Patellar dislocation: mea, lalau mai, symptoms, lapaau a me ka hoʻopulapula

Patellar luxation - heʻawaʻawa loa'āno'ē ano ma i ke kanaka o ke 'oni iki o ke patella.

Ka 'ole o ka ami

No laila, a hooku iho la ke ami hoi i kekahi o ka loa neʻeʻana a me ka ukana i loko o ke kanaka kino. Ua nā'ololaha iwi (patella), a uhi na nāʻiʻo a me ligaments, e mālama iā lākou, mai ka pōʻino.

Kona koena ua hoakaka ia ma na ligaments o ka quadriceps femoris, iho laulau like hoʻi me nā nāʻiʻo.

Patellar ligament a me ka iwi iho Radio nui i kūlana i loko o ka neʻeʻana o nā lala. Kēia mau kumu mua i kekahi mau quadriceps lawa poe a pau e lena i ka wāwae. Kekahi poino a hiki i keia aoao o ke kuli mea fraught me ka mea complications, e like me ke kapu o ke kanaka ka hoʻoneʻe.

pathologyʻAno

hiki e hoʻolaha Dislocation o ka patella like penei:

1. Congenital. Kēiaʻano o ka maʻi, he'āina pohihihi keia. I ka papa kuhikuhiE kumu o kēia moku'āina ua manaoia lawa kūpono 'ana o nā'aʻaʻa mai i ka ami ua kūkuluʻia.
2. Traumatic a lilo. Ma keia hihia, poho ua loaa no i ka haule ana a me ka pololei hopena. Inā ka patellar pohupani hale Ua oi ma mua o 1 manawa no ka makahiki a me ka papa'āweʻaweʻa kemika, ka dislocation ma keia hihia hiki ke kapaia mau.

Eia hou, i ka pathology mea kaumaha a me ka lōʻihi-e ku ana. A oe ke classify i ka dislocation o ka iwi i loko o ka olelo o ka pohupani hale:

• Hoʻokaʻa. Ke patella Ua 'oni iki ma kona iho (axis).
• ʻaoʻao. He akaka like me ka hopena o ka haule ana ma ka lalo wāwae straightened paha hahau ana.
• Vertical. Kēiaʻano o ka hewa ka'āina pohihihi keia. Kaulu laila, 'oni iki i loko o ka papamoe pelane, a komo i loko o ka ami nahā i.

A, e hiki ke puunaue i ke degere o ka pathology o ka iwi pohupani hale:

1. Maʻalahi. Ma keia hihia, ke hoʻomanawanui aneane Kahalaopuna ka eha, a hiki wale nō ke 'akomi i trauma iho wā nana aku la au, mai kekahi kauka accidentally.
2. Ka. Eia ka mea maikaʻiʻole ia ma gait ua hoʻololi, ka mea hiki pinepine haule iho.
3. Kaumaha. Ua Ua wehewehe aku ma ka, ua hanahana loa ka eha, e like me ka pono me ka piha kapu o ka'ūhā ka noi. Femoris ikaika puakai a maikaʻiʻana deteriorates.

Kumu o ka maʻi

Dislocation o ka patella hiki ke triggered e:

• Direct eha (ʻaoʻao hopena ho'āʻo 'ana e).
• A kina i loko o ka 'ole o na ami.
• Po pilipaa nāʻiʻo.
• Physiological ano o ka meaola.
• Hoʻoʻino degenerative mai o ke kuli.
• ʻoki kino ma ke ami.
• Dysplasia o ka femoral condyle.
• A haule mai ke kiekie.

Eia hou, i ka patellar ligament mea,ʻaʻole e pono lawa, e lawe mai lākou i hana '. Mau kumu dislocation o ka patella i 'ano, he pono ole. Naʻe, ka mea hiki ke hooki no hoi.

symptomatology pathology

Mamua o hoʻomaka lapaʻau, e pono e hana me pehea e hoike pathology. No laila, inā he kanaka ua waiho wale aku no i ka dislocation o ka patella, na symptoms e like penei:

1. Ka poino wahiʻikea ikaika a me kaʻoi eha.
2. Mea ino patella.
3. Ka maopopo naeaeaa o ka patella i kēiaʻaoʻao a mai a me ka ia.
4. Kekahi hiki ole lena paha straighten i ke kuli koena ma ka wawae.
5. Discomfort ua i nā listen.
6. Keʻano o ka haanou ana i loko o ka hoʻohuli ai i nā wahi.
7. Redness o ka ili.
8. I ka manao o ka instability o ka ami.
9. E hoohaunaele ana i ke ana wela i loko o ka loli ana o ami.

Lakou e ike koke e kelepona i ke kauka ina he mea kekahi a oi o ka hōʻike symptoms. I ole ia, i ka luahi ke 'ike complications nui. Nō hoʻi, maiʻaʻole kū kaʻawale emi i ka kneecap, e like me 'oe ke hana ia hewa.

lapaʻau 'Hiʻona

Maoli ai, i ka hoʻomanawanui pono undergo i ka hoʻokolokolo pono ninaninau o ka palena pau. Ka mea i ka mea i pono, e maopopo ma waena o ka dislocation a me fracture o ka patella, a me ka noho alii mai'ē aʻe ka maʻi. ʻike, komo ai i ka hoʻohana i kēia mau kiʻina hana:

• Mawaho ninaninau o ka hoomanawanui, palpation o ka ino kuli, a me ka fixation o ka hoopii.
• Radiography. A oe pono e kekahi mau kiʻi o nā ami. X-kukuna hana i loko o kekahi mau nā wānana waiwai.
• MR. Ke kaʻina hana maximizes ka lapaʻau kiʻi, a e e ka mea e hiki ai, e hāʻawi aku i ka hoʻokō Inc.
• Arthroscopy. Kēia kaʻina hana o nā PalekanaEND_LINK a me ka pākōlea i ka ia manawa. Ua Ua hoʻohana 'ia e noiʻi ana ina ua uninformative'ē aʻe ki ina hana like.

