Ua haki anei kou pulima penei? E aʻo kākou e pili ana i ka haki ʻino o Barton!

ʻAuē, ua hāʻule anei ʻoe i kekahi wahi a ʻeha nui kou pulima? A i ʻole ua paʻa paha ʻoe i kahi mea e like me ka hāʻule ʻana mai kahi paikikala a ua ʻeha kou pulima? E noʻonoʻo, i loko o kahi kūlana e like me kēia, ʻaʻole wale ka iwi ma kou pulima e haki, akā i ka manawa like, ua hemo kahi hui ma ia wahi, a ua hoʻolei ʻia nā ʻāpana iwi ma ʻaneʻi a ma laila. ʻO ia ka mea a mākou e kapa nei he Barton Fracture, he haki paʻakikī iki. No ka mea hiki ke koʻikoʻi iki kēia, e kamaʻilio kākou e pili ana i nā kikoʻī, ʻae?

He aha maoli ka Barton Fracture?

I ka ʻōlelo maʻalahi, ʻo ka Barton Fracture ka wā e haki ai kahi hapa o kou pulima a hoʻoneʻe ʻia kekahi ʻāpana mai kona kūlana mua. I ka pololei, ʻo ka radius, ʻo ia ka iwi kokoke loa i ka pulima, ʻo ia ka mea e haki . Hoʻopili pū ʻia ia i ka hui pulima, no laila e kū mai kēia pilikia me kēlā hui.

Hana pinepine kēia i ka wā e kūlou ai ʻoe i kou lima, ʻo ia hoʻi kou pulima lima, a hāʻule me kou kaumaha ma kēlā ʻaoʻao. E noʻonoʻo, e holo ana ʻoe a paheʻe koke a kuʻi i kou lima ma ka honua, ʻo ia ka manawa e hiki ai kēia haki. ʻO ka ʻoiaʻiʻo, ʻo ka iwi radius ka iwi i haki pinepine ʻia i ko mākou lima. Ma keʻano holoʻokoʻa, he 20% wale nō o nā haki ʻē aʻe he haki radius!

Aia kekahi mau ʻano o nā haki Barton?

ʻAe, aia ʻelua ʻano nui o nā haki Barton, ma muli o ka ʻaoʻao i hoʻoneʻe ʻia ai ka ʻāpana iwi.

1. Ka Haʻihaʻi ʻana o Dorsal Barton: ʻO kēia ka wā e puka mai ai ka ʻāpana iwi haki ma ke kua o kou lima, kahi o ke kui. Hiki i kēia ke hana i kahi pehu liʻiliʻi e ʻike ʻia ma ke kua o kou lima.

2. ʻO ka haki ʻo Volar Barton (ʻike ʻia hoʻi ʻo Reverse Barton Fracture): ʻO kēia kahi e puka mai ai ka ʻāpana iwi haki i loko o kou lima. ʻO ka mea kupanaha, ʻo ia nā ʻano maʻamau o nā haki Barton reverse.

ʻO wai ka mea i ʻoi aku ka paʻakikī e loaʻa i nā Barton Fractures?

ʻOiaʻiʻo, hiki i kekahi ke loaʻa i kahi haki e like me kēia. No ka mea, ʻo wai ka mea ʻike i ka wā a pehea e hiki ai, ʻeā? Eia nō naʻe, e like me nā noiʻi, 70% o kēia mau haki Barton i hōʻike ʻia i waena o nā kāne ʻōpio . He mea maʻamau kēia i waena o nā limahana lima a i ʻole nā ​​​​mea holo kaʻa mokokaikala. Hiki ke hana ʻia kēia ʻeha ma ka wahi hana a i ʻole ma kahi ulia paikikala.

Eia kekahi, loaʻa iā ʻoe ka osteoporosis.Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo osteoporosis, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o kēia haki. ʻO ka osteoporosis kahi maʻi wale nō kahi e nāwaliwali ai nā iwi a maʻalahi hoʻi e haki. No laila, i ka wā e nāwaliwali ai nā iwi, hiki i kahi hāʻule liʻiliʻi ke hana i kahi pōʻino nui. ʻOi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia maʻi ma hope o 50 mau makahiki.

Pehea ka maʻamau o nā haki Barton?

ʻO kaʻoiaʻiʻo, he ʻano haki kakaʻikahi nā haki Barton. Nui nā ʻano haki ʻē aʻe, ʻoi aku ka maʻamau o ka pulima. No laila, ʻaʻole nā ​​​​haki pulima āpau he haki Barton.

