Raruraru o te waewae - tohu, Treatment

I roto i te mau ana i roto i dislocations rangahau auau i kitea taua mea e raruraru o te waewae i roto i tona puka parakore he onge, me he āhua 14-15 1 o te katoa maha o dislocations. Nuinga o ngā wā e ngā reira ki te atu whara waewae kia whati atu ranei raruraru o te pona, he nui atu uaua te maimoatanga i roto i tenei take.

I te tahi taime subtalar raruraru o te waewae, me te takoki i roto i te tahi hake, raruraru o te maihao. Ka rite ki maha tupu talus takoki me wheua navicular priplyusny, i he rawa onge te takoki atu wheua. He onge dislocations tonu, fele reira e ngā subluxations i te tahi o te waewae.

Me pēhea te ki te hamani i te waewae takoki.

Kei te āhuatanga katoa, he mea dislocations anamnesis i whaki i te tāpae, te momo matua o te maimoatanga ko te warea oti, me te vai maoro i muri i raro i whakakorea rehunga raruraru hua te. I muri whakaoti i te akoranga o te maimoatanga ka hei te manawanui tonu te roa nui ki te whakakorikoria te mamae e kia haere tahi ai i te huamo, me te ara totitoti. tūtohu tohunga katoa e te iwi e kua tukua e te raruraru o te waewae, i te ripa-whakamahi kapuwae orthopedic.

raruraru Subtalar o te waewae puta uaua. A, no te tenei momo o te whara, ia talus e kore e neke, me te displacement o te calcaneus me te navicular me wheua mataono o te Tarahu. Taua dislocations puta tika ki te hinga i te teitei, no te reira he falala ki te tāpae takai. Nuinga o ngā wā e ā, me te posteromedial ratou, maha haere tahi i te whati o te matenga o te talus me te wheua navicular.

Tohu o te whara tohua te edema hindfoot me kanokanototo putanga tere. Ki te reira ko te raruraru ā, kei te paku neke roto te waewae. Tetahi kaupapa i muri i taua whara he tino mamae, me te rawa iti, tata katoa ngaro te mahi tautoko o te waewae pāngia. I roto i te take i reira kua ngā te takokitanga ki displacement o te waewae, ka e ngā kite he hua nui i roto i te rekereke. I roto i te tikanga ki te whakatū i te tātaritanga ení he tika ki te noho e rua haurangi X-ray.

Maimoatanga o tenei momo o te raruraru rawa wā-e kai ana me te titau mai anō te tonu, kawea nei i roto i raro i rehunga whānui. Wawetanga whakakore he tika raruraru no reira he toto, a ka arai atu i te puku hua whakaiti. I muri whakaoti i te raruraru whakaritea maka i nga matimati, me te warea o te tahi turi, piko nei i te koki o 150 °. I muri i taua, kawea te mana i roto i te whakamātautau X-ray. I muri 3-4 wiki o warea o nekehia atu te me tika titau te whakamahi o te therapy tinana me te mirimiri mo te ora tonu o te mahi pito whara. Kei te tūtohutia hoki te reira ki te kakahu tāpui ake kapuwae ki te 6 marama. tīmata ngaue'aki ki te whakahoki mai i kaua e mua atu i te 2 marama.

Raruraru i roto i te hake tahi tarsal o te waewae puta tika ki hāngai whara aunoa. maha puta tenei whara i roto i motorcyclists e tupu flexion kaha o te forefoot. Kei te maha haere tahi te raruraru taua i whati o te waewae tapawhā wheua navicular ranei.

Ko te tohu o tenei momo o te whētuki kiri he mānukanuka puta noa te dorsum o te waewae, tona deformation, me te edema me te mamae kino. A, no te pūkenga āta whakaatu te displacement o te wheua navicular. Hoki te tātaritanga tika he hoki e tika ana ki te whakahaere i X-ray i roto i rua haurangi.

Atu i te aroaro o ki te whakakore i tenei raruraru, i te pai. Ki te mea i reira e kore contraindications, whakamana te mahi i raro i rehunga whānui. Ki te contraindicated he tangata te rehunga, kawea tenei tikanga i roto i te whakamahi i te whakarehu intraosseous.

I muri i te whakakorenga o raruraru o te waewae kua whakaritea, ka nekehia atu te pani i roto i 1,5-2 marama. Hei whakahoki pā taumahinga i tua.