Klo ƒe Ƒunukpeƒe

01. Ƒu ƒe Dzɔdzɔmenuwo ƒe Nɔnɔme

The klo ƒe ƒunukpeƒe nye ƒu 4: afɔkpodzi, afɔkpodzi, afɔkpodzi kple afɔkpodzi.

Akpa 3 ye le eme: titinatibiofemoral ƒe akpa, axadzi tibiofemoral ƒe akpa, kple patellofemoral ƒe akpa, eye akpa 3 la ma synovial cavity.

02.Ƒoƒu ƒe wɔwɔme

Ƒomevi: Tasiaɖam ƒe Ƒuƒoƒo

Kloa ƒe ƒunukpeƒe 3 le: titina tibiofemoral ƒunukpeƒe, axadzi tibiofemoral ƒunukpeƒe kple patellofemoral ƒunukpeƒe.

Tibiofemoral joint la doa ka kple distal femur kple tibia, eye distal femur la ɖiɖina tsɔ wɔa medial femoral condyle kple lateral femoral condyle. Abɔta ƒe akpa si le gbadzaa vie, gake lãkusi si le ŋgɔgbe la na wòte ŋu doa ka kple afɔkpodzi ƒe lãkusi siwo do ɖe ŋgɔ la kplikplikpli.

Afɔkpodzi ƒe lãkusiwo domee nye akɔtaƒuwo dome, si woyɔna hã be afɔkpodzi ƒe ʋuƒo alo afɔkpodzi ƒe talus.

Patella nye nuku ƒe ƒu si ge ɖe lãmeka si woyɔna be quadriceps lãmeka me eye wòwɔa ƒunukpeƒe kple trochanteric groove.

Ewɔa dɔ be wòana mɔ̃memi ƒe viɖe si le lãmeka si nye quadriceps ŋu nadzi ɖe edzi. Fibula ƒe ta le klo ƒe lãkusi me gake zi geɖe la, mewɔa dɔ abe ƒunukpeƒe si tsɔa kpekpeme ene o. Femoral condyles kple tibial plateau ye wɔa ƒunukpeƒea.

03. Ƒunukpeƒe ƒe Liƒo

Lãmetsi falɛfalɛ vovovo siwo hã naa klo ƒe ƒunukpeƒea ƒe ametakpɔkpɔ le ƒunukpeƒea me la léa klo ƒe ƒunukpeƒea ƒe liƒo me ɖe asi.

Wotsɔ hyaline ƒunukpeƒetetedɔ si xɔa klo ƒe ƒunukpeƒe ƒe akpa si le eme la tsyɔ afɔkpodzi kple afɔkpodzi.

-Axadzi kple titina menisci siwo le abe disk ene naa ʋuʋudedi bubuwo eye womaa ŋusẽwo hã ɖe kloa dzi le ƒunukpeƒea katã.

-Ŋgɔgbe atitsoga ƒe lãkusi (ACL) kple megbe atitsoga ƒe lãkusi (PCL) naa ŋgɔgbe-megbe kple flexion-extension ʋuʋuwo li ke.

-Medil collateral ligament kple lateral collateral ligament naa kloa li ke le woƒe yameʋuwo me.

-Nu bubu siwo naa kloa li ke enye iliotibial bundle kple megbeƒu ƒe akpa aɖe.

04. Bursae kple Cystic ƒe Dɔwɔɖoɖowo

Zi geɖe la, wokpɔa cystic structure geɖe le kloa ŋu, siwo dometɔ aɖewoe nye tendon sheath cysts kple synovial bursae. Tendon sheath cysts nye nusiwo mesɔ o siwo me ka siwo le ʋuʋu ɖi le eye ʋuʋudedi le wo me.

Popliteal cyst (si nye Baker ƒe cyst) ye nye synovial cyst si bɔ wu le ŋutilã me. Edzɔna tso bursa si le gastrocnemius lãmeka ƒe titina ta kple semimembranosus tendon dome. Zi geɖe la, dzesi aɖeke menɔa popliteal cysts ŋu o gake zi geɖe la, edoa ƒome kple klo ƒe ƒunukpeƒetetedɔ.

