Navicular. Iwi o ka wawae: Anatomia

Ma ke kino o ka nui helu o kanaka iwi. Oi loa aku hoi he wahi lihi iki o ia i loko o ka neʻe maila māhele o ke kino e like me na wawae a me na pulima oʻu. Ōlaʻi i o ka iwi pili ma tendons, e kōkua lawe mai i ka hana, i mea inaccessible i na holoholona, koe wale no mea'ē aʻe ma mua o monkeys. A luna 'nenoaiu o na lima a me na wawae, nae ka mea, i ka nui nui o connective'aʻaʻa ua paku ole ia i na nā palapū a me nā maʻi. Ka loa pinepine pilikia - he fracture. Ka manaʻo pili i ka hewa a me ka iwi e hiki pāʻewaʻewa. Nā lima a me nā wāwae, e like me ka mea i olelo mai, he nui ka helu o kēia mau kino, i e ole oko ma ka nui, no laila, e pono e hana ia i ka puu o ka manawa. Navicular loa susceptible i ka maʻi a me ka eha.

wawae

uha iwi makana he nui dala. Kekahi o ia mau mea i hui ma ka inoa, he pono ole o ka wāwae. Navicular no pono i keia hui. Ua ua ma waena o ka talus, cuboid, a me ka palapala cuneiform iwi ke aupuni '. He ka wahi o ka wāwae, Ma waho aʻeo ka na manamana, Ua pinepine prone i fractures.

Nā iwi o ka wawae,'anatomia i ninoieo o ekolu mahele, he lehulehu loa: ke Tareso, metatarsus a me ka manamanalima. Ke metatarsal iwi o ka wāwae nā loko o kā lākou mau kahua, a scaphoid. Ua kahi kokoke i kaʻaoʻao ma loko o ka wāwae. Ma kona kae waiho tuberosity o ka navicular iwi lalo. Ma lapaau, keia hiʻona ua hoʻohana 'ia e hooholo i ka vault, a i ka holo ana. X-kukuna kōkua i maopopo i ka 'ole o keia hapa o ka kino.

palaki

Navicular iwi, ma ka hou, ua aia i loko o ka palaki. Ka mea, e pili ana i na iwi uuku o ka na pulima oʻu. He prone loa i ka fracture, e like me ka mea ua aia ma ka lihi o ka loulu. Interestingly, ka mea i wawahi i ka iwi i ke kanaka, aole ia i manao nui ka eha, a me ke haha aku i ka loa, aole nae ikaika. Nolaila, ia mea he pilikia loa. Inā 'oe e e ike i ke kauka, ma laila e e hoʻoponopono hopena. No ka laʻana, ka mea navicular iwi hiki pono ulu pu laua.

Ka pulima oʻu ninoieo o 8 iwi. Ka mea, kuahene lālaniʻelua kēlā me eha o lakou, i ka poe aia ma waena o nā iwi metacarpal a me ka forearm. Scaphoid oluolu e imi no i kona wahi. Ua mea ma waena o nā tendons o extensor hallucis longus a me ka lōʻihi abductor Muscle.

Maʻi o ka wāwae iwi

Ma waho aʻeo ia ka fracture, wāwae navicular iwi ua i hooleiiaʻi mawaho, a me nā palapū a me nā maʻi. No ka laʻana, mai Kellerra. Osteohondropatija hiki ke malama i ka anela o ka maʻi. Ua loli ai i na iwi a pau o ka wāwae. Ke kiʻekiʻe o pepehi i ka'aʻaʻa. I loko nō o kona maʻi ua lako i ka uuku nui o ke koko a hiki i ka iwi, a me ka, aku, o oxygen a me ka mahuaola i nalowale. Nolaila, na keena e ole e lawa o keia kinoea, a me nā pono eiiiiiaiou, i nā make. Naʻe, ka mea hana i loko o ka hihia o ka maʻi Keller, me ka piʻiʻana o ka maʻiʻaʻai.

Nā kumu o ka maʻi Keller

Keller ka maʻi hiki ole i hoʻomaka ai ma iho. No ka ia, eia kekahi mau kumu i somehow keakea mai i ka hooholo ia ana o ke koko a hiki i ka iwi. Loa pinepine ia mea he wawae eha, no kekahi laʻana, he ikaika loa a me ka fracture. Nō hoʻi, ka maʻi susceptible i ka poe i komo ke koikoi kamaa uuku nui. Arthrosis a me ka arthritis - maʻi a hoi e alakai i Keller ka maʻi. Ma waho o ka luna kumu, congenital deformation o iwi o ka wāwae hiki i alakai i ka mea hōʻemi. Oeaeo - kekahi o na kumu nui mā. Akā, me nā kumu i 'ana pili i keʻano o ka maʻi, i ole, ua loaʻaʻo ia i keia la.

shape

uha iwi hoʻoikaika mauʻano likeʻole o ka maʻi Keller. Na mea a pau hilinaʻi nui ma luna o ka hapa o ka wāwae, aole ia loaa i lawa ka mahuaola a me ka oxygen.

