ʻO ka hoʻomaka ʻana o kahi ala no ka loaʻa ʻana o ke "aʻalolo radial" ma ke ala hope i ka humerus

ʻO ka hoʻomaʻamaʻa ʻana no nā haʻihaʻi humerus waena (e like me nā mea i hana ʻia e ka "wrist-wrestling") a i ʻole humeral osteomyelitis e koi maʻamau i ka hoʻohana ʻana i kahi ala hope pololei i ka humerus.ʻO ka pilikia nui e pili ana i kēia ala ʻo ia ka hōʻeha nerve radial.Ua hōʻike ʻia ka noiʻi ʻo ka hiki ke loaʻa ka ʻeha aʻalolo radial iatrogenic ma muli o ka hoʻokokoke ʻana i ka humerus mai 0% a i 10%, me ka hōʻeha mau ʻana o ke aʻalolo radial mai 0% a 3%.

ʻOiai ka manaʻo o ka palekana nerve radial, ua hilinaʻi ka hapa nui o nā noiʻi i nā ʻāpana anatomical bone e like me ka supracondylar region o ka humerus a i ʻole ka scapula no ke kūlana intraoperative.Eia nō naʻe, paʻakikī ka ʻimi ʻana i ke aʻalolo radial i ka wā o ke kaʻina hana a pili pū me ka maopopo ʻole.

Ke kiʻi o ka ʻāpana palekana nerve radial.ʻO ka awelika mamao mai ka mokulele nerve radial a i ka condyle lateral o ka humerus ma kahi o 12cm, me kahi wahi palekana e hoʻonui ana i 10cm ma luna o ka condyle lateral.

Ma kēia mea, ua hui kekahi mau mea noiʻi i nā kūlana intraoperative maoli a ana i ka mamao ma waena o ka piko o ka triceps tendon fascia a me ke aʻalolo radial.Ua ʻike lākou he ʻano mau kēia mamao a he waiwai kiʻekiʻe no ka hoʻonohonoho intraoperative.ʻO ke poʻo lōʻihi o ka triceps brachii muscle tendon e holo pololei ana, a ʻo ke poʻo ʻaoʻao e hana i kahi arc.ʻO ka hui ʻana o kēia mau aʻa i ka piko o ka triceps tendon fascia.Ma ka loaʻa ʻana o 2.5cm ma luna o kēia piko, hiki ke ʻike ʻia ke aʻalolo radial.

 Ke ʻano hoʻonohonoho

Ma ka hoʻohana ʻana i ka piko o ka triceps tendon fascia ma ke ʻano he kuhikuhi, hiki ke loaʻa ke aʻalolo radial ma ka neʻe ʻana ma kahi o 2.5cm i luna.

Ma o kahi noiʻi e pili ana i ka awelika o 60 mau maʻi, i hoʻohālikelike ʻia me ke ʻano ʻimi kuʻuna i lawe i 16 mau minuke, ua hoʻemi kēia ʻano hoʻonohonoho i ka ʻoki ʻana i ka ʻili i ka manawa hōʻike aʻalolo radial i 6 mau minuke.Eia kekahi, ua pale maikaʻi ia i nā ʻeha nerve radial.

Intraoperative fixation macroscopic kiʻi o waena-distal 1/3 humeral haʻihaʻi.Ma ke kau ʻana i ʻelua mau humuhumu hiki ke hoʻopaʻa ʻia ma kahi o 2.5cm ma luna o ka mokulele o ka triceps tendon fascia apex, ʻo ka ʻimi ʻana ma kēia wahi hui e hiki ai ke ʻike i ke aʻalolo radial a me ka puʻupuʻu vascular.
ʻO ka mamao i ʻōlelo ʻia e pili pū ana me ke kiʻekiʻe o ka mea maʻi a me ka lōʻihi o ka lima.Ma ka hoʻohana pono ʻana, hiki ke hoʻololi iki ʻia ma muli o ke kino o ka mea maʻi a me ke kino.