Bursae ene siwo bɔ ɖe kloa ƒe ŋgɔgbe. Suprapatellar bursa te ɖe klo ƒe lãkusi ŋu eye wòle rectus femoris tendon kple femur dome, kple eƒe zɔzɔ kple klo ƒe ƒunukpeƒe le ame tsitsi akpa gãtɔ me. Prepatellar bursa la mlɔ patella ƒe ŋgɔgbe tututu. Infrapatellar bursa si le etame la mlɔa gogloƒe va ɖo patellar tendon ƒe akpa si le didiƒe kple tibial tuberosity, gake infrapatellar bursa goglo ya le patellar tendon ƒe akpa si le didiƒe kple anterior tibial tuberosity dome goglo. Bursa si le etame ate ŋu axɔ dzo ne wozãe fũ alo nuveviwɔame, abe klo didi ene, gake klo ƒe kekemenuwo zazã fũ ate ŋu ana infrapatellar bursa gogloa navuvu, abe titri alo duƒuƒu enuenu ene.

Kloa ƒe titina ƒe akpa si nye goosefoot bursa, semimembranosus bursa, kple suprapatellar bursa ye xɔ aƒe ɖe kloa ƒe akpa si le titina. Goosefoot bursa le tibial stop of the lateral tibial collateral ligament kple distal fusion tendons of the suture, afɔkpodzi ƒe lãmeka tsɛwo kple semitendinosus lãmekawo dome. Semimembranosus bursa le semimembranosus tendon kple medial tibial condyle dome, eye suprapatellar bursa nye bursa gãtɔ kekeake le klo ƒe ƒunukpeƒe eye wòle patella tame kple quadriceps lãmeka ƒe gogloƒe.

05 Ƒunukpeƒe ƒe ʋuʋu ƒe didime

Be nàda klo ƒe bɔbɔ si le dɔ wɔm kpɔ la, na dɔnɔa natsɔe abɔbɔ kloa eye wòabɔbɔ kloa wòade edeƒe ale be afɔkpodzia nate ɖe akɔta ƒe ʋuƒoa ŋu alesi wòanya wɔe; dzogoe si sɔ si dzi woate ŋu abɔbɔ la anɔ abe 130° ene.

Be woada klo ƒe kekeme kpɔ la, na dɔnɔa natsɔ anyinɔƒe ƒe nɔnɔme eye wòana klo ƒe kekeme nasɔ gbɔ wu. Kloa keke ɖe enu wu afɔ dzɔdzɔe alo teƒe si mewɔa akpa aɖeke o (0°) sɔ na dɔnɔ aɖewo gake woyɔnɛ be kekeɖenudɔ si gbɔ eme. Kekeɖenudɔwɔwɔ fũ si mewu 3°-5° o nye nukpɔkpɔ si sɔ. Woyɔa klo ƒe kekeɖenudɔ si gbɔ eme si gbɔ didiƒe sia ŋu be klo ƒe megbedede eye wònye dzedzeme si mesɔ o.

Homas dodokpɔa doa alesi akɔta ƒe akpa enelia kple akɔta ƒe ʋuʋu te ŋu trɔna bɔbɔe la kpɔna.

Ne akɔta ƒe ƒoƒo ƒe ʋuʋudedi aɖe li la, ata si le ete ƒe akpa si wotsɔ blae la adze ŋgɔ dzisasrãa tsɔ wu be wòasɔ kple kplɔ̃ si dzi wole dodokpɔ wɔm le alo ayi anyime.

Dzogoe si dzi ata si le xɔxlɔ̃m la le ɖe dodokpɔkplɔ̃a ŋu la ɖea alesi gbegbe akɔta ƒe ʋuʋu le ƒoƒom la fiana.

Ne afɔ eneawo ƒe tete le eme la, afɔkpaa ƒe afɔ si le ete la adzo le dodokpɔkplɔ̃a gbɔ. Dzogoe si afɔ si le ete si le draping kple anyigba ƒe plumb line wɔ la ɖe alesi gbegbe afɔ eneawo ƒe tete le la fiana.

06. Ƒuƒoƒo ƒe liƒo ƒe dodokpɔ

Posterior Drawer Test - Wowɔa megbe drawer dodokpɔa ne dɔnɔa le akɔta, akɔta si ŋu dɔlélea le la bɔbɔ va ɖo 45°, kloa bɔbɔ va ɖo 90°, eye afɔa le akpaɖekedzimademade me . Dodokpɔla léa dɔnɔa ƒe afɔkpodzi si te ɖe eŋu la kple asi eveawo le asiléƒe si le gota me esime wòtsɔ asi eveawo ƒe asibidɛwo da ɖe afɔkpodzi ƒe lãkusi dzi. Emegbe wotsɔa ŋusẽ aɖe si trɔna yia megbe la dea afɔkpodzi si te ɖe eŋu la ŋu. Ne afɔkpodzi ƒe megbe ʋuʋu wu sentimeta 0.5-1 eye megbe ʋuʋu lolo wu akpa si le lãmesẽ me tɔ la, efia be klo ƒe megbe atitsoga ƒe lãkusi ƒe akpa aɖe alo keŋkeŋ vuvu.

