ʻO nā hōʻeha Ankle kahi pōʻino haʻuki maʻamau e loaʻa ana ma kahi o 25% o nā hōʻeha Musculoskeletal, me nā hōʻeha o ka ligament Ināʻaʻole i mālamaʻia keʻano koʻikoʻi i ka manawa, he mea maʻalahi ke alakaʻi i nā sprains i hoʻonuiʻia, a e pili nā hihia koʻikoʻi i ka hana o ka kuʻekuʻe. No laila, he mea nui ia i ka diagnose a me nā mea maʻi maʻi i nā maʻi maʻi ma keʻano mua. E hoʻokō kēiaʻatikala i nā loea diagnostic o nā maʻi ligaert coltiteral ligaernt o nā moni e hoʻomaikaʻi i ka pololei o ka maʻi maʻi.
I. Anatomy
ʻO ka ligame anterior talofibular
Calnenefibular ligament
ʻO ka ligame slogament solofibular
Affl wale nō i hoʻopaʻaʻia no ka 80% o nā hōʻeha,ʻoiaiʻo Afl i hui pūʻia me nā hōʻeha CFL me ka 20%.
ʻO ke kiʻi kiʻi kiʻi a me ke kiʻiʻo Anatomical o keʻano o ka ligament collateral
II. ʻO ka loaʻaʻana o ka hōʻeha
Nā hōʻeha hōʻeha: anterior talofibular ligament
VACECECETEFULARLARL RAGUMENT RAFUSET RAFT: CalcunatoFibular Ligament
III. Hōʻehaʻeha
ʻO ka papa inoa i: lgament strain,ʻaʻohe loli ligament reputure
Kūʻai I II: Macrosactip Boupture o ka ligament
PHĀ'ĀʻE HAI: ua haehaeʻia ka ligament a nalowale i kona kūpaʻa, me ka nānāʻana, i kahiʻano i hōʻailonaʻia a me nā hōʻike
IV. Ke hōʻike nei i ka hōʻikeʻana o ke kiʻi
Noho pū ka mea maʻi me ka'ū'ī a pau o ke keiki bipi, a paʻa ka lele i mua o ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me ka Heel me'Okē.
ʻO ka mea hou,ʻo ka mea maʻi ke nānā aku a noho paha i ke kuli ma ka papa he 60 a 90 degere i hoʻopaʻaʻia i ka lepo i kahi o ka piko.
ʻO kahi mea i wānana maikaʻiʻia o ka ligament anterior talofibular.
Hōʻike paʻakikī
Ua noiʻiaʻo ka ankle proximal, a ua noiʻia ke kaumaha a me ke kaumaha i ke ala mamao e nānā ai i kaʻaoʻao o ke alakaʻi.
Ua hoʻohālikelikeʻia me kaʻaoʻao o kaʻaoʻao,> 5 ° ka mea kānalua maikaʻi, a hiki i ka hiki ke kōkua; a iʻole unilateral> 15 ° maikaʻi.
ʻO kahi mea wānana maikaʻi o ka caltanefular ligament.
Nā hōʻike hōʻike
X-rays o nā hōʻeha haʻuki haʻuki ankle
He maikaʻiʻole nā X-Rays
Loaʻa: X-rayʻo ka koho mua no ka hoʻokolokoloʻana,ʻo ia kaʻoihana a me ka maʻalahi; Ua hoʻokolokoloʻia ka nui o ka hōʻeha ma o ka hoʻoponoponoʻana i ke kiʻekiʻe o ke kiʻekiʻe o ka noiʻana o ka talena. Loaʻa i nā hemahema
Mri
ʻO Fig.1ʻO ka kūlana 20 ° iblique i hōʻike i ka ligament anterior maikaʻi loa Fig.2 Azumuth Line of Atfl Scan
ʻO nā kiʻi MRR o nā hōʻeha o nā Allofirbular Talament Ligaernt Ligaernt i hōʻike iā ia: (B) ka waimaka a ke alahele (C) relarture o ka ligament anterior talofibular; (D)ʻO ka hōʻeha o ke alaloa a me keʻano o ka hōʻehaʻana i ka maʻi avulsion.