He aha nā kumu nui o kēia kaʻawale ʻana?

ʻO ka hapa pinepine, ʻo ia hoʻi, ʻo ka hapa nui, ke kumu o kēia ma muli o ka hāʻule ʻana . E like me ka mea i ʻōlelo ʻia ma mua, hana ʻia kēia ke hāʻule ʻoe a pā kou lima i ka lepo. Eia kekahi, hiki ke loaʻa kēlā mau haki i nā ulia koʻikoʻi e like me nā ulia kaʻa a me nā ulia mokokaikala.

He aha nā hōʻailona o ka haki ʻana o Barton?

Ua like loa nā hōʻailona o ka haki ʻana o Barton me nā hōʻailona o nā haki ʻē aʻe o ka radius distal a mākou i kūkākūkā ai ma mua. Hiki iā ʻoe ke ʻike i nā mea e like me:

• ʻO ka palapū a me ka ʻeha a puni ka pulima: Ma hope o ka hāʻule ʻana, hiki i ka ʻāina ke lilo i uliuli a palapū.
• He pehu a puʻupuʻu paha ma ka ʻāpana pulima: Ke neʻe ka ʻāpana iwi, hiki ke pehu a ʻike ʻia e like me kahi puʻupuʻu.
• ʻAʻole hiki ke hoʻoneʻe i ka pulima me ka ʻeha ʻole: Hiki ke koʻikoʻi ka ʻeha a hiki ʻole iā ʻoe ke hoʻoneʻe i kou lima.
• Nā manamana lima maneʻo a ʻūlū paha: I kekahi manawa, inā he kaomi iki ma luna o nā aʻalolo, hiki i nā manamana lima ke manaʻo he maneʻo.
• Pehu: Hiki i ka pulima ke pehu loa.
• ʻEha nui o ka pulima lima: ʻO kēia ka hōʻailona nui. Hiki ke hoʻomanawanui ʻole i ka ʻeha.

E noʻonoʻo, inā hāʻule ʻoe i ka wā e pāʻani ana i ka cricket a hōʻeha i kou lima e like me kēia, ʻaʻole hiki iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā. No laila, he mea nui loa e ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i nā hōʻailona e like me kēia.

Pehea e ʻike ai nā kauka i ka haki ʻana o Barton?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, ​​pehea ko lākou koʻikoʻi, a pehea i loaʻa ai ka ʻeha. A laila, e kauoha ke kauka i kahi X-ray e ʻike inā he iwi haki kou a me ke ʻano o ka haki ʻana. Hiki i ka X-ray ke kōkua i ke kauka e ʻike:

• Aia kekahi mau iwi haki ʻē aʻe?
• Pehea ka mamao o nā ʻāpana iwi haki?
• Inā paha he ʻākala a laumania paha ka ʻili o ka iwi haki.

I kekahi manawa, e nānā i kou mau aʻalolo, nā ʻiʻo, a me nā ligaments no kekahi pohō.Hiki nō hoʻi ke hana ʻia kahi CT scan a i ʻole MRI .

Nā nīnau a ke kauka e nīnau aku ai iā ʻoe

• "ʻEhia kou ʻeha?"
• "Pehea ke koʻikoʻi o kou mau hōʻailona?"
• "Hiki iā ʻoe ke hoʻoluliluli i kou pulima?"
• "Pehea ʻoe i hōʻeha ai i kēia pulima lima?"
• "I ka manawa hea i hiki mai ai kēia ʻeha?"

E hiki i ke kauka ke hoʻomaopopo pololei i ke kūlana ma muli o kāu mau pane i nā nīnau e like me kēia.

Pehea ʻoe e mālama ai i kahi haki e like me kēia?

E kau mua kāu kauka i kahi ʻāpana palupalu ma kou pulima lima e pale aku ai i ka neʻe ʻana. A laila, e kuhikuhi ʻo ia iā ʻoe i kahi kauka ʻoki kino. Hoʻōla nā kauka ʻoki kino i nā ʻeha i nā iwi, nā ʻiʻo, nā tendon, a me nā ligament.

ʻO ka mea paha, pono ʻoe e hana i kahi ʻoki kino i kapa ʻia ʻo Open Reduction and Internal Fixation (ORIF) . He inoa paʻakikī paha kēia, akā ma nā huaʻōlelo maʻalahi, hana ia penei:

1. Hoʻemi Hāmama: Hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi ma ka ʻili, e ʻimi i nā ʻāpana iwi haʻihaʻi, a hoʻihoʻi iā lākou i ko lākou kūlana mua.

