Kuvuka kwa Radius: Ibisobanuro byuzuye kuva Anatomy kubagwa

Konti ya Radius Racture kuri 75% yo kuvunika amaboko kandi birasanzwe cyane mu ivuriro. Muri iki kiganiro, twakoranye urutonde rwa anatomiya, hashyizweho ingamba zo kwitondera, no kubaga byegeranye no kuvunika indwara za radiyo kubisobanuro.

Incamake

Kuvunika kwa radiyo ya kure ni igice cyamaboko. THERORY THEORY ' irashobora gusobanura neza uburyo bwimiterere yintoki, aho inkingi ya radiyo, igizwe na FALIMN, igizwe na Fessa ya Radial hamwe na COSSA ya Navicular, ni ngombwa ko kubungabunga umutekano wikimenyetso.

Kuvuka kwa Radiyo Byose, usibye kuvunika avogion yinyuma ya radiyo, mubyukuri biterwa nihohoterwa rikabije. Ukuboko gusuzugurwa ukundi iyo bikozwe nimbaraga zo hanze, kandi ingaruka zimbaraga zo hanze ziratandukanye.

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3.Mu rukomere rwingufu zingufu, guturika Ihohoterwa ryiganjemo no gupakira gukabije biganisha ku kwikuramo amagufwa.

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Radiologiya anatomiya ya radiyo ya kure

1.Nahotora Filime (Uburebure bwa Radial, Ulnar Gutandukana, Ulnar Varsus)

2. Filime zikira (palmar impengamiro)

Ibyiciro bya Fernandez

Andika i metafiyseal kuvunika flexion

Ubwoko bwa II Arctular na Shear

Ubwoko bwa III compressire ya III hejuru yubuso

Andika ivurure ya IV kuvunika ukuboko kwa radiyo, kwigana

Andika Vecractires ya Vecture (Imiterere Yinshi Yingufu)

Ibimenyetso byo kubaga

Imivurungano nyinshi za kure za kure zagabanijwe hamwe na feri nyuma yo gufunga, Kubwamahirwe menshi muriyi mvururu azimurwa cyangwa kugabanuka ntibizakwemerwa nigisubizo gikennye.

Impamvu eshanu zibangamira na Lafontauraine nibindi:

① Intangiriro Angrsal Anglite> 20 ° (Palmar tilt);

Kuvunika byashizwemo Epiphysis dorsal;

Kuvunika mu ngingo;

Kuvunika Ulnar;

Imyaka 60 yimyaka> imyaka 60.

Nta mahame asanzwe yo kuvurwa, no kuvurwa no kuvura bivugwa mubintu byinshi, birimo ibiranga imvura ya mbere, kalibrasi nyuma yo kwishyuza, kwihangana, kwihangana, kwihanganira amagufwa, hamwe nibisubizo byibasiwe.

Kugabanuka gufunga bihuriweho bikekwaho gushikama, hanyuma gukurikiranwa hafi. Ni ngombwa kumenya ko niba urukurikirane rwa X-imirasire nyuma yo kugabanya umutekano cyangwa kwimurwa, hanyuma impinduka mu kuvura zigomba kuba ngombwa. Niba kuvunika bishobora guhungabana, noneho radiografiya igomba gufatwa no gusuzumwa kugeza igihe kuvunika byakize kandi birahamye.

Kuvura ibihakanyi

Kuvunika bihamye birashobora gufungurwa neza kandi bifatwa hamwe na feri, ubanza hamwe na scaling hanyuma nyuma hamwe na tubular, hamwe na radio ya buri cyumweru igera ku byumweru 3.

Niba impinduka zikomeye mu burebure, palmar impengamiro, cyangwa gutandukana kwa Ulnar bibaho, kubaga ubwitonzi bigomba gusuzumwa.

Mu buryo bworoshye kandi buke-busabwa - Gufata bifunze akenshi bikwiranye, nubwo kubaga byerekanwe.

Gufunga gusubiramo urushinge rwa burundu

Kugabanya gufunga bikurikirwa na perctaneous Pricning kandi igenamiterere ningirakamaro mumivurungano ya kure hamwe na metaphyseal ihungabana cyangwa kuvuza-artra-arcticular.

Intambwe yambere ni ugusubiramo anatolike, noneho kogahorwa hamwe nintoki za garama. Mubisanzwe pin yambere yanyuze muri styloid ya radial kuri metaphys metahsis kuri diaphysis.

Nibura amapine 2 akoreshwa mugutanga ibikoresho bihagije mumwanya wa orthogonal na kuruhande, hamwe nigice cyubusa kirashobora gukubitwa niba ubishaka.

Intraftracture Pinning (Tekinike ya Kapanji) itanga inkunga ya dorsal. Nyuma yinyuma mugukoreshwa ibyumweru 2 kugirango ugaragaze kuzunguruka no kugabanya uburakari bwa PIN, nyuma yo gusimburwa nintoki yoroshye.

Gufunga-gusimbuza gukosora imbeba

Imirongo yo gukosora yo hanze ni ingirakamaro kubiti byambere cyangwa byanze bikunze muburyo bwihariye bwa radiyo.

Porogaramu yo hanze itesha agaciro imihangayiko ya axial ikora kuri radiyo ya kure mugihe cyo guca amatsinda yimitsi yinyuma. Gukosora birashobora cyangwa ntibishobora kuba hakurya yintoki, cyangwa gukosora byinyongera birashobora kongerwaho.

Gukurikirana bisa ntabwo bigarura byimazeyo palmar, ariko umwanya utabogamye wemewe. Nyuma yinyuma, ukuboko gukubitwa ibituba mumwanya winyuma winyuma muminsi 10 kugeza ububabare na edema bigabanuka.

Amasahani akosorwa hamwe no guhagarika

1, dosiye dorsal ikosora imbere ya radiyo

Gutema ugororotse bikozwe kumurongo wubutarungano, hamwe nindabyora ya kure yambukiranya karuhama kumurongo hanyuma irangize cm 1 kuri shingiro ryikimenyetso cya kabiri cya Metacarpal. Impera ya Proximale irambuye uruti rwa radiyo kuri cm 3 kugeza 4, ugaragaza inkingi yo hagati inyuze inyuma yintambwe ya gatatu yo kwagura.

2, pilm plaque yimbere ikosora kuvuka kwa radiyo

Guhagarika birebire bikozwe kuri kamera ya karuse

Urubanza ①

Urubanza ②

Urubanza ③

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- Guhagarika CM LolituDudinal bikozwe kuri dorsal ku rubavu rwa gatatu, kandi kwaguka kwaguka urutoki rwo hagati rwagiranye amasezerano yo kwerekana icyuma cya gatatu;

- Gukuramo CM ya kabiri 4 bikozwe byibuze cm 4 dorsal kuri radiyo yashinzwe;

- Igiti cya gatatu cya gatatu cya CM cyakozwe kuri node yabyibushye kugirango ugaragaze ko hagura HallucUCIS LongUs.

Duhereye kuri kure, hashyizwe ahagaragara umwanya wa traction hafi yindege hagati yindege yagutse (icyumba cya kabiri cya dorsal), capsule ihuriweho na periosteum. Indwara yo kwagura irashobora kwimurwa nibiba ngombwa.

4. Gukosora kugiti cye byatewe na Racral Radius Radius ishingiye kuri sisitemu yatunganijwe