Ðe nètrɔ alɔ alo afɔ aɖe hegbã ƒu kpɔa? Mina míasrɔ̃ nu tso ‘Spiral Fracture’ sia si me afɔku le ŋu!

Oo nye Mawu, bu eŋu kpɔ ne èle bɔl ƒom alo nèle atrakpui aɖe dzi yim eye kasia wò afɔ tro le mɔ wɔnuku aɖe nu, si na nèse veve si womate ŋu ado dzi atsɔ o eye wòna màte ŋu aʋuʋu wò alɔ alo afɔ o! Ne nenemae la, ke ɖewohĩ nusi woyɔna be "spiral fracture" ɖe fu na wò. Esia nye gbagbã ƒomevi aɖe si nu sẽ ŋutɔ. Eyata egbea, mina míaƒo nu tso eŋu tsitotsito, abe ɖe nèle egblɔm na xɔ̃wò aɖe ene.

Nukae nye spiral fracture sia?

Kpuie ko la, ƒu ƒe gbagbã si woyɔna be spiral fracture nye wò ŋutilã ƒe gbagbã si dzɔna ne ŋusẽ aɖe si le ʋuʋum la gbã ƒu . Ele abe korkscrew si le kork ʋum ene. Ƒu ƒe gbagbãƒea kaka ɖe ƒua ŋu le ʋuʋudedi, alo gotagome. Woyɔa esiawo zi geɖe be `` gbagbã blibo`` . Esia fia be ƒua gbã keŋkeŋ le eve me.

Be nàse nya sia gɔme nyuie la, bu eŋu ale: Ne èmimi avɔ xɔdzo aɖe la, etrɔna ɖe titina, alo? Aleae ƒu ƒe gbagbã abe esia ene dzɔna ne wotsɔ ŋusẽ aɖe si le ƒu aɖe si wòtrɔ la de eme.

Ƒu ka ƒomevie esia ate ŋu adzɔ ɖe wo dzi?

Zi geɖe la, ƒu legbe siwo le ƒunukpeƒewo gblẽa nu le míaƒe ŋutilã me. Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• Femur (akɔtaƒu) .
• Afɔkpa ƒe ƒu (Tibia) .
• Ƒu sue bubu si le afɔkpodzi ƒe ƒu godo (`Fibula`) .
• Ƒu aɖe le afɔkpodzi ƒe nuto me (`Talus`) .
• Ƒu si tso míaƒe abɔta va ɖo míaƒe abɔta (`Humerus`) .
• Ƒu siwo le abɔta (`Radius` kple `Ulna`) .
• Ƒu suewo le asibidɛwo kple afɔbidɛwo me (`Phalanges` kple `Metacarpals`) .

Ne ƒu gbagbã alea la, zi geɖe la, ehiãna be woawɔ dɔ na ame. Ɣeyiɣi si woatsɔ ada dɔe la toa vovo le ƒu ƒomevi si gbã kple nusi gbɔ wòtso nu. Gake zi geɖe la, exɔa ɣleti geɖe hafi wòhayana keŋkeŋ.

Vovototo kae le spiral fracture kple ‘greenstick’ fracture dome?

Esiawo nye gbagbã ƒomevi evea siaa, gake woƒe nɔnɔmewo to vovo. Le ɖɔkta gome la, ŋkɔ siawo gblɔa alesi ƒua gbã, afisi wòle, kple alesi wòdzena le ŋutilãa me la na wò.

• Ƒu ƒe gbagbã nye ƒua ƒe gbagbã si wɔa atrakpui si le tsatsam. Esia dzɔna ne ŋusẽ gã aɖe le ƒu aɖe si wòtrɔna le anyidzedze, afɔku, alo kamedefefe ƒe abixɔxɔ ta. Bu eŋu abe ame aɖe si lé wò afɔ hele etrom esime nèle rugby ƒom ene.
• ` `Greenstick'' ƒe gbagbã nye ne ƒua bɔbɔ eye ʋuʋudedi sue aɖe le eme, gake megbã keŋkeŋ ɖe eve me o. Ðe nète kpɔ be yeatsɔ yeƒe asiwo agbã ati ƒuƒu, si nye fafɛ, kpɔa? Megbãna nyuie ɖe eve abe ati ƒuƒu ene o ɖe? Aleae wòle. ``Greenstick'' ƒe gbagbã siawo bɔ ɖe ɖevi suewo me wu.