2. Hoʻopaʻa Kūloko: A laila, hoʻopaʻa ʻia nā ʻāpana iwi i lawe ʻia mai i kahi kūpono me ka hoʻohana ʻana i nā ʻāpana liʻiliʻi o ke uea (pine), nā koʻokoʻo, nā papa, nā wili, a pēlā aku. I kekahi manawa hiki ke hoʻohana pū ʻia kekahi o kēia mau mea.

No ka hōʻemi ʻana i ka ʻeha ma hope o kēia ʻoki kino, hiki i kāu kauka ke ʻōlelo aku e lawe i nā lāʻau ʻeha e like me ka acetaminophen (e.g. Tylenol®) a me ibuprofen (e.g. Advil®, Motrin®) .

ʻEhia ka lōʻihi o ka ho'ōla ʻana o kahi Barton Fracture?

Hiki ke ʻokoʻa kēia mai kēlā kanaka a kēia kanaka. Akā ma ke ʻano laulā,

• Inā ʻaʻohe ou hana ʻoki kino (ʻaʻole paha e pono i kekahi mau hihia, akā pono pinepine ke ʻoki kino no ka haki ʻana o Barton), pono ʻoe e kau i kahi ʻōpeʻapeʻa a puni kou pulima no kahi o ʻeono pule.
• ʻOiai ma hope o ke ʻoki ʻana, pono paha ʻoe e ʻaʻahu i ka plaster cast a i ʻole splint no kekahi manawa.
• Ma hope o kēlā, pono ʻoe e hana i ka hoʻoikaika kino , kahi e hoʻihoʻi mālie ai ʻoe i ka neʻe a me ka ikaika i kou pulima.

E hoʻomaka ʻoe e ʻoluʻolu i loko o kekahi mau mahina. Eia nō naʻe, hiki ke hala i hoʻokahi makahiki no kou lima e ho'ōla piha a loaʻa hou kona ikaika. No laila, he mea nui e hoʻomanawanui a komo i ka lāʻau lapaʻau. E hōʻoia e nīnau i kāu kauka i ka wā e hiki ai iā ʻoe ke hoʻomaka hou i ka hoʻoikaika kino a i ka wā e hiki ai iā ʻoe ke pāʻani i nā haʻuki pili e like me ka pôpeku a me ka hockey.

Pehea e hiki ai ke hoʻēmi ʻia kēia pilikia?

ʻAʻole hiki iā mākou ke wānana i ka wā a pehea e hiki mai ai kēia mau pōʻino. Akā hiki iā mākou ke akahele iki:

• E akahele loa i ka wā e pāʻani ana i nā haʻuki, hana lima, holo kaʻa mokokaikala, a piʻi paha i nā wahi kiʻekiʻe e like me nā alapiʻi.
• Inā nui kou pilikia no ka osteoporosis (ʻoi aku hoʻi inā ʻoi aku kou mau makahiki ma mua o 50), e hoʻoneʻe i nā mea hoʻoweliweli kuʻi i loko o kou home.
• Inā ʻoe e hoʻohana i ke koʻokoʻo a i ʻole ka mea hele wāwae, mai poina e hoʻohana mau iā lākou.

He aha ke kūlana ma hope o ka haki ʻana o Barton? (Manaʻo/Wānana)

ʻO ka nūhou maikaʻi, hiki i ka hapa nui o ka poʻe ke hoʻi i kā lākou hana maʻamau o kēlā me kēia lā ma hope o ka haki ʻana o ka Barton. Eia nō naʻe, pono ka manawa, ka mālama kūpono, a me ka hoʻōla kino kūpono.

He aha nā pilikia e hiki ke loaʻa ma hope o ke ʻoki kino?

