Momma yensua O’Brien Sɔhwɛ a wɔde hwehwɛ mmati mu yaw no ho ade wɔ ɔkwan a ɛnyɛ den so!

So wo mmati yɛ wo yaw kakra? Ebia wote saa ɛyaw no nka bere a woyɛ biribi, bere a woma wo nsa so no? Sɛ wowɔ mmati mu yaw saa a, sɔhwɛ tiawa bi wɔ hɔ a wɔfrɛ no O’Brien sɔhwɛ a nnuruyɛfo de hwehwɛ nea ɛde ba. Momma yɛnka eyi ho asɛm nkɔ akyiri kakra nnɛ, ɛyɛ?

Dɛn ne O’Brien sɔhwɛ no?

Sɛ yɛbɛka no tiawa a, O’Brien sɔhwɛ no yɛ sɔhwɛ a ɛnyɛ den a nnuruyɛfo de boa ma wohu nea ɛde wo mmati mu yaw ba. Ɛte sɛ nsa sɔhwɛ a ɛnyɛ den. Ne titiriw no, ɛhwehwɛ sɛ wo mmati mu ntini a atetew anaasɛ asɛe, titiriw labrum , anaasɛ ɔhaw biara a ɛwɔ wo AC nkwaa (acromioclavicular nkwaa) ho . Wɔsan frɛ no ‘active compression test’ efisɛ ɛfa wo nsa a wobɛma so na wode ahoɔden ahyɛ mu.

Bere bɛn na wɔyɛ O’Brien sɔhwɛ no?

Seesei ebia woresusuw sɛ, ‘Dɛn ne AC nkwaa yi? Dɛn ne labrum yi?’ Yɛn mmati yɛ nkwaa a ɛyɛ den yiye, ɛnte saa? Ɛwɔ afã horow pii. Saa O’Brien sɔhwɛ yi twe adwene si afã abien so titiriw: wo AC nkwaa ne wo labrum .

Dɛn ne AC Joint no?

AC nkwaa no yɛ nkwaa anan a ɛwɔ wo mmati mu no mu biako. Eyi ne baabi a wo mmati no atifi (yɛfrɛ no acromion , a ɛyɛ mmati no atifi, akyi ano) hyia wo kɔn mu dompe ( clavicle ) no atifi. Fa no sɛ nkwaa ketewaa bi a ɛwɔ wo mmati atifi. O’Brien sɔhwɛ no tumi hu ɔhaw biara a ɛwɔ AC nkwaa no mu, te sɛ ntini a ɛtetew mu anaasɛ ntini a ɛwɔ hɔ no mu tetew .

Dɛn ne labrum?

Labrum yɛ cartilage afã bi a ne nsɛso te sɛ bumper. Ɛwɔ wo mmati mu nkwaa titiriw no ho (a wɔfrɛ no glenoid) . Ɛboa ma bɔɔl-ne-socket nkwaa a ɛwɔ wo mmati mu no gyina pintinn. Saa nkwaa yi yɛ wo mmati dompe (glenoid) no socket ne wo nsa atifi dompe ( humerus ) no bɔɔl-ne-socket. O'Brien sɔhwɛ no betumi ahwɛ sɛ ebia ntetewmu bi wɔ saa labrum yi atifi . Wɔsan frɛ eyi sɛ SLAP tear . SLAP yɛ Superior Labrum, Anterior to Posterior asɛmfua tiawa. Eyi kyerɛ sɛ tetetew wɔ labrum no atifi, fi anim kosi akyi.

Afei nso, ɛtɔ mmere bi a saa O’Brien sɔhwɛ yi tumi hu mmati ho haw afoforo, sɛ nhwɛso no:

• Rotator Cuff Tetetew
• Mmati a Ɛbɔ Ho Ntini
• Acromioclavicular nkwaa mu ntini mu yare anaasɛ AC nkwaa no mu mpaapaemu

Ɛboa nso ma wosi so dua sɛ eyi nyɛ biribi a ɛte saa.

Hena na ɔsɔ O’Brien hwɛ yi?

Saa O’Brien sɔhwɛ yi, akwahosan ho adwumayɛfo te sɛ:

• Agumadi ho nteteefo , titiriw wɔ agumadifo a wopirapira wɔn no ho.
• Nnompe ho animdefo yɛ nnuruyɛfo a wɔwɔ nimdeɛ titiriw wɔ wo nnompe ne wo nkwaa ho.
• Apɔw-mu-teɛteɛ ho animdefo yɛ nnipa a wɔboa wo ma wosa yare denam apɔw-mu-teɛteɛ a wɔkyerɛkyerɛ wo so.
• Wɔn a wɔhwɛ ayarefo titiriw ne nnuruyɛfo a wotaa di kan kɔ wɔn nkyɛn wɔ ayaresa tebea bi ho.