Me ka make o ka navicular iwi maʻi i kapa maʻi Keller 1. Inā ua i lako i na poo o ka lua a me ke kolu o metatarsal iwi i hiki aku ai, e hoʻololi ia i ke koko, ka mea, ua kapaʻia he maʻi Keller 2.

Eia hou kekahi, ike okoa ia kekahi mau kahua o ka hoʻonaʻauao.

• Necrosis.
• Mīkini'opihia fracture.
• Fragmentation.
• Hoihoi hou ia ana o ka iwi.

Ma ke kahua mua make osseous kaola, i malama like mall oihana mua o nā iwi. Eia, i ke kahua o ka apana hou o ka iwi, a pinepine hoohiolo no ia i aie i ka ikaika ilihune. A laila, hoike mai iwi kedera. A me ka mea hope ke kahua o loa ana pahuhopu nei i ka inoa.

Keller ka maʻi lapaau

Pono e malalo iho a hiki i ka lapaau ana i na iwi o ka wāwae. Anatomia o ia loa eiiieaen, no laila lākou i mea e oluolu e hoola. I ka maʻi Keller 1, loa pinepine ia mea he fracture o ka navicular iwi ia lŘlŘ. Ua hiki e kuhihewa no ka loa, a me ka maʻi mea paʻakikī loa e huai ae. Inā wale nō ma ka ulia maʻi e mai imi 'inikua noonoo. Ma hope o ka hele ana ma luna o ka papa o ka nohoʻana. Iwi o ka mea ia inoa mea nō i loko o ka lima, akā, mea, e kapaʻia e ua Ireysera maʻi, eia nae ke lapaau rula o ka ia.

Makeʻe kulana Inc - kekahi o ka loa ka hoʻokō ano o ka nohoʻana. No hoi kau i ka puna e kipaku. Loa wāwae ua i paipai i keʻoni aʻe, no ka mea, e like me ka meaʻuʻuku a me ka 'ole-maʻamau ano o ka iwi mea pilikia, e koho. Ma hope o ka wehe 'ana i ka puna, ma ka mea e hoola i nā hualoaʻa, e pono i kekahi manawa, e hele ma oaʻiʻo a me ke kō, keiki kui kūikawā insoles. Lapaʻauʻia e hōʻeleu i kuʻi nukeliu. Loa kōkua maikaʻi thermal kaʻina hana.

unacceptably

He mea hiki ole i ka hana me ka hope o ka wehe 'ana o ka puna hihia. Uha mua pono o ka paʻa maluhia. No hoi he mea i ka manawa kūpono o ka pololei ole kuʻi nukeliu a me ka ho okumu ana o kekahi mau wahahee, i mea hiki ole ke hoola. Mau hea hanaʻoki kino. No laila, i ke kaʻina hana o ka hoʻopulapula Pono e e lawelawe me ka palena mamao malama. Eia hou, e hiki ke lawe wale i ka ai 'e i koi' ia e ke kauka, ole oe hiki wale i na mea ino la na wawae. Oe hiki ole kāpae'ōlelo i ke kauka i ka'ōlelo aʻo, no ka mea, kēlā me kēia kanaka i kona mau meaola. Kekahi o na iwi i fragile mai ka hanau ana, no laila, ka mea e e kokoke me ka nānā 'ana i ka iapaau ana o keia maʻi.

Iwi fracture ma kona lima

E like me ua oleloia, o ka navicular iwi lima a me na wawae hou susceptible e fracture kamepiula. O ke kumu ho i ka mea e ma ka wāwae, a me ka lima iwi hooponopono i loko o ia mau wahi, i hoʻomaka ai loa pinepine poino. Inā 'oe e nānā i ka' ikepili helu, ma ka hihia o ka na pulima oʻu fracture ua make ia i loko o ka 61-88% ia navicular.