Ma muli o ka 'ike i loaa trauma a orthopedic pena regimen a me ka hoʻomanawanui, hoʻopulapula.

Makeʻe kulana lapaʻau o dislocation

Koke ma hope o ka poino i ka poino wahi pono e hoopili anu. Kēia e ae i ka mālie maloko kahe ana ke koko (ina kekahi), e lawe aku oe i ka nani a me ka ho'ēmi i eha. O ka holo ana, maikaʻi e immobilize i ka lala, a kapa aku i kekahi kauka a hele aku i ka pilikia lumi.

Hou hana o nā kauka e like penei:

1. Ka poino wāwae E e numb. Ua hoʻohana i ka injectable ala hele o ka hooponopono, e like me ka mea 'oi aku he ola ia.
2. Ke patella E e makaala pono, no laila, i ole e hanaʻino i ka cartilage, a 'aʻole i hoʻonui i ka pilikia o complications.
3. Ma wawae e pono e kau i ka lole wili ke haka pono maila paha puna. Duration o ka pono o 6 pule.
4. Ma ka puna e hoʻomehana i ka ami hoʻohana 'UHF.
5. Once ka lole wili ua wehe, o ka hoʻomalu hanaʻia i ka hooponopono ana m-Ray.
6. Alaila, penei ka manawa, i ka wa o ka ami functionality.

operative uao

Inā ka hoʻomanawanui i keia fracture o ka patella, a makeʻe kulana Inc ua i kona mana,ʻoki kino ua hoʻohana. Ke surgeon i hui puncture, wehe i ka wai a loaa loko ia. Ma hope o ka piʻiʻana o ka hoʻomanawanui, e i e undergo kekahi papa o ke ola, i ka lōʻihi like 'ole o ka i mea ole emi o 9 pule.

Aia nō kekahi mau ano o kaʻoki kino:

1. Open ea medial ligament.
2. Arthroscopy.
3. Transposition o ka distal IeIIeYOA o ligaments.

Kakahiaka nui a me ka pono hana o ka hana hiki e eliminated hemarthrosis, i ka poino mau māhele o ka cartilage, lawe i loko, a koho i ka ami mea hōʻikeʻikeʻuʻuku. It E e kaulana ia ina ka dislocation ua pu ma rupture o ligaments e hana mai ia lakou hiki ole. E hoihoi ami ka hoʻoneʻe ka hoʻohana 'ana iʻimi hoʻopunipuni a me kona mau pou'aʻaʻa.

Feasibility a me ka nele iʻoki lāʻau lapaʻau 'uao me ka nānā' ana i ke kauka.

Hoʻopulapula ma hope o trauma

Ke loaa kaʻina E lawe wahi ma lalo o ka pili hooponopono o ka podiatrist. Hoʻopulapula nā hiki e haawe i ka poino ami, Muscle hoʻoikaika, lomilomi a me ka physiotherapy.

Ke hoomanawanui i koho kanaka physical kino, a e hoʻihoʻi aku i ka laulā o ke noi a me ka functionality o ka iho i loko o piha. Maoli ai, kekahi e ole he nui loa, e overload i ka hui, o ka oi aku i loko o ka postoperative wā. E lńkou na nāʻiʻo hoʻohana flexion, a mailaila aku e hoohana i lala. Ka huina E,ʻaʻole e nui.

Ma kukuli hope rehab hoomanawanui hiki hoʻohana kuikawa ke haka pono maila bandages mea e ole ae i ke kiaha, e koa pono'ī hou.

Kāohiʻana o ka maʻi a me ka hiki complications

I ka patellar dislocation i ole ana, ka mea, ua koi 'ia e like me na mea ana o ka Kāohiʻana:

• Kela a me keia lā, e pono e hana walaʻau ma physical kino, e kōkua hooikaika na nāʻiʻo a me ka ligaments i paʻa i ka kneecap.
• E aho e pale pahikaua ka neʻe 'ana a me ka ikaika puʻe ma ke ami.
• I ka wā o ka aaiaoe predisposition a olelo deformity mea maikaʻi, e haawi aku i ka hula, iaoeo e, ua lele komo.

Inā diagnosed kekahi kanaka me ka patellar dislocation, pono e lawe mai me ka 'ole' aʻole i ka iapaau ana. I ole ia, hiki complications. No ka laʻana, ka mea hoʻomanawanui hoʻomaka e möhala osteoarthritis o ke kuli. Eia hou, i ka dislocation ke lilo i ka maʻa. Ia mea, ke patella e neʻe a hiki mai nīnūnē physical exertion. Ma keia hihia, Inc mea kekahi oi huikau.

Kekahi complication pathology mea degeneration o ligaments a me cartilage. Ke hoomanawanui hōʻike nawaliwali i loko o nā nāʻiʻo, a kokoke Aʻole 'ae' ia ka neʻeʻana i ka wāwae.

Inā kupono lapaau a me ka hoʻokō hoʻopulapula o ka maʻi prognosis e maikaʻi. Ie olelo functionality ua maopopo hoihoi hou ia, nae, nā kumumea e kāhea offset hiki hou, e ke käpae '. E hoʻokaʻaʻike ola!