Astragalus: fracture

Muli o kona kulana pohihihi keia 'inikua makahiki,' aʻole ia? Ua hoopakele, ke ano o ka talus ka ia? Kaʻu keiki mai nei i ka inoa mea like i "Taranco." He He He peahi o ka lawaia. Guy loaa iʻa pickles, dries mai, a kahea aku i kona Taranco, nānā 'ole o ka ole. Makemake anei i hoʻokahe ka malamalama ma luna o kēia loa iwi. No ka mea, aia no he mea pathology me he fracture o ka talus.

Pela keia ua kekahi kapa iwi nadpyatochnoy. Mahea ka hiki pono, pono? Ua 'ano apau loa i ke kuʻekuʻe wāwae ami - ka lalo. Mawaena o ka iwi tarsal (ka 'ia paha o nā iwi o ka wāwae) anklebone ma ka nui hookūlana lua. O na iwi a pau o ke kanaka kino o ka loa uhiia me articular cartilage. I hele a holo 100% o ka kanaka kino nuipa a kuhi keia mea i ka iwi.

Fracture o ka talus

Ma kekahi mau keia pathology ka loa pohihihi keia, helu mahina no ka 1% o nā hihia o ka lala fractures. Aka, e like me ka trauma pili i ka hoʻoponopono. Kahi o 1/3 o na hihia a pau o talar fractures alakai i ke kīnā o ka nāna.

Ka mea i keia loli hoʻonāukiukiʻana mai o ka nele i ke koko na lako i ka iwi. E like ma ka hihia ma ka manao pono o na ipu koko ma ka ino i ole poino, me ka a no o'ōpā pū i nā hakina, a edema, iwi, mai hemo mai iho ai. Keia poino, o ka oi aku i hoʻokoe '-amelika fractures, hiki i hoʻonāukiuki necrosis.

Mai ka haumāna osteoarthritis poino subtalar ami. Penei, ka haʻihaʻi i na puupuu wawae kuleana pili i. Ka luahi inā pilikia ka haumāna loa excruciatingʻeha ka wā e neʻe.

kumu

Ka loa, he pono ole kumu o ke kulu pololei a hiki i ka straightened wawae. ʻano nui ia lŘlŘ fracture o ka ai o ka iwi. He pinepine ia lŘlŘ ia abnormality ma ka hoʻohui pū 'ia me nā fractures. Ma kekahi, he huihui 'ana o ka mīkini'opihia fracture o ka calcaneus.

I manaolana, e hoomanao i ka talus heluhelu - nadpyatochnaya? Here huina fractures o ke kuekue wawae , a nadpyatochnoy iwi i ka loa, he pono ole. Emi pinepine, i hui ia fractures me fractures o nā iwi o ka wawae: ka navicular, cuneiform, metatarsal.

symptoms

• Kāheaʻia wawae edema.
• Hihia ma ka hoomaopopo ana i ka wahi o ka iwi pathology.
• Palpation hoʻoholo offset nadpyatochnoy (talus) iwi.
• Wawae flexion.
• Ka wā e hoohauhee ana i loko o ke kuʻekuʻe wāwae he mea he pahi eha.
• Pain ka wā ho'āʻo nei e hoʻoneʻe i kona manamana nui.
• Wawae deformity me ka pohupani hale o ka iwi koena ai.

lapaʻau '

ʻike, no kekahi mau pilikia. Ka loa ka hoʻokō iaoiaeii mea informative PalekanaEND_LINK kamepiula tomography. Kēia iwi Ua aia ma ka waenakonu o nā iwi kanu'ōiwi. Ia mea ke kumu o ka hae X-kukuna e ole ae i ka reliably hooholo i ke ano o ka pathology.

lapaʻau

E koho i kekahi hana pilikino E pili nānā 'ana i ke' ano mua o ka poino. Pathology ike okoa ia me he fracture o ka ai a me na iwi o ke kino. Nō hoʻi, ma laila nō marginal fractures a me comminuted, me ka pohupani hale o ka iwi koena ai a me ka ia. Pohupani hale nui nānā 'ia e ke kumu o ke kamepiula tomography.

Me keia hoʻokokoke mai, e hiki ke ike i ka kiko'ī fracture laina, e hooholo i ka pono o ka hana, kona ano a me ka laulā. Ma 'ana, ina o ka pāʻewaʻewa e Pono e hoʻohana osteosynthesis. Inā ka pohupani hale ma kahi'ē, ka fracture o ka talus lapaau ana conservatively.

Ka huakaʻi nā mea a me ka postoperative wā. Astragalus i splicing pono X-Ray mana, regular ponopono-UPS. Fused ia no kekahi mau (i ka eha) mahina. Penei, ma ka hoʻohana 'ana i ka loa ke kālā no PalekanaEND_LINK kāu kiʻina hana a me nā nohoʻana, loaʻa i ka maikai i nā hualoaʻa ma ka ka ho'ēmiʻana o ka calcaneus.