Eyata aleke kee nèɖayɔe o, nu vevitɔe nye be nàyi ɖɔkta gbɔ ne ènya xɔ abi ko eye nàna woadoe kpɔ.

Kadodo kae le esia kple ‘Toddler Fracture’ si dzɔna le ɖevi suewo me dome?

‘Toddler Fracture’ nye ‘Spiral Fracture’ ƒe ƒomevi sue aɖe ŋutɔŋutɔ. Zi geɖe la, edzɔna ɖe ɖevi siwo mexɔ ƒe etɔ̃ haɖe o dzi. Abe alesi wòle le spiral gbagbã bubuwo gome ene la, ŋusẽ aɖe si le tsatsam gbɔe wòtsona, gake zi geɖe la, egblẽa nu le afɔkpodzi ƒe ƒu (‘Tibia’) ŋu . Ɣeaɖewoɣi la, esia ate ŋu adzɔ ne ɖevi kli nu hedze anyi esime wòle zɔzɔm alo le du dzi.

Aleke gbegbee ʋuʋudedi siawo bɔe?

Le nyateƒe me la, spiral fractures mebɔ nenema gbegbe o. Zi geɖe la, afɔku sesẽwo kple abixɔxɔ gbɔe wotsona, eyata womebɔna wu abi ƒomevi bubuwo o.

Amekawoe ate ŋu axɔ abi siawo ƒomevi?

Amesiame ate ŋu agbã ƒu, eye ƒu ƒe gbagbã ate ŋu adzɔ ɖe amesiame dzi. Zi geɖe la, afɔkuwo gbɔe nusiawo tsona. Gake ne èdze anyi enuenu la, anɔ eme be wò lãmeka sia ƒomevi adze dziwò. Azɔ hã, amesiwo ŋu ƒumeŋuɖui le la le afɔku gã aɖe me be woagbã ƒu ƒomevi ɖesiaɖe, siwo dome ƒu ƒe gbagbã le ʋuʋudedi me hã le.

Nukawoe nye spiral fracture ƒe dzesiwo?

Zi geɖe la, gbagbãdɔ sia ƒomevi ɖea dzesi siwo gbɔna fiana:

• Vevesese sesẽ
• Ʋuʋudedi aɖe
• Veviedodonu ne woka asi eŋu
• Ŋutilã ƒe akpa aɖe si woate ŋu aʋuʋu le dzɔdzɔme nu ƒe ŋutete manɔamesi
• Abi alo ŋutigbalẽ ƒe amadede ƒe tɔtrɔ
• Dzedzeme si gblẽ alo ƒunukpeƒetetedɔ si mesɔ o dzena le teƒe ma.

Nukae nye ‘Ʋu’ kple ‘Tutu’ ƒe ɖiɖiɖeme?

Wò ɖɔkta atsɔ wò gbagbãƒea ade hatsotso me be ‘woʋu’ alo ‘wotu’.

• Le ƒu gbagbã me la , wò ƒu gbãa ŋutigbalẽa. Esiawo xɔa ɣeyiɣi didi hafi wohayana, eye afɔku le eme be woaxɔ dɔlékuiwo kple kuxi bubuwo.
• Le ƒu gbagbã si wotu me la , ƒua gbãna gake megbãna to ŋutigbalẽa me o. Esia gakpɔtɔ nye nu sesẽ, gake kuxi siwo ate ŋu ado mo ɖa ƒe afɔkua le sue wu ne ʋu gbagbã le gaglãgbe.

Nukae nye gbagbã ‘si woɖe ɖa’?

