor nāʻiʻo i ke aupuni '. Ka mea, e pili ana i ka luna o ka femur ma kekahiʻaoʻao, a me ka patellar tendon - ma ka 'ē aʻe. A hiki aku ka mea, e hoemi, aia no he uha mua mailaila aku i loko o ke ami, hiki i kekahi kanaka, e hana no i koe i mua. Ka hapa nui o ka hana i ka quadriceps.

By Femur mea he pūʻulu o nāʻiʻo-flexors. IeIIeYOA wahi ma ia mau mea, nui, ma ke poo o ka femur, akā, no kaʻoi o ka neʻeʻana mea ma luna o ka honua hoʻi o ka tibia paa ma ka tendon ikaika. Contraction o kēia nāʻiʻo flex ke kuli.

nā aʻalolo

Ka oi nui o ke kuli ua noʻonoʻo popliteal nā aʻalolo. He hapa o ka nui sciatic nā aʻalolo a me ka waiho ana i ka ami, oia keʻekolu lālā. Ka mua kekahi e hele i ka tibia, a ua kahi kokoke i ka hope ili. Ka lua o nā huʻa lole fibula, a pau ai ka alo a me kaʻaoʻao ili o ka tibia. A me ke kolu o ka ia a hiki i ka wawae. He He hui nā aʻalolo. Ka mea, i like me ka Hawaii, a me ka mīkiniʻimi ke keʻena. No nā palapū ma ke kuli ami hiki e poino like o ka hoʻomaopopo like nā aʻalolo a me kona lālā.

koko lako

Inā mākou e kamailio wale ana o ka hui, e nourishes ka arterial circulatory i ulanaʻia. Ua Ua hanaʻia e:

• ka medial a kīloi paʻewa anterior kukuli arteries;
• posterior arteries;
• ka Media artery o ke kuli;
• luna-ia, a hele aku a puni ke kuli arteries.

ka mea, i nā lālā o ka tibial artery, i originates, mai ka mea mawaho iliac artery. A me ka ia, ma ka huli, ke hele mai, mai ka mea, he pono ole iliac.

Venous outflow ua lawe mai ma ka inoa aa koko hookahi e pili ana i kēlā me kēia artery. Ke ÿauhau Ua lower puha Vienna, a hoi mai i ke koko hoʻi i ka naʻau.

Nā kumu o nā palapū o ke kuli ligaments

Kekahi o ka loa ole nā palapū e e loaʻa hiki ma ke kuli - ka poino i ka cruciate ligament. 'Aʻole wale nō o ke kumupaʻa o ka pau' ole ua pilikia, e ho'ēmi i kā ka buke o ākeʻakeʻa a me ka OE neʻe, pela no hoi i ka hoola iho la kaʻina hana e ia he lōʻihi.

Kumu no ka loaa ana ia trauma e ia me ko ka hale ona poino a me ka hopena i hōʻikeʻia, he ulia pakalaki, manawa e 'ana e haʻalele. Loa pinepine ia ia lŘlŘ i loko o ka 'oihana' âlapa - skiers, skaters, skaters, jumpers paha wrestlers. I mea e pale aku i kēia, ka mea, he pono e malama palekana ana, e pale aku kiʻekiʻe stress ma na ami, ka mea, ua i koi 'ia e hahai i kaʻai i e malama kūpono pae o ka collagen, ka hoopakele ana i ka elasticity o ligaments.

? aaieou

I ka noi i ke kanaka me ka like poino, i kona complains, i ka hālāwai hoʻolohe manaʻo ma ka pane ana i kekahi mea e like keia: "Ua eha kukuli ma ka flexion, a mailaila aku." Akā,ʻo ia mea hāmau e pili ana i nā symptoms.

- i ka manawa o ka ino a ka mea clicks paha crackling o ka nahā i;
- ua instability i loko o ke kuli, he manao o "laxity";
- ke kuli haanou ana iloko o ka mua mau hola ma hope o eha;
- hoʻomāhuahua o ka loli ma ka ami lua (symptom fluctuations);
- kapu o ka neʻe 'ana, no kaʻeha a me ka nani.

Nolaila, i ka wa a ka hoomanawanui'ōlelo oe i ka mea, he nui kukuli ma ka flexion a me ka palena manawa, ka mea hiki ke manao ole wale i ka cruciate ligament rupture. He mea pono e lawe mai i ka piha nana mua e lawe i ka olelo hooholo.

Mea Maluna o ka poho

First degere: rupture o ka anterior cruciate ligament o ke kukuli hōʻike iki, he mea eha, hōʻemi iki nani. Ana i loko o ka ami mea i kekahi mau mea i kaupalena 'ia, akā,ʻano nui ma muli o ke edema, aʻaʻole no ka mea, o ka eha. Kumupaʻa ua malamaia.

Apana iho: aia no he hapa rupture o cruciate ligament, piha i nā hiʻona a pau o ka mea mua loa nā palapū. A kiʻiona hiʻona o ua mau lesions kamaʻilioʻana i ka recur. A me ka hou-eha hiki e kena ae la ma hope o ka ho'āʻo pono e emi ma mua o ka manawa mua.

Apana iho: he piha rupture o ka anterior cruciate ligament o ke kuli. Loa eha, haanou ana mokulele hēkī me ka nui i kaupalena 'o ka hana a me ka neʻe' ana o OE. Olelo mai wehe, wāwahiʻia kona kākoʻo kuleana pili i.