Ɔkwan bɛn so na O’Brien sɔhwɛ no yɛ adwuma?

Okay, afei momma yɛnhwɛ sɛnea yɛbɛyɛ O'Brien sɔhwɛ yi pɛpɛɛpɛ. Ɛyɛ mmerɛw yiye. Wubetumi ayɛ no bere a wote ase anaasɛ wugyina hɔ.

Oduruyɛfo no bɛka akyerɛ wo sɛ yɛ eyi:

1. Nea edi kan no, tew wo nsa abien no nyinaa kɔ w’anim tẽẽ wɔ digrii 90 mu kɔ wo mmati so, na ɛne fam hyia . Ɛsɛ sɛ wo nsateaa yɛ tẽẽ koraa.

2. Afei, fa wo nsa no bra nkyɛnkyɛn kakra, kyerɛ sɛ, bɛn wo nipadua no mfinimfini (bɛyɛ digrii 10 kosi 15).

3. Seesei ne ɔfã a ɛho hia sen biara. Dan wo nsa kɔ wo mu . Wo nsa akyi bɛhwɛ wɔn ho wɔn ho, na wo nsateaa akyerɛ fam . Wo nsateaa bɛdan akɔ akyirikyiri afi wo nipadua ho. Wɔfrɛ eyi pronation wɔ aduruyɛ mu.

Fa no sɛ, wokura nsu toa wɔ wo nsam na worekyinkyim kyɛw no, te sɛ nea worekyekyere no denneennen.

Bere a wokura wo nsa saa no, oduruyɛfo no bɛtra w’anim anaa w’akyi na wamia wo nsa afi soro akosi ase . Ɔbɛka akyerɛ wo sɛ pia wo nsa kɔ soro tia saa nhyɛso no . Ɛno kyerɛ sɛ ɛnsɛ sɛ woma wo nsa kɔ fam.

Afei, oduruyɛfo no bɛka akyerɛ wo sɛ dan wo nsa kɔ ɔkwan foforo so. Ɛne sɛ, dan wo nsateaa kɔ soro, kɔ ɔdan no atifi . Afei wo nsateaa bɛdan akɔ fam. Wɔfrɛ eyi sɛ supination . Ɛte sɛ nea woretrɛw wo nsa mu na worebisa obi biribi.

Bio nso, bere a oduruyɛfo no mia wo nsa fi soro kosi ase no, ɛsɛ sɛ wopia wo nsa kɔ soro de hyɛ no so.

Dɛn na O'Brien nhwehwɛmu a "ɛyɛ papa" kyerɛ?

Okay, seesei a wɔayɛ nhwehwɛmu yi no, ɛbɛyɛ dɛn na oduruyɛfo no aka sɛ ɛyɛ ‘positive’ anaasɛ ‘negative’?

Wobu O’Brien nhwehwɛmu a ‘ɛyɛ papa’ sɛ:

• Wote ɛyaw nka wɔ wo mmati mu bere a oduruyɛfo no pia wo nsa bere a wodan wo nsa kɔ mu (i.e., wɔ gyinabea a edi kan no mu a wo nsateaa akɔ fam).
• Nanso, sɛ wodan wo nsa kɔ abɔnten (i.e., wɔ gyinabea a ɛto so abien a wo nsateaa hwɛ soro) na oduruyɛfo no piapia wo nsa a, .Saa ɛyaw no so bɛtew, anaasɛ ɛbɛyera mpo.

Akyinnye biara nni ho sɛ ɛsɛ sɛ ɛyaw no so tew wɔ saa gyinabea a ɛto so abien yi mu na ama O’Brien sɔhwɛ no ayɛ ‘adepa’.

Afei, oduruyɛfo no betumi anya adwene bi a egyina baabi a wɔte ɛyaw no nka so.

• Sɛ ɛyaw no wɔ mmati no mu tɔnn a, ɛda adi sɛ ɛbɛyɛ labral tear . Ɛtɔ da bi a, sɛ labral tear bi wɔ hɔ a, ebia wobɛte ‘click’ nnyigyei bi wɔ mmati no mu bere a wɔreyɛ sɔhwɛ yi.
• Sɛ ɛyaw no wɔ wo mmati atifi, bɛn honam ani , ebetumi ayɛ AC nkwaa ho asɛm bi ho sɛnkyerɛnne .

Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ma sɔhwɛ yi?