‘Woɖe wo ɖa’ alo ‘womeɖe wo ɖa o’ nye nya siwo wò ɖɔkta azã atsɔ aɖɔ wò gbagbãƒea.

• Ƒu ƒe gbagbã si woɖe ɖa nye ne woɖe ƒu kakɛ siwo gbã la ɖa, si na dometsotso aɖe va ƒo xlã ƒu gbagbãa.
• Le ƒu gbagbã si womeɖe o me la, ƒua gakpɔtɔ gbãna, gake kakɛawo meʋuʋu fũu akpa be womele ɖeka o.

Zi geɖe la, ahiã be woawɔ dɔ na ame ƒe gbagbãƒe siwo woɖe ɖa.

Nukae hea ʋuʋudedi siawo vɛ?

Nu ɖesiaɖe si woaƒo si ana ƒu natrɔ ate ŋu ana ƒu nagbã alea. Zi geɖe la, wodzɔna ne woɖe wò alɔ, afɔ, alo ŋutilã ɖa le eƒe nɔnɔme si sɔ me zi ɖeka. Nusiwo gbɔ wòtsona zi geɖe dometɔ aɖewoe nye:

• Tsitsetse (e.g., gege ɖe atrakpui dzi, tso kɔkɔƒe) .
• Ʋufɔkuwo
• Kamedefefe me abixɔxɔ (e.g., bɔlƒoƒo, rugby, basketball) .
• Afɔku siwo dzɔna le dɔwɔƒe

Bu eŋu kpɔ ne ame aɖe ƒu du ƒo eƒe asi ɖe anyigba eye wòtrɔ eƒe ŋutilã ɖe akpa kemɛ la, ƒu aɖe si le esi ate ŋu agbã alea.

Aleke ɖɔkta awɔ anya ne spiral fracture nyuie?

Ðɔkta awɔ wò ŋutilã dodokpɔ gbã. Emegbe, woaɖe gbe be woado nɔnɔmetatawo kpɔ zi geɖe .

Dodokpɔ kawoe wole wɔwɔm na esia?

Le ŋutilãmedodokpɔa megbe la, woate ŋu awɔ dodokpɔ siawo dometɔ ɖeka alo esi wu nenema:

• X-ray: X-ray ate ŋu aɖee afia nenye be ƒu aɖe gbagbã, nenye be spiral alo ƒomevi bubue wònye, kple alesi gbegbe wògblẽ nu le eŋu.
• Magnetic resonance imaging (MRI): Wò ɖɔkta ate ŋu abia be woawɔ MRI-dɔdamɔnu. Esia ate ŋu ana míakpɔ nusiwo gblẽ le ƒuwo kple lãkusi siwo ƒo xlãe ŋu bliboe. Esia le vevie ŋutɔ be woakpɔe ɖa be nu gblẽ le lãmekawo, kadodoŋusẽwo, kple ŋutinuwo ŋu hã.
• CT scan: Ne ehiã be woawɔ dɔ na wò la, ahiã be wò ɖɔkta alo amekola nanya alesi tututu nu gblẽ le wò ƒuwo ŋu. CT-dɔdamɔnu ate ŋu aɖe wò ƒuwo kple lãmenugbagbevi siwo ƒo xlãe ƒe foto tsitotsito wu X-ray.

Aleke wowɔa atike na spiral fracture?

Atikewɔwɔ na wò spiral fracture nɔ te ɖe alesi ƒu gbagbã gbãtɔa nu sẽe kple ƒu ƒomevi si gbã dzi. Ele be ƒu gbagbãwo nahaya eye woagava kpe ɖe wo nɔewo ŋu. Le alesi wogblẽe kple nusi na wogbãe nu la, wò ɖɔkta ate ŋu azã atike vovovowo.