Quadriceps Active Contraction Test - Enaa dɔnɔa ƒe afɔ nɔa te (zi geɖe la, enɔa afɔ dzi) eye wònana dɔnɔa dzea agbagba be yeatsɔ afɔa aƒu gbe ɖe ŋgɔ le dodokpɔkplɔ̃a dzi (atsi tre ɖe dodokpɔwɔla ƒe asi ƒe tsitretsitsi ŋu), afɔɖeɖe sia nana be quadriceps lãmekaa ƒoa ƒu, si ana be afɔkpodzia naʋuʋu le ŋgɔgbe 2mm ya teti le megbeƒu ƒe ƒunukpeƒetetedɔ si mehiã o me klo.

Tibial External Rotation Test - Wozãa tibial external rotation test tsɔ dea dzesi abi siwo le megbe ƒe axadzi kple megbe ƒe abi siwo le megbe ƒe atitsoga ƒe abi ŋu. Wotrɔa afɔkpodzia le gota le mɔ si mewɔa naneke o nu le klo ƒe 30° kple 90° ƒe ƒoƒo me. Dodokpɔa ɖee fia be enyo ne wotrɔ akpa si ŋu dɔlélea le la le gota wu 10°-15° wu akpa si le lãmesẽ me. Ne enyo le klo ƒe 30° ƒe ƒoƒo me eye wònyo le 90° me la, efia be PLC ƒe abi bɔbɔe aɖe le ame ŋu, eye nyui le 30° kple 90° siaa ƒe ƒoƒo me la, efia be abi le megbe ƒe atitsoga ƒe lãkusi kple megbe ƒe akpa si le megbe siaa ŋu.

07. Ʋuka siwo le ƒunukpeƒewo

Ƒunukpeƒewo ƒe lãkusiwo

patellar ligament, titina patellar ligament, axadzi ƒe lãkusi

Lãmetsi siwo le lãkusi me

ŋgɔgbe atitsoga ƒe lãkusi, megbe atitsoga ƒe lãkusi

Extracapsular lãkusiwo ƒe lãkusiwo

medial collateral ligament, axadzi ƒe kpeɖeŋutɔ ƒe lãkusi, popliteal oblique ligament, fibular collateral ligament

08. Innervation le ƒunukpeƒea

Ahɔhɔ̃mekawo ƒe Dɔwɔɖoɖo

Ahɔhɔ̃mekawo ƒe ƒuƒoƒo aɖe si me popliteal artery, popliteal vein, kple tibial nerve (si nye sciatic nerve ƒe yiyi) le la zɔa mɔ yi megbe tututu le klo ƒe ƒunukpeƒea.

Peroneal nerve si bɔ enye sciatic nerve ƒe alɔdze si le axadzi.

09. Lãmetsi siwo do ƒome kplii

Anterior Lateral ƒe akpa si le ŋgɔgbe

Akpa enelia nyea akɔta ƒe akpa si woyɔna be rectus femoris, vastus medialis, vastus lateralis, kple intermedius femoris.

Axa si le megbe

Abɔta ƒe ka

eƒe akpa aɖewoe nye biceps femoris, semitendinosus kple semimembranosus;

Gastrocnemius ƒe dɔléle.

Anteromedial ƒe lãkusi

Tibialis ƒe ŋgɔgbe.

Lãmetsi siwo léa klo ƒe ƒunukpeƒea ƒe liƒo me ɖe asi, siwo dometɔ aɖewoe nye afɔ ene, lãmeka siwo wotsɔ blaa nu, abɔta, afɔkpodzi ƒe lãmeka tsɛwo, biceps femoris, semitendinosus, kple semimembranosus.

10. Lãmesẽdodokpɔ

1. Nukpɔkpɔ me dzodzro

Lé ŋku ɖe klo ƒe ƒunukpeƒe siwo le dɔnɔa ƒe akpa si ŋu dɔlélea le kple eƒe akpa si tsi tre ɖe eŋu ƒe ʋuʋu kple woƒe sɔsɔme ŋu, eye nàlé ŋku ɖe eŋu nenye be vuvu le teƒe ɖeka, ŋutigbalẽ ƒe amadede si mesɔ o, kple azɔlizɔzɔ si mesɔ o, kple bubuawo 3.