Ɛho nhia sɛ woyɛ ahosiesie titiriw biara na woayɛ O’Brien sɔhwɛ no, anaasɛ active compression sɔhwɛ no. Eyi yɛ sɔhwɛ a ɛyɛ mmerɛw yiye a wɔtaa yɛ wɔ oduruyɛfo adwumayɛbea.

Dɛn na ɛba wɔ O’Brien sɔhwɛ no akyi?

Sɛ wɔyɛ nhwehwɛmu no wie a, wo duruyɛfo no ne wo bɛkasa afa nea ebefi mu aba no ho. Ɛne sɛ, sɛ ebia sɔhwɛ no yɛ ‘positive’ anaasɛ ‘negative’, nea enti a na ɛte saa, nea ɛkyerɛ, ne nea ɛkeka ho Afei, sɛ wuhia sɔhwɛ foforo biara a, ɔbɛka akyerɛ wo.

O’Brien sɔhwɛ no yɛ nea wotumi de ho to so dɛn?

Afei ebia woresusuw ho sɛ, ‘So O’Brien sɔhwɛ yi yɛ nokware 100%?’ Nokwarem no, ɛtɔ mmere bi a nnipa a wɔn mmati yɛ apɔwmuden mpo betumi ayɛ active compression test a ‘ɛyɛ papa’ . Ɛno kyerɛ sɛ obi a onni ɛyaw biara mpo betumi ate ɛyaw nka wɔ saa kankyee a edi kan no mu.

Enti, O’Brien sɔhwɛ no yɛ adwinnade biako pɛ a oduruyɛfo de hwɛ mmati mu yaw. Ɛyɛ den sɛ yebegyina eyi nkutoo so aka nea yare no fi ankasa. Mpɛn pii no, wɔde nhwehwɛmu afoforo ka sɔhwɛ yi ho de hu yare no pɛpɛɛpɛ na edi mũ .

Bere tenten ahe na egye ansa na woanya O’Brien sɔhwɛ no mu aba?

Wubetumi ahu nea efii O’Brien sɔhwɛ no mu bae ntɛm ara efisɛ oduruyɛfo no ne wo reyɛ. Obetumi aka akyerɛ wo ntɛm ara sɛ ebia wote yaw anaasɛ ɛnte saa, ne bere a efii ase.

Nanso, sɛnea madi kan aka no, eyi yɛ anammɔn biako pɛ a wode bɛsɔ wo mmati mu yaw ahwɛ. Ebia wo duruyɛfo nso bɛkamfo nhwehwɛmu afoforo te sɛ:

• X-ray, CT scan, anaa MRI scan : Eyinom betumi atwa wo mmati mu mfonini de ahu sɛnea nnompe, ntini a ɛyɛ mmerɛw, ne ntini a ɛyɛ mmerɛw no te.
• Mogya mu nhwehwɛmu : Ɛtɔ mmere bi a, sɛ wohwɛ nnuru bi dodow a ɛwɔ wo mogya mu a, wubetumi ahu sɛ ebia wowɔ tebea bi te sɛ gout anaa ntini mu yare anaa .
• Mmati mu ntini mu nhwehwɛmu: Eyi yɛ oprehyɛn ketewaa bi. Wɔde mfoninitwa afiri bi fa baabi ketewaa bi a wɔatwa mu na wɔhwehwɛ mmati nkwaa no mu. Ɛtɔ mmere bi a wɔde eyi di dwuma de hu yare no ne ayaresa nso.

Fa nkrasɛm kɔ fie

Okay, enti mewɔ anidaso sɛ seesei woanya ntease pa wɔ O’Brien sɔhwɛ a yɛkaa ho asɛm nnɛ no ho.

Sɛ yɛbɛka no tiawa a, O’Brien sɔhwɛ no yɛ sɔhwɛ a ɛnyɛ den a oduruyɛfo betumi ayɛ de aboa ma wɔahu nea ɛde mmati mu yaw ba. Wɔtaa de hwɛ sɛ ebia labral tear anaa AC joint haw bi wɔ hɔ anaa.

Ɛwom sɛ eyi nkutoo ntumi nnya nsɛm a edi mũ biara de, nanso ebetumi aboa wo duruyɛfo ma wanya wo tebea no ho adwene. Sɛ wo nso worenya mmati mu yaw a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn na woayɛ nhwehwɛmu ne ayaresa a ɛho hia a worenbu w’ani ngu so. Afei wubetumi ho atɔ wo ntɛm.

` Mmati mu yaw, O'Brien sɔhwɛ, active compression sɔhwɛ, labrum tear, AC nkwaa mu yare, mmati mu nhwehwɛmu, SLAP tear