Mɔmaɖemaɖeɖenuŋu

Ne wò gbagbãƒea mesẽ akpa o, si fia be ƒu kakɛawo medidi boo tso wo nɔewo gbɔ o (`womeɖe wo ɖa o`) la, àte ŋu ahaya ne ètsɔ aŋe alo aŋe si wotsɔ ƒu gbe ko . Zi geɖe la, aŋe si wotsɔ blaa nu la nɔa anyi abe kwasiɖa etɔ̃ va ɖo atɔ̃ ene. Atike si wotsɔ ƒoa ƒui ate ŋu anɔ anyi eteƒe nadidi wu, zi geɖe la, kwasiɖa ade va ɖo enyi. Gake ahiã be nàgawɔ X-ray bubu be nàka ɖe edzi be ƒua le hayahayam nyuie.

Ƒu dzi ɖeɖe kpɔtɔ amekoko manɔmee (Closed Reduction) .

Le ƒu gbagbã siwo nu sẽ wu gome la, wozãa mɔnu aɖe si woyɔna be ‘closed reduction’ tsɔ gbugbɔa ƒuawo ɖoa wo nɔewo ŋu. Esia menye amekoko o. Ðɔktaa léa ƒu gbagbãawo hehea wo ɖe wo nɔƒe tso gota. Le dɔ sia wɔwɔ me la, woana nusiwo gbɔna la dometɔ ɖeka wò be wòakpe ɖe ŋuwò nàɖe vevesese dzi akpɔtɔ:

• Nutoa me atike si naa alɔ̃dɔdɔ ame ana teƒe si ƒo xlã aƒea ƒe gbagbã la natsi dzodzodzoe.
• Atike siwo naa ame ƒe dzi dzea eme be wòana ŋutilã bliboa naɖe dzi ɖi.
• Atike si naa alɔ̃dɔdɔ ame katã ana nàdɔ alɔ̃ le dɔwɔwɔ bliboa me.

Le ‘closed reduction’ sia megbe la, ɖɔktaa atsɔ aŋe alo aŋɔ aɖo ŋuwò.

Amekoko na spiral fractures

Le ƒu gbagbã siwo nu sẽ ŋutɔ gome la, ehiã be woawɔ dɔ nɛ. Amekolaa agbugbɔ wò ƒuwo aɖo wo nɔewo eye wòaɖɔ wo ɖo, ale be woate ŋu ahaya ɖekae. Zi geɖe la, wowɔa esia to ememe nusi wotsɔ blaa nu dzi . Esia fia be amekolaa ade ga kakɛwo wò ƒu me eye wòalée ɖe teƒea vaseɖe esime wòahaya. Ememe ƒe nuléle ƒomevi vovovowo li:

• Atikplɔwo: Atikplɔ si wotsɔ dea ƒua me, tso etame va se ɖe ete.
• Kplu kple gavi: Wozãa ga gbadzɛwo tsɔ léa ƒu kakɛawo ɖe wo nɔewo ŋu.
• Pin kple ka: Wozãa pin kple ka tsɔ léa ƒu kakɛ suewo ɖe wo nɔewo ŋu wu mɔ̃ bubu siwo wotsɔ léa ƒu ɖe wo nɔewo ŋu. Zi geɖe la, wozãa wo kpena ɖe atikplɔ alo agbawo ŋu.

Ame aɖewo nɔa agbe kple ga kakɛ siawo le woƒe ŋutilã me. Ele be woagawɔ dɔ na ame aɖewo be woaɖe wo ɖa.

Gomegome Fixation

Àte ŋu awɔ gotagome fixation hã . Amekolaa ade gavi alo gavi wò ƒu gbagbã si le wò ŋutilã ƒe akpa eveawo me eye wòatsɔ wo abla ɖe nusi lé wò ŋutilã ƒe gota alo akɔtaɖonu aɖe ŋu. Zi geɖe la, esia nyea ɣeyiɣi kpui aɖe ƒe dɔwɔwɔ. Wowɔa esia be wòana lãmeka si gbã la nali ke eye wòana ɣeyiɣi wòahaya hafi woawɔ ememe nusi wotsɔ blae.