Nā kumu o ka fracture

Akā, no kekahi kumu, aole mea he fracture o ka iwi? E like me ka hana pono E hoike mai, he nui loaʻeha ma ka haule ana i loko o kona mau lima. Ma keia hihia, ke haawe ana ua kokoke loa moe ma luna o ka iwi. No hoi oko lakou ia lakou iho fractures: articular a me ke kūʻai '-articular.

symptoms

Navicular loa pinepine traumatized. Akā, ma hope o ka uhaʻiʻana i ka mea, aneane eha. Loa wale mai i hai i ka discomfort o ka noʻonoʻo i ka mea, ke like ka loa. Eia naʻe, nīnau aku i ke kauka me ka hikiwawe e loaa. Navicular poorly i ka lapaau, a ina oe e ole hopu mai ai i kona kuʻi nukeliu, akā, i e irreparable hopena. Eia naʻe,ʻaʻole i hele i ka haukapila. Loa pinepine loaʻa hoʻi iaʻu ma wawahiia ma huikau. Oe ke koho i kekahi o na symptoms e hiki kōkua kuhikuhi eha:

• Pain i loko o ka navicular iwi.
• Hana a he leo i loko o ka neʻe 'ami lima.
• Muli o kona kulana ola palena manawa o ke kahahńnai o.
• Plumpness o ka hoʻohuli ai i nā wahi.

lapaʻau '

E like me ka iwi fractures ma ka na pulima oʻu, a me ka navicular iwi ino ma luna o kona mau wāwae loa hooki pilikia. X-kukuna kōkua i loaʻa i ke kumu o ka eha. Mua i hana 'ia ma 3D wānana i hoʻomākaukauʻia, a hoʻokolokolo ciia i loko o ekolu nā wānana waiwai. Ma kaʻanuʻu hope mea maopopo hiki fracture (hewa) ka navicular iwi. A pau keia ua lawe mai no i ka mea i ka navicular iwi ka loa poorly i ka lapaʻau, ka mea, ua hoʻopuniʻia e nā kino. I mea e pono a me ka pololei pili i ka puna e kipaku, e pono i ka 3D wānana.

Aia nā subtleties. No ka laʻana, na manamana pono e'opihia i loko o ka lima. Inā ka fracture mea,ʻaʻole koke hiki ma ka X-Ray, a ma nā mea a pau nāʻikepili ia mea, i ka luahi o ka puna i hoolei no ma kahi o 2 pule, laila palaki mea hou-kulana kupono. Ka mea o ia i loko o kēia wā, he mea resorption a me ka fracture mea maopopo i nanaia, ke ole, o ka papa, i keia manawa i nā mea a pau. Hana kōkua, e hookupaa aku i kaʻike, a me ka hoakaka lapaau.

iwi lapaʻau

Navicular iwi ma ka pulima oʻu ua pinepine haihaiia e huai ae paʻakikī loa. E huai ae i ka fracture mai e akoakoa ai i 3D wānana. Akā, i ka fracture iapaau ana mea nui hou a me ka pilikia. Ka hoʻohuiʻana o ka iwi hele hoʻokahi wale nō manawa e endosteal callus i lilo 'loa lohi, a me ka pono nui dala o ka mahuaola (koko). Hiki pohupani hale o ka distal apana nahaha. A pau i ka luna hiki aku ai i ke kahua o ka pseudoarthrosis, a hiki complicates ka mua i ka maʻalahi lapaau.

1ʻaoʻao. Lapaʻau o hawaiian nā palapū

Ke easiest ala e accretion scaphoid lima - o ke kau ana o ka nou ana la o. Ia lŘlŘ loa pinepine, ka mea, ua hoʻohana 'ia i loko o 90-95% o ka hihia. Uhi mai, mai na poo o metacarpal iwi i ai i ke kuʻekuʻe aku, a me ka OAXA kāʻili 'ana i ua noʻonoʻoʻia e ka poe o ka phalanx o ka lima iki. Palaki i koe paʻa, akā, no ka pono, ka luahi o kona kulana i ke ano o ka uuku mailaila aku. Immobolizatsiya palaki mau ma kahi o 11 pule. Inā mai ai i ka fracture me ka tubercle, ia mea wale nō 4 pule. Ma hope o ka wehe 'ana i ka puna nou ana la o ka OAXA m-Ray, a e hoike mai ina loaʻa i ke kuʻi nukeliu pono. Inā ka nahā i ua 'akomi i, ua pili i ka puna lole wili hou, akā, no ka 1-2 mahina, a me ka hooponopono ana o ke kuʻi nukeliu i wahi kela mahina. Ma hope o ka iapaau ana papa i wahi ola.

Mai loko mai o ka makeʻe kulana lapaʻau e:

• palapala noi manawa.
• Paʻaʻana mai o ke kauka.