2. asikaka ame ŋu

lé ŋku ɖe vevesese kple vuvu ƒe teƒe, eƒe goglome, afisi wòkeke ɖo kple eƒe nɔnɔme ŋu, eye dɔnɔa ƒe akpa si ŋu dɔlélea le la nanɔ nɔnɔme si me wòɖe dzi ɖi le alesi nàte ŋui.

3. Amewo ƒe ƒuƒoƒo

Kpɔ klo ƒe ƒunukpeƒea ƒe ʋuʋu to dɔnɔa ƒe dɔwɔna siwo wòwɔna kple esiwo mewɔa naneke o me.

4. Dzidzenu

Dzidze abɔa ƒe akpa ɖesiaɖe ƒe didime kpakple abɔa ƒe didime bliboa, abɔa ƒe gotagome, afisi ƒunukpeƒewo ʋãna, lãmeka ƒe ŋusẽ, seselelãme ƒe teƒe si bu, kple bubuawo, eye nàwɔ nuŋlɔɖiwo kple dzesiwo.

5. dodokpɔ tɔxɛ aɖe wɔwɔ

 - floating patella test: lé ŋku ɖe eŋu be tsi le dodom le dɔnɔa ƒe klo ƒe ƒunukpeƒe hã.

Alesi wowɔa dɔae me dzodzro

Ne womimi suprapatellar bursa la be tsi naƒo ƒu vɔ la, ne tsi le klo ƒe ƒunukpeƒea la, wotsɔa asibidɛ si wotsɔ fiaa nu la tea abɔta blewuu, eye ne wonya ɖe asi le nyaƒoɖeamenua ŋu ko la, patella la aƒu tsi ayi dzi le tsi la ƒe ʋuʋu ƒe ŋusẽ te, eye ne woɖe asi le nyaƒoɖeamenua ŋu la, patella la aƒu du alo aƒu tsi le tsia ƒe ŋusẽ si le tsia dzi ta

- Drawer test: be woakpɔe ɖa be nu gblẽ le cruciate ligament ŋu hã.

Anterior drawer dodokpɔ: dɔnɔa mlɔa aba dzi gbadzaa, klo ƒe ƒoƒo 90 °, afɔ gbadzaa le aba dzi, na wòɖe dzi ɖi. Dodokpɔla ɖe dɔnɔa ƒe afɔwo ŋu be wòaɖɔe ɖo, asiwo lé klo ƒe ƒunukpeƒe ƒe tibial nuwuwu, he nyivi la yi ŋgɔ, abe tibia anterior displacement wu lãmesẽ ƒe akpa si nye 5mm nye nyuitɔ, nyui fia be anterior cruciate ligament injury (De dzesii: Lachman dodokpɔa nye anterior drawer test of the knee flexion 30 °).

Posterior drawer test: dɔnɔa mlɔa eƒe akɔta, bɔbɔa kloa ɖe 90°, tsɔa asi eveawo dana ɖe klo ƒe ƒunukpeƒe ƒe megbe, tsɔa asibidɛa dana ɖe kekeɖenudɔa ƒe akpa dzi, tutua nyitsua ƒe nuwuwu si te ɖe eŋu la hehenɛ yia megbe enuenu, eye afɔkpodzia ʋãna yia megbe le afɔkpodzia dzi abe nyuitɔ ene, si fia be megbe atitsoga ƒe lãkusia vuvu le akpa aɖe alo keŋkeŋ.

- Grinding test: be woana eme nakɔ nenye be nu gblẽ le klo ƒe meniscus ŋu.

Klo ƒe Ƒunukpeƒetete Dodokpɔ: Ŋutilãmedodokpɔmɔnu si wozãna tsɔ léa ŋku ɖe klo ƒe ƒunukpeƒe ƒe abi si le axadzi kple meniscus ŋu hã.

Dɔnɔa le nɔnɔme si me wòbɔbɔ nɔ eye klo si ŋu dɔlélea le la ƒo ɖe 90°.