Ƒuwo Dodo Ðe Ame Ŋu

Ne wò spiral fracture la ʋu le teƒe geɖe, alo ne ƒua mele hayahayam nyuie o la, ahiã be woado ƒu na wò . Amekolaa ade ƒu ƒe lãkusi bubuwo eme eye wòagatsɔ ƒu si gbã la ablae. Emegbe zi geɖe la, wotsɔa nusi wotsɔ blaa ememe la léa kakɛawo ɖe wo nɔewo ŋu vaseɖe esime ƒua gatsi ake. Woate ŋu axɔ lãkusi si woatsɔ ado ƒu sia tso teƒe vovovowo:

• Tso teƒe bubu le wò ŋutɔ wò ŋutilã dzi - zi geɖe la, le wò akɔtaƒu tame.
• Tso nunala bubu gbɔ (`gotagome nunala`).
• Nusi wotsɔ asi wɔe si wotsɔ ɖɔliae.

Zi geɖe la , amekoko na spiral fractures nyea dɔ si wowɔna le kɔdzi . Esia fia be le alesi wògbãe nu la, ele be nàte ŋu ayi aƒeme gbemagbe ke. Gake ne wowɔ dɔ na wò le ƒu si lolo wu, abe wò afɔkpodzi alo afɔkpodzi ene la, ahiã be nànɔ kɔdzi ŋkeke ɖeka alo eve.

Le amekoko vɔ megbe la, wodzudzɔa ƒu si gbã la. Ðewohĩ ahiã be nàdo akɔtaɖonu, aŋenu, alo aŋenu hafi agate ŋu atsɔ kpekpeme aɖo edzi alo azãe abe alesi nèzãe do ŋgɔ na eƒe gbagbã ene.

Atike kae wonana ɖe esia ta?

Vevesesenutsitike siwo womeƒlena le atikedzraƒe o abe aspirin alo ibuprofen (NSAIDs ) ene ate ŋu ana ʋu nado le ame ŋu eye wòahe kuxi bubuwo vɛ le amekoko megbe. Eyata wò amekola agblɔ atike siwo nàte ŋu ano atsɔ aɖe vevesese dzi akpɔtɔ le amekoko vɔ megbe na wò.

Kuxi kawoe ate ŋu ado mo ɖa le spiral fracture dada me?

Amekoko na spiral fracture ate ŋu ahe kuxiwo abe:

• Acute Compartment Syndrome (ACS): Nyaƒoɖeamenu si le lãmekawo me dzina ɖe edzi, ʋu ƒe sisi yia lãmekawo me nu tsona, eye lãmekawo kple lãmekawo ate ŋu agblẽ tegbee.
• Malunion: Ƒu gbagbã siwo mewɔ ɖeka nyuie ne wohaya o.
• Nonunion: Ƒuawo megatsina ɖekae keŋkeŋ eye womegatsina nyuie o.
• Ƒumeŋuɖui (Osteomyelitis): Ne ƒu ƒe gbagbã le ʋuʋu ɖi (afisi ƒua gbã to ŋutigbalẽa me) la, àte ŋu axɔ dɔlékui ƒe dɔléle.
• Nuveviwɔame bubuwo le ememe: Gbagbã ate ŋu agblẽ nu le lãmekawo, lãmekawo, ʋukawo, lãkusiwo, kple lãkusi siwo ƒo xlã teƒe si abi la ŋu.

Azɔ hã, NSAID-tikewo ate ŋu ahe nugbegblẽ le ame ŋu vɛ:

• Ʋu si le dodom
• Aɖuɖɔtoewo
• Dɔgbo ƒe vevesese
• Dɔgbo ƒe kuxiwo

Aleke gbegbee nye lãme asẽ le atikewɔwɔ vɔ megbe kpuie?

Ate ŋu axɔ kwasiɖa geɖe hafi wò dzesiawo nu nafa. Le amekoko si ƒomevi wòle be nàwɔ be nàdzra wò ƒu si le ʋuʋu ɖi kple ƒu si gbã la ɖo nu la, ele be nàgate ŋu aʋuʋu wò ŋutilã vivivi le kwasiɖa ʋɛ aɖewo megbe.