ʻO Fig.3ʻO ka -15 ° oblique kūlana i hōʻike i ka mea maikaʻi loa clicament maikaʻi loa (CFI);
Fig.4. Cfl sccanning azimuth
ʻO ACUTE, piha i ka waimaka o ka caltanefubular ligament
Kiʻi 5: Hōʻike kaʻike coronal i keʻano o ka posterior maikaʻi loa (ptfl);
Fig.6 ptfl scanzuth
'Āpana'āpana o ka ligament solterior talofirular
Ke kāheaʻana o ka maʻi maʻi:
Helu I:ʻAʻole i hōʻino;
Kūʻai II: LIGAMENT INTISHY,ʻO ka hoʻomau mauʻana o nā ligina,ʻo ka liginan
Papa III
Papa IV: Ke hoʻopauʻana i ka hoʻomauʻana o ka ligament e hoʻomau, e hele pūʻia e nā'ōkuhi avulsion, a hoʻonuiʻia i nā liginants, a hoʻonuiʻia i ka hōʻailona a iʻole ka hōʻailonaʻana i nā ligament.
Loaʻa: Nā hopena kiʻekiʻe no nā'āpana palupalu, ka nānāʻana i nā kukui hōʻeha; Hiki iā ia ke hōʻike i ka pōʻino o Cartilage, hakakā ka iwi, a me ke kūlana holoʻokoʻa o ka hōʻeha hoʻohui.
Loaʻa i nā hemahema:ʻaʻole hiki ke hoʻoholo ponoʻia inā he hōʻehaʻia nā pōʻino Ma muli o ka paʻakikī o ka kuʻekuʻe o ka kuʻekuʻeʻana,ʻaʻole ke kiʻekiʻe o kaʻike. Ka manawa a me ka manawa-ʻai.
ʻO nā unahi kiʻekiʻe
Kiʻi 1A:ʻO ka hōʻeha o keʻano herlofibular ligament, hoʻokaʻawaleʻokoʻa; Kiʻi 1B: Ua wāwahiʻia ka ligament anterior talofirlar
Kiʻi 2A:ʻO ka hōʻehaʻana o CaltaneFibular Ligamen, hoʻokaʻawale'āpana; Kiʻi 2B: CaltaneFibular Ligament Ligress
Kiʻi 3A:ʻO ka loli maʻamau ma keʻano he mele Kiʻi 3B:ʻO keʻano caltanefularle maʻamau: loli a me keʻano o ka echogenic.
Kiʻi 4a:ʻO ka waimaka'āpana o ka ligament anterior talofiblar Kiʻi 4B: E piha i ka'ōpū o ka caltanefIbular ligament i ke kiʻi ultrasound
Ke kāheaʻana o ka maʻi maʻi:
Hoʻohālikelike: Hōʻike nā kiʻi Acoustic i ka hana intact i hoʻopaʻaʻia, nā hehi a me nā kukui pōhaku Māhele'āpana: He nui ka luluʻana i ka ligament, aia nō ka hopena o kekahi mau fibers, a iʻole nā mea e lahilahi paha nā fibers. Ua hōʻike nuiʻia nā scans dynamic ua nāwaliwali loa ka huhū o ka lgaernt, a ua nāwaliwali loa ka ligament i ka hihia o ka valgus a iʻole ka hoʻonuiʻiaʻana.
Hoʻopau piha: He loli piha a hoʻomau i ka hoʻokaʻawaleʻana i ka hoʻokaʻawaleʻana, a iʻole nā mea e like me ka ligament.
Pono: uku haʻahaʻa ʻO keʻano o ka sublet o kēlā me kēia'āpana o ka'āpana subcutaneous e hōʻikeʻia,ʻo ia ka mea e hana ai i ka nānāʻana i nā lesi Hōʻikeʻia ka mana o ka'āina, e like me ke kāʻei ligament e nānā i ke kaʻina holoʻokoʻa,ʻo keʻano o kaʻeha o ka ligament.
Loaʻa i nā hemahema: Hoʻomoʻa i ka hoʻonā haʻahaʻa haʻahaʻa haʻahaʻa i hoʻohālikelikeʻia me MRI; Hilinaʻi i ka hana loea loea.
E nānāʻo Arthroscopy
Loaʻa: E nānā pono i nā hana o ka malleolus malleolous a me ka repfoot i lalo o ka ligament, etc.) e kōkua i ka hoʻolālā
Loaʻa i nā hemahema: E hoʻomau, e lilo i nā hoʻopiʻi, e like me ka hōʻinoʻana, etc. i hoʻohana pinepineʻia i ka hana o ka maʻi cold.
Post Times: Sep-29-2024
