Nā hiʻohiʻona o ka "kissing lesion" o ka hui kuʻekuʻe

ʻO nā haʻihaʻi o ke poʻo radial a me ka ʻāʻī radial he mau haʻi kuʻekuʻe kuʻekuʻe maʻamau, ma muli o ka ikaika axial a i ʻole ke koʻikoʻi valgus.Ke hoʻolōʻihi ʻia ka hui kuʻekuʻe, 60% o ka ikaika axial ma ka forearm e hoʻouna kokoke ʻia ma o ke poʻo radial.Ma hope o ka hōʻeha ʻana i ke poʻo radial a i ʻole ka ʻāʻī radial ma muli o ka ikaika, hiki i ka ʻoki ʻoki ʻana ke hoʻopilikia i ka capitulum o ka humerus, hiki ke alakaʻi i nā ʻeha iwi a me ka cartilage.

I ka makahiki 2016, ua ʻike ʻo Claessen i kahi ʻano hōʻeha maʻamau kahi i hui pū ʻia ai nā haʻihaʻi o ke poʻo radial / ʻāʻī me ka ʻeha iwi / cartilage i ka capitulum o ka humerus.Ua kapa ʻia kēia ʻano he "kissing lesion," me nā haʻihaʻi i komo pū me kēia hui ʻana i kapa ʻia ʻo "kissing fractures."I loko o kā lākou hōʻike, ua hoʻokomo lākou i 10 mau hihia o ka honi ʻana a ʻike ʻia he 9 mau hihia i loaʻa i nā poʻo radial fracture i helu ʻia ʻo Mason type II.Ke hōʻike nei kēia me nā ʻeha poʻo radial Mason type II, pono e hoʻonui ʻia ka ʻike no nā haʻihaʻi e pili pū ana o ka capitulum o ka humerus.

Ma ka hoʻomaʻamaʻa hoʻomaʻamaʻa, ʻoi aku ka maʻalahi o ka honi ʻana i nā haʻihaʻi i ka misdiagnosis, ʻoi aku ka nui o ka neʻe ʻana o ke poʻo / ʻāʻī radial.Hiki i kēia ke alakaʻi i ka nānā ʻana i nā ʻeha pili i ka capitulum o ka humerus.No ka noiʻi ʻana i nā ʻano lapaʻau a me ka loaʻa ʻana o ka honi ʻana, ua hana nā mea noiʻi ʻē aʻe i ka helu helu helu ma ka nui o ka laʻana ma 2022. ʻO nā hopena penei:

ʻO ke aʻoʻana he 101 mau maʻi me nā poʻo radial / neck fractures i mālamaʻia ma waena o 2017 a me 2020. Ma muli o ka loaʻaʻana o ka haʻihaʻi pili o ka capitulum o ka humerus ma kaʻaoʻao hoʻokahi, ua māheleʻia nā maʻi iʻelua hui: ka pūʻulu capitulum (Group I) a me ka hui non-capitulum (Group II).

Eia kekahi, ua kālailai ʻia nā haʻihaʻi poʻo radial ma muli o ko lākou wahi anatomical, i māhele ʻia i ʻekolu mau ʻāpana.ʻO ka mua ka wahi palekana, ʻo ka lua ka ʻāpana medial mua, a ʻo ke kolu ka ʻāpana medial hope.

Ua hōʻike ʻia nā hopena noiʻi i kēia mau ʻike:

1. ʻOi aku ka kiʻekiʻe o ka hoʻohālikelike ʻana o ka Mason o nā haʻihaʻi poʻo radial, ʻoi aku ka nui o ka pilikia o ka hui pū ʻana i nā haki capitulum.He 9.5% (6/63) ka likelika o ka haʻihaʻi poʻo radial ʻano Mason me ka haʻihaʻi capitulum;no Mason type II, he 25% (6/24);a no Mason type III, he 41.7% (5/12).

1. Ke hoʻonui ʻia nā haʻihaʻi poʻo radial e komo i ka ʻāʻī radial, ua emi ka pilikia o ka haʻi ʻana o ka capitulum.ʻAʻole ʻike ʻia ka palapala i nā hihia kaʻawale o nā ʻāʻī ʻāʻī radial i hele pū ʻia me nā haʻihaʻi capitulum.

1. Ma muli o nā ʻāpana anatomical o nā haʻihaʻi poʻo radial, ʻoi aku ka kiʻekiʻe o ka pili ʻana i nā haʻihaʻi i loko o ka "wahi palekana" o ke poʻo radial.

▲ Ka hoʻokaʻawale ʻana o Mason i nā poʻo radial fractures.

▲ ʻO kahi hihia o ka honi ʻana i ka maʻi haʻihaʻi, kahi i hoʻopaʻa ʻia ai ke poʻo radial me kahi pā kila a me nā wili, a ua hoʻopaʻa ʻia ka capitulum o ka humerus me ka hoʻohana ʻana i nā wili Bold.