Vevietɔ: Ne èle veve sem vevie si dzi màte ŋu ado dzi atsɔ o eye medzo o la, yɔ wò ɖɔkta enumake.

Aleke míawɔ akpɔ mía ɖokui ta tso gbagbãƒe siawo tɔgbe me?

Wɔ ɖe dedienɔnɔ ŋuti aɖaŋuɖoɖo siawo dzi be nàɖe abixɔxɔ ƒe afɔkua dzi akpɔtɔ:

• Do wò zikpuimeka ɣesiaɣi ne èle ʋu kum.
• Do dedienɔnɔ ƒe dɔwɔnu siwo sɔ na dɔwɔna kple kamedefefe ɖesiaɖe.
• Na nu siwo mehiã o siwo ate ŋu ana wò alo ame bubuwo nakli nu la nanɔ wò aƒe kple dɔwɔƒe .
• Zã dɔwɔnu alo dɔwɔnu nyuiwo ɣesiaɣi ne èle nuwo kɔm tso aƒea me. Mègalia zikpuiwo, kplɔ̃wo, alo kplɔ̃wo dzi gbeɖe o.
• Wɔ ɖe nuɖuɖu kple kamedede ƒe ɖoɖo si akpe ɖe ŋuwò nàlé wò ƒuwo ƒe lãmesẽ me ɖe asi dzi .
• Ne èxɔ wu ƒe 50, alo ne ƒumeŋuɖui le wò ƒomea me tɔ aɖe ŋuNe nenemae la, ƒo nu kple wò ɖɔkta tso ƒu ƒe kpekpeme dodokpɔ ŋu.

Ðe woate ŋu axe mɔ ɖe spiral fracture nua?

Zi geɖe la, anyidzedze, afɔku, alo kamedefefe ƒe abixɔxɔ gbɔe ʋuʋudedi ƒe gbagbã tsona, eyata nu boo aɖeke meli woate ŋu awɔ atsɔ axe mɔ ɖe enu o. Gake dedienɔnɔ ƒe ɖoɖo siwo míeyɔ ɖe etame dzi wɔwɔ ate ŋu akpe ɖe ŋuwò nàɖe afɔkua dzi akpɔtɔ vie.

Nukae nàkpɔ mɔ na ne spiral fracture aɖe le ŋuwò?

Ne spiral fracture le ŋuwò la, àte ŋu akpɔ mɔ be yehaya bliboe.

Àhiã kamedede be ŋusẽ nagaɖo ŋuwò eye nàte ŋu aʋuʋu le ŋutilã ƒe akpa si xɔ abi la me.

Ɣeyiɣi didi kae wòaxɔ hafi esia nahaya?

Ɣeyiɣi si wòxɔ hafi nàhaya la nɔ te ɖe alesi wò gbagbãƒea ƒe sesẽme kple atikewɔwɔ si nèhiã dzi. Ame akpa gãtɔ xɔa ɣleti geɖe hafi hayana tso spiral fracture me.

Nu bubu geɖewo hã li siwo ate ŋu akpɔ ŋusẽ ɖe ɣeyiɣi didi si wòaxɔ hafi wò ŋutilã nahaya. Ðo dze kple wò ɖɔkta alo amekola tso ɣeyiɣi si sɔ na wò nɔnɔmea ŋu.

Màte ŋu ayi dɔme alo suku oa?

Wò abi tɔxɛwo kple ƒu gbagbãwoe afia ɣeyiɣi didi si nànɔ adzɔge tso dɔme, suku, kple dɔwɔna bubuwo gbɔ.

Esi nèle hayahayam la, ƒo nu kple wò amekola alo ɖɔkta hafi nàgadze kamedede ɖesiaɖe gɔme ake.

Mlɔeba ku ɖe spiral fracture aɖe ŋu...