O ka holo ana, ua Mea Maluna hiki ole lawa nāʻano a kukuli ligament nā palapū, akā, e kōkua i ka 'ole i ko lakou oolea.

lapaʻau '

Ma hope o ka anamanaʻo, anamnesis o ke ola, a ola nana pae hoʻomaka. Ke kauka UOAAaOON e loaʻa mai pehea pilikino manaʻo coincide me ka maoli kūʻiʻo. Mua oia i huli aku i ka maikai wāwae, a me ka uku nānā 'ana i ke kuli. He mea pono i ka mea e e hiki ke hoohalike aʻino he ami.

I mea e nānā ana i ka pōʻino mai cruciate ligament o ke kuli, ke kauka e ho'āʻo ana e hoʻololi i ka tibia, a i ke alo. Inā ka poino mea, e pani ihola ma hope. Aia i kekahi mau ho'ākāka probes mea i hoʻohana i loko o kēia mau hihia.

Ma hope o manuale noiʻi mea vocal. O - X-Ray o ke kuli ami. Ua apono 'oe e kuhikuhi i ka ino fractures, a mai hemo mai. I kekahiʻanuʻu Uaʻume mākenēki resonance kiʻi. Ua apono 'oe, e hookupaa aku i kaʻike, a me kupaianaha pololei. Akā, i kekahi manawa e hiki i hoeha ia. No ka mea, overdiagnosis i ka pretext no ka loa ANDʻoki lāʻau lapaʻau uao ai '. Cruciate ligament o ke kuli hiki ke poino ma ia i kekahi ala e instability hana ole ana, a me ka nui nahā i ua hōʻike ma luna o ke kanaka hoʻoponopono.

makeʻe kulana lapaʻau

Trauma ua ole mau predispose nā mea maʻi eʻoki kino. Ma keia hihia, ke PAaIEN no ka piʻiʻana mea,ʻaʻole i ka mea o ka nahā i, a me ka imbalance i loko o ka ami. He Heʻano nui ololi. No ka ami a me ligaments i pinepine hoʻohana immobilization a me ka poʻe i koe a hiki i ka hoihoi hou ana o ke ano hoopono. Oe ke mahele i ke kaʻina hana i loko o kekahi mau kahua o ka hoʻonaʻauao o ka lapaau.

1. Ka huʻi wā. Hana ino iki mai cruciate ligaments o ke kuli ami. Lapaʻau ua pahuna ma hoemi ka eha, a me ka olelo nani. Luahi mea maikaʻi,ʻaʻole i ho'āʻo i ka hele i ka haukapila ma luna o lākou iho. E pili anu poino paena, haawi painkillers a i ka piha koena o ka iki i ka lala. Inā he mea hoʻomāhuahua ana o ke koko i loko o ka hui, ia mea e pono ai i ke kamepiula waiu kona 'ohe, pale clot, a ihola ia i luna o ka ami surfaces, ma o na la li nui.
2. Stale nahā i. Once ka eha ua emi, e hiki hoʻomaka aʻo, e hooikaika i ka nāʻiʻo. ¶ʻAʻohe mea maikaʻi ma mua o ka ikaika muscular maoli, a e malama ia lakou, mai hyperextension a me ka waimaka a pau ma luna o na ami a me ka ligaments. Omaka liʻiliʻi, akā, kēlā manawa aʻo ua lilo hou, pili ka neʻe 'ana ikaika hawewe, piʻi pū. Hoʻohana 'ia orthoses (splints me ka hoʻoneʻe ami'ōnaehana) no ka hoʻohāiki' ana.
3. Pepa hakahaka. Ma keia kahua, ke kahuna lapaau e pono ia ia ke ami me he mea la aole nā palapū. A ina na hualoaʻa hālāwai me ia, i mea, hoi aku la i ka hoʻoneʻe, i eha, instability a me pathological hoailona, i ka iapaau ana hiki ke noʻonoʻo i ka pomaikai.

Akā, mai manaʻo i ka mea i ka hopena, a me 'oe hiki pono aku holo sprint. Loa ma hope o ka pau ana o ka Inc ke hoʻomanawanui, e pono e mālama ana i iki i wāwae, hana kūikawā kino e lńkou na nāʻiʻo o ka uha.

operative Inc

Lula ea anterior cruciate ligament o ke kuli ua lawe mai ina he mea ole ami kumupaʻa paha ia mea i pololei. Nō kāu, ka mea, ua hana ma hope o makeʻe kulana lapaʻau, ka wā ma laila i maikaʻi Aey? Acaeoey e pili ana i ka muscular nenoaiu.

Nō kāu, ua hana ka mea, i loko o eono mahina ma hope o ka poino. Akā, inā i ka nahā i ua mau makahiki aku nei, a me na hoailona i waho nei - i ka ole kumu e haawi aku iʻoki kino. E like me ka rula, i kēiaʻano o ka hana i ke kanaka me ka 'âlapa, ka poe i ka haehaeia anterior cruciate ligament o ke kuli. Hana mea he tendon prosthesis. No ka mea, ua hoʻohana 'ia e like me ka kanaka i ka iho ligaments, a me kemikala prostheses. ole Simple stitching a pau haehaeia ligament oluʻolu hopena hana, a me kekahi manawa ole, technically, no ka mea, o ka mea kekahi kaʻao ka wahi. Ke hou kukuli ami cruciate ligament pono loa like me ka mea kahiko, e hana kona oihana, a e pono hoʻonoho.