1. Dodokpɔ si wotsɔ kɔa nu le tɔtrɔ me

Dodokpɔla la tea nyivi la ɖe dɔnɔa ƒe ata dzi eye wòtsɔa asi eveawo léa afɔkpodzia be yeakɔ nyivi la ɖe dzi le nyivi la ƒe axa si didi la dzi, esime wòle tɔtrɔm le ememe kple egodo; ne vevesese le kloa ƒe akpa eveawo la, wosusui be enye abi si le axadzi ƒe lãkusi ŋu.

2. Rotary compression dodokpɔ

Dodokpɔla tsɔa asi eveawo léa abɔ si ŋu dɔlélea le ƒe afɔ, ale be klo si ŋu dɔlélea le la nabɔbɔ ɖe 90° eye nyivi la nanɔ tsitrenu eye afɔa nayi dzi. Emegbe nàmi klo ƒe ƒunukpeƒea ɖe anyi eye nàtrɔ nyivi la ayi eme kple egodo le ɣeyiɣi ɖeka me. Ne vevesese le klo ƒe ƒunukpeƒe ƒe akpa si le eme kple egodo la, efia be ƒunukpeƒea ƒe akpa si le eme kple egodo la gblẽ.

Ne kloa le ƒoƒom fũu akpa la, wosusu be megbedzoa ƒe meniscus gbagbã; ne ele 90° la, wosusu be domedome ƒe gbagbã; ne vevesesea do mo ɖa ne wogogo teƒe si le dzɔdzɔe la, wosusui be ŋgɔgbekplua gbã.

- Axadzi nuteɖeamedzi dodokpɔ: be woalé ŋku ɖe dɔnɔa ŋu be nu gblẽ le axadzi ƒe lãkusi ŋu hã.

Klo ƒe nuteɖeamedzi dodokpɔ si wowɔna le axadzi nye ŋutilãmedɔdada si wozãna tsɔ léa ŋku ɖe klo ƒe axadzi ƒe lãkusi siwo le axadzi ŋu.

Nɔnɔme si me wòle: Dɔnɔa mlɔa anyi ɖe aba si dzi woadoe kpɔ la dzi, eye woɖea afɔ si ŋu dɔlélea le la blewuu ale be wotsɔa afɔ si le ete si ŋu dɔlélea le la dana ɖe aba la godo.

Ƒunukpeƒe ƒe nɔnɔme: wotsɔa kloa dana ɖe teƒe si keke bliboe eye wotsɔa kloa dana ɖe nɔnɔme si wobɔbɔ 30° me.

Ŋusẽzazã: Le klo ƒe nɔnɔme eve siwo le etame me la, dodokpɔwɔla la tsɔa asi eveawo léa dɔnɔa ƒe afɔ si le ete eye wòtsɔa nuteɖeamedzi dea titina kple axadzi, ale be woɖea klo ƒe ƒunukpeƒea le mɔ si mewɔa naneke o nu alo tsɔae, si fia be wowɔa valgus kple valgus dodokpɔwo eye wotsɔa wo sɔna kple akpa si le lãmesẽ me.

Ne veve le klo ƒe ƒunukpeƒea le nuteɖeamedzi zazã ƒe ɖoɖoa me, alo ne wokpɔe be dzogoe si trɔna ɖe megbe kple esi trɔna ɖe megbe la to vovo na afisi wòle be wòanɔ eye wòsena le eɖokui me be yevuvu la, efia be axadzi ƒe lãkusia vuvu alo gbã. Ne gotagome tɔtrɔ ƒe nuteɖeamedzi dodokpɔa nye nyuitɔ la, efia be titina ƒe mɔ dzɔdzɔe meli ke o, eye ate ŋu anye be abi anɔ titina ƒe kpeɖeŋutɔ ƒe lãkusi, titina ƒe lãkusi kple ƒunukpeƒe ƒe lãkusi ŋu; ne ememe tɔtrɔ ƒe nuteɖeamedzi dodokpɔa nye nyuitɔ la, efia be axadzi dzɔdzɔe ƒe mɔfiame meli ke o, eye abi ate ŋu anɔ axadzi meniscus alo articular surface cartilage ŋu.

11. Klo ƒe Nɔnɔmetatawo Ðeɖe

1. X-ray dodokpɔ

wozãna tsɔ léa ŋku ɖe ƒunukpeƒetetedɔ kple ƒunukpeƒetetedɔ si gblẽa nu ŋu hã. Kpekpeme-tsɔtsɔ (tsitrenu) nɔnɔme klo ƒe ƒunukpeƒe ŋgɔgbe kple axadzikpɔkpɔ film ate ŋu alé ŋku ɖe ƒu, klo ƒe ƒunukpeƒe ƒe dometsotso kple bubuawo ŋu.