Mɔkpɔkpɔ na spiral fractures akpa gãtɔ nyo. Ne wowɔ dɔ na wò gɔ̃ hã la, ele be nàhaya bliboe. Le alesi wò gbagbãƒea nu sẽe nu la, ahiã be nàƒo asa na nuwɔna aɖewo ne èhaya. Ƒo nu kple wò ɖɔkta alo amekola tso mɔ nyuitɔ siwo dzi nàto axe mɔ ɖe abixɔxɔ kple gbagbãƒewo nu le etsɔme ŋu.

Ɣekaɣie wòle be míayi kɔdzi kpata?

Ne èsusu be spiral fracture le ye ŋu – alo fracture bubu ɖesiaɖe – ele be nàkpɔ ɖɔkta enumake. Yi xɔ si me wowɔa dɔ kpata le ne dzesi siwo gbɔna dometɔ aɖe dze ŋuwò:

• Vevesese sesẽ.
• Ŋutilã ƒe akpa aɖe si woate ŋu aʋuʋu le dzɔdzɔme nu ƒe ŋutete manɔamesi.
• Ne ŋutilãa ƒe akpa aɖe ƒe dzedzeme trɔ ŋutɔ alo wòle dodom le eƒe nɔnɔme si sɔ me.
• Ne wò ƒuwo dzena to wò ŋutigbalẽ dzi.
• Tete.
• Ne abi yeyewo dzena kpe ɖe dzesi bubu siawo ŋu.

Ne èxɔ abi vevie (nuveviwɔame) la, yi xɔ si me wowɔa dɔ kpata le enumake.

Nya kawoe wòle be nàbia ɖɔktaa?

Ne èyi ɖɔkta gbɔ la, àte ŋu abia nya siawo tɔgbe:

• Ƒu kae wogbã?
• Ðe spiral fracture alo gbagbã ƒomevi bubu aɖe le ŋunyea?
• Ðe wòhiã be woawɔ dɔ nam?
• Ɣeyiɣi didi kae wòaxɔ hafi ahaya?
• Ɣekaɣie mate ŋu adze kamedede gɔme ake?

Spiral fractures nye abi dziŋɔ aɖe, gake wò ɖɔkta kple amekola ana nàgafɔ ɖe afɔ dzi kaba ale si nàte ŋui. Mègawɔ kaba be nàhaya o. Ðee afɔɖeɖe ɖeka ɖesiaɖe, eye nàna ɣeyiɣi ɖokuiwò be nàda gbe le eŋu. Ƒo nu kple wò ɖɔkta tso mɔ siwo dzi nàto ana wò ƒuwo nasẽ ahanɔ lãmesẽ me ŋu, eye nàdo ƒu ƒe kpekpeme kpɔ edziedzi ne èxɔ wu ƒe 50 alo ƒumeŋuɖui le wò ƒomea me.

Kpuie ko la (Gbedasi si Wotsɔ Yi Aƒeme) .

Spiral fracture nye ƒu gbagbã si me ƒu aɖe gbã to ŋusẽ aɖe si trɔna me. Ezɔna toa ƒua dzi abe koklozi ene. Zi geɖe la, anyidzedze kple kamedefefe ƒe afɔkuwo gbɔe nusiawo tsona. Dzesiawo ate ŋu anye vevesese sesẽ, vuvu, kple ŋutete manɔamesi. Atikewɔwɔa lɔ amekoko kple amekoko ɖe eme. Nu vevitɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne abi aɖe le ŋuwò abe esia ene. Ne wowɔ atike na wò nyuie eye nègbɔ ɖe eme la, àte ŋu ahaya bliboe. Eyata mègatsi dzodzodzoe o, gake mègahe ɖe megbe hã o!

` Ƒu gbagbã, spiral gbagbã, torsion gbagbã, ƒu ƒe dɔwɔwɔ, ƒu ƒe dɔyɔyɔ, afɔkuwo, kamedefefe me abixɔxɔ