Nā aoao. Iapaau ana o ka wa kahiko nā palapū

Inā ka fracture ua 'akomi i wale nō ma hope o 3 malama, ka mea, ua manaoia kahiko. Ma ia manawa, manawa e ulu i ka wahahee ami. He complicates lapaau. E ho ohana X-na kukuna i ka fracture paena, e like me huai ae i ke alo o cystoid cavities a me diastasis ma waena o ke koena. Ma keia hihia, me ka kau ana o ka nou ana la o hiki ole ke kōkua. E hoʻohana i kekahi o ka mea nui ki ina hana like, ka loa kaulana:

1. Iwi pakui cortical pakuiia auanei lakou.
2. Iwi pakui o Matti-Russe.

Iwi pakui cortical pakuiia auanei lakou

Ka papa hana invented hoʻi i ka 1928. Ua Ua hoʻohana 'ia me ka' ole-amelika fractures a me ka wahahee ami o ka navicular iwi. Back-laau nui ke kōkua o ua hoʻohana 'ia no ka anesthesia iʻoki kino. Me ka poino, me ka mea e pono ai ka kahahānai nā aʻalolo, he mea komo i ka pulima oʻu. Rassekanie kona mea hōʻikeʻikeʻuʻuku kōkua e huai ae wahahee ami. Ma hope o ka hana ua superimposed hoolei aku i loko o ka oia e like me ia i ho'ākāka 'ia ma luna. Me ka mea, e pono e lawe ma kahi o 14 mau lā. A laila, wehe i na nakaka, a hoʻohana i ka hoʻopoepoe lole wili. Ke kūlana o ka iwi papa pinepine hāpai i ka naele ia pakuiia auanei lakou.

Iwi pakui o Matti-Russe

Kekahi o ka loa ka hoʻokō hana. Akā, ia mea he mea. Ua pane ai i ke kula, akā, i ke koko kahe ai kokoke, aole e worsen. Stabilize ka scaphoid hoʻohana 'ana i mau huila. Ka iwi pakuiia auanei lakou auka. Mālama '-hoʻonohoʻia o nā huila, aole ia i ae'ōpala hoʻi e hui pu. Immobolizatsiya lawe ma kahi o 10 pule. Wehe i olelo wale ia lŘlŘ ma hope o 8 pule.

wawae fracture

E like me ua oleloia, o ka tarsal iwi i susceptible loa iʻano o nā palapū. Loa pinepine fracture ka hana ma hope o ka haule ana o ka mea kaumaha ai ma luna o ka noae. I kekahi manawa, poino ole kekahi iwi, akā, mau, e like me ka mea, i ke aupuni 'o kokoke koke ana i kekahi i kekahi, a i ka uuku nui. E like me ka mea navicular iwi o ka na pulima oʻu, mai hookaulua aku lapaau. Naʻe, i ka wāwae ka nui pono o ka pono. Koke navicular fracture ia lŘlŘ kekahi no ia e haule mea i loaa i ka nui kaumaha paha no ka mīkini'opihia o ma waena o 'ē aʻe. Muli o kona kulana like iwi o ka wawae'anatomia i kēia ōlaʻi o? Ueo.

symptoms

Hoike aku i ka fracture o ka navicular iwi o ka wāwae ka nui maʻalahi ma mua o ka palaki. I Ina o ka eha ana o keia ano mea kokoke ole e hele maʻamau, he mea ikaika eha. Eia hou, i ka hoʻopoepoe noi stupnoy hōʻike hope wāwahiʻia, ka iwi mea ia i manao ai. Akā, aneane mau trauma scaphoid hui me nā palapū o nā iwi o ka wawae, a, ma ka hana, i ka i Tareso.

wawae iwi lapaʻau

E ike i ka nui a me ka wahi o ka māwae, lawa e e ka X-Ray i loko o 2 nā wānana waiwai,ʻaʻole 3, e like me ka mea i ai me ka navicular iwi palaki. Ke ole ka mea, ua he naeaeaa, laila superimposed ka maʻamau e kipaku. Akā, inā e hiki mai, ka mea i reposition. Ma ka loa loa hoopii, e wehe ae ka ho'ēmiʻana ua hana. Ka nou ana la o ua noi ia e ka awelika o 4 pule.

Ma ka hopena, ua hiki ke olelo aku i ka nui ma mua o kekahi 'ē aʻe navicular iwi o ka na pulima oʻu, a ua loaʻa i ka wāwae i ka hewa. No kona nohoʻana i ka lōʻihi manawa, pinepine i e akoakoa ai i ka hana. Naʻe, i ka merging o ka iwi ma luna o ka wāwae mea nui wikiwiki a me ka maʻalahi. Huai ae i ka fracture ma ka lima o loa paʻakikī, a oi pinepine ia ka hana ma ka ulia. Navicular iwi o ka wāwae i ka wa a na mawae ikaika eha.