I kekahi manawa, hiki ke loaʻa nā pilikia ma hope o ke ʻoki ʻana. Aia kahi manawa liʻiliʻi e hiki mai ana kēia mau mea ma hope o ke ʻoki ʻana no ka haki ʻana o Barton:

• ʻO ka Acute Compartment Syndrome (ACS): ʻO kēia ka wā e ʻoki ʻia ai ke kahe o ke koko i nā ʻāpana koʻikoʻi o ke kino. Hiki i kēia ke hōʻino i nā aʻalolo a me nā ʻiʻo. He pilikia kēia.
• Osteomyelitis: Inā he haki hāmama kou - ʻo ia hoʻi ua haki ka iwi ma o ka ʻili - ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o kahi maʻi.
• ʻO Carpal Tunnel Syndrome: Hiki ke loaʻa kēia ʻano inā ʻaʻole e ho'ōla pono ka pulima haki. Hiki iā ia ke hōʻeha, nāwaliwali, a me ka mae ʻana o ka ʻōpū. Akā aia nā lāʻau lapaʻau no kēia.
• ʻO ka Complex Regional Pain Syndrome (CRPS): He ʻano ʻeha loa kēia. Hana ʻia ia i ka wā e hoʻoulu nui ʻia ai nā aʻalolo ma hope o kahi ʻeha, e hoʻolilo ana iā lākou i hana hewa.
• Malunion: ʻO ke ʻano kēia, i ka wā e ho'ōla ai kou mau iwi haʻihaʻi, ʻaʻole lākou e kūpono a ua kū ʻole ke ʻano.
• ʻO nā pōʻino ʻē aʻe i nā ʻiʻo a puni: Hiki i nā iwi haʻihaʻi ke hōʻino i nā ʻiʻo a puni, nā kīʻaha koko, nā aʻalolo, nā ligaments, a me nā tendons.

Inā hopohopo ʻoe a i ʻole he hopohopo paha e pili ana i kēia mau pilikia, e kamaʻilio me kāu kauka. Aia nā lāʻau lapaʻau maikaʻi no kekahi mau mea.

He aha nā manawa kūpono loa e ʻike ai i ke kauka?

• Inā ʻoi aku kou mau makahiki ma mua o 50 a ua haki kou iwi, makemake paha kāu mea mālama ola kino mua e nānā iā ʻoe no ka osteoporosis. ʻO ka haki ʻana o ka iwi, ʻo ia hoʻi, ua nāwaliwali paha kou mau iwi.

I ka manawa hea ʻoe e pono ai e hele i ka ʻOihana Pōpilikia?

Inā manaʻo ʻoe ua haki kou pulima, ʻoi aku ka maikaʻi o ka hele koke ʻana i ka lumi pilikia kokoke loa . ʻOi loa aku inā:

• Inā nui loa kou ʻeha.
• Inā he ʻano ʻē kou pulima lima (me he mea lā ua kīnā ʻia).
• Inā he ʻeha ka pulima.
• Inā ua loli ke kala o kou mau manamana lima (e like me ka uliuli, keʻokeʻo, a i ʻole ka melemele).

Nā nīnau koʻikoʻi e nīnau aku i kāu kauka

Ke ʻike ʻoe i ke kauka, mai poina e nīnau i kēia mau nīnau:

• "Pono maoli anei au i ke ʻoki kino?"
• "He aha ke ʻano o ka haki i loaʻa iaʻu?"
• "Āhea e hiki ai iaʻu ke wehe i kuʻu plaster?"
• "Āhea e hiki ai iaʻu ke hoʻi i kaʻu mau hana maʻamau?"

ʻO ka mea nui e hoʻomanaʻo (Leka Lawe-Home)

E hoʻomanaʻo, inā hāʻule ʻoe me kou pulima i pelu ʻia, hiki ke haki kekahi hapa a hiki ke hemo kekahi hapa. ʻO ke ʻano kēia, loaʻa paha iā ʻoe kahi Barton Fracture. Inā like ke ʻano o ke ami me he mea lā ʻaʻole kūpono ia, he Barton Fracture paha ia. Hiki i nā kukuna X ke kōkua i nā kauka e hoʻoholo pono i ke ʻano o ka haki. I ka hapa nui o nā hihia, ʻo ke ʻoki ʻana ka lāʻau lapaʻau maikaʻi loa.

Inā loaʻa iā ʻoe nā hōʻailona o ka haki ʻana o Barton, e hele koke i ka lumi pilikia kokoke loa . Hiki ke mālama ʻia kēia mau haki, a inā mālama koke ʻia, hiki iā ʻoe ke hōʻemi i ka ʻeha a hoʻomaka koke i ka ho'ōla. Ke makemake nei iā ʻoe e ho'ōla koke!

ʻO ka haki ʻana o Barton, ka haki pulima, ka haki lima, ka ʻeha pulima, ke ʻoki iwi, ke ʻoki ORIF, ka ho'ōla ʻana o ka iwi