2. Kɔmpiuta dzi tomography (CT) .

CT-dɔdamɔnu ate ŋu akpe ɖe ame ŋu wòanya ƒu ƒe kuxiwo kple ƒu gbagbã siwo menya kpɔna dzea sii bɔbɔe o. CT-dɔdamɔnu tɔxɛ aɖe ate ŋu ade dzesi gout nyuie, ne ƒunukpeƒea mexɔ dzo o gɔ̃ hã.

3. Ultrasound ƒe dɔwɔwɔ

Ezãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ wɔa lãkusi falɛfalɛ siwo le kloa me kple eƒe golɔgoewo ƒe nɔnɔmetatawo le ɣeyiɣi ŋutɔŋutɔ me. Ultrasound ate ŋu akpɔ dɔléle ƒe tɔtrɔwo abe ƒu ƒe mastoids le ƒunukpeƒewo ƒe axadzi, ƒunukpeƒetetedɔ, ƒunukpeƒetetedɔ, ƒunukpeƒe ƒe ʋuʋu, popliteal fossa ƒe vuvu, kple meniscal ƒe ʋuʋu ene le susu me.

4. Magnetic resonance imaging (MRI) ƒe nɔnɔmetatawo .

Dodokpɔ sia kpena ɖe ame ŋu wòkpɔa abi siwo woxɔ le lãmeka falɛfalɛwo, abe lãkusiwo, lãkusiwo, ƒunukpeƒewo kple lãmekawo ene ŋu.

Nudokpɔƒe dodokpɔwo: Ne ɖɔktaa susu be dɔlékui alo abi le eŋu la, ʋudodokpɔ kple ɣeaɖewoɣi arthrocentesis°, si nye dɔdamɔnu si ɖea tsi sue aɖe ɖa le klo ƒe ƒunukpeƒe hena dodokpɔ le nudokpɔƒe, ate ŋu ahiã.

12. Nusiwo gbɔ ƒunukpeƒeveame tsona zi geɖe

1. Nusiwo do ƒome kple abixɔxɔ

ligament ƒe abixɔxɔ abe ŋgɔgbe kple megbe cruciate ligament kple lateral collateral ligament ƒe tete kple aɖatsiwo ene; meniscus ƒe abixɔxɔ; patellar tendonitis kple aɖatsiwo ƒe dodo; ƒu ƒe gbagbã kple bubuawo.

2. Nusiwo do ƒome kple ƒunukpeƒetetedɔ

ƒunukpeƒetetedɔ si tso ƒunukpeƒe ƒe ƒunukpeƒetetedɔ ƒe vuvu kple eƒe vuvu gbɔ; dɔlélenutsiŋutete si dzea ƒunukpeƒewo dzi gbɔe ƒunukpeƒetetedɔ tsona; gout tsoa kristalo siwo tso uric acid si sɔ gbɔ me si gblẽa nu le ƒunukpeƒewo ŋu gbɔ.

3. Nu bubu siwo gbɔ wòtso

ƒunukpeƒetetedɔ si nana ƒunukpeƒewo vea ame eye wòvuvuna; afɔti ƒe kuxiwo abe ƒunukpeƒetetedɔ kple ƒunukpeƒetetedɔ ƒe vuvu; dɔdzẽ siwo va dzea ƒunukpeƒea dzi; edema si tsoa dɔdzẽ gbɔ, kple bubuawo; tenɔnɔ nyui manɔmee ɣeyiɣi didi; iliotibial fascia syndrome si tsoa ʋuʋudedi enuenu si hea vevesese vɛ le klo ƒe gota gome gbɔ.

13. Atikewɔwɔmɔnu siwo wozãna zi geɖe

1.Atikewɔwɔ si Me Womekpɔa Nu Le O

-Gbɔ ɖe eme kple brek

-Compresses siwo fa miamiamia kple esiwo le dzo dam

-Atikewo zazã ƒe atikewɔwɔ

-Lãmesẽfefewɔwɔ

-Kamedede ƒe atikewɔwɔ

-Kpekpeɖeŋunamɔ̃wo zazã

2.Amekoko

-Amekoko to ƒunukpeƒewo dzi

-Aƒunukpeƒetetedɔ

3.Atikewɔwɔ Bubuwo

-Chinatɔwo ƒe Atikewɔwɔ (TCM) .

-Atike si wodona ɖe lãme na ame