Loaʻa iā ʻoe kēia ʻano ʻeha ma kou wāwae? E kamaʻilio kākou e pili ana i ka Jones Fracture!

Ua wili koke anei ʻoe i kou wāwae a lohe paha i kahi leo "nahā" ma waho o kou wāwae i ka wā e pāʻani ana i nā haʻuki? I kēlā manawa, e noʻonoʻo paha ʻoe, "He aha ka mea i hana ʻia? " He kūlana paha ia i kapa ʻia he haki Jones , a mākou e kamaʻilio ai i kēia lā. Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka haki Jones? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo ka haki Jones he iwi haki ma kou wāwae. Loaʻa i kou manamana lima liʻiliʻi kahi iwi lōʻihi e pili ana i ke koena o kou wāwae, ʻeā? ʻO ia ka mea a nā kauka e kapa nei i ka iwi metatarsal ʻelima . ʻO ka haki Jones he haki i loko o kēia iwi.

ʻO ka maʻamau, hana ʻia kēia ke hoʻohuli ʻia kou wāwae i loko, a laila hoʻopili koke ʻia kahi ikaika nui a i ʻole ke kaomi ma waho o kou wāwae. E noʻonoʻo i kahi kūlana kahi e kuʻi koke ai ʻoe ma luna o kou wāwae i ka wā e holo ana.

• Ka hoʻohana nui ʻana i ka wāwae : e like me ka holo ʻana ma ka lepo paʻa i ka lā a pau, a i ʻole ka hana ʻana i kahi hana e pono ai ke kū no ka manawa lōʻihi.
• Nā ʻeha haʻuki : Hiki ke hana ʻia kēia mau mea ma nā haʻuki lele e like me ka basketball a me ka volleyball, a i ʻole ma nā haʻuki e hoʻololi koke i ke kuhikuhi e like me ka pôpeku a me ka cricket.
• Hāʻule a paheʻe : Hiki ke hana ʻia kēia mai nā mea e like me ka hāʻule ʻana i lalo i nā alapiʻi a i ʻole ka paheʻe ʻana ma luna o kahi ʻili paheʻe a hāʻule koke i ka honua.

I ka hapanui o nā hihia, pono ke ʻoki ʻana e ho'ōla pono i kēia iwi. Hiki ke hala kekahi mau mahina e ho'ōla piha ai.

He aha ka ʻokoʻa ma waena o ka haki Jones a me ka haki avulsion?

Me he mea lā he huikau iki kēia mau inoa ʻelua, akā aia lāua ʻelua ma ka iwi metatarsal ʻelima a mākou i ʻōlelo ai ma mua. Eia nō naʻe, aia kekahi mau ʻokoʻa liʻiliʻi akā koʻikoʻi ma waena o kēia mau haki ʻelua.

E noʻonoʻo i kou iwi metatarsal ʻelima e like me kahi ʻāpana lāʻau liʻiliʻi. Hoʻokaʻawale nā ​​​​kauka i ka iwi i ʻekolu mau ʻāpana, a i ʻole 'nā ʻāpana'. Kōkua kēia mau ʻāpana i ke kauka e hoʻomaopopo pono i kahi i haki ai ka iwi.

• ʻĀpana 1: ʻO kēia ka ʻāpana mua o ka iwi, kokoke i waenakonu o ka wāwae. Ua kapa ʻia nā haki ma ʻaneʻi he mau haki avulsion . I kekahi manawa ua kapa ʻia lākou he mau haki dancer a i ʻole nā ​​haki pseudo-Jones . ʻAʻole pono kēia mau haki i ke ʻoki kino. Hoʻōla pinepine lākou ma kahi o ʻelua mahina me kahi kāmaʻa a i ʻole ka hoʻolei.

• ʻĀpana 2 (`ʻĀpana 2`):ʻO kēia ka ʻāpana o ka iwi ma hope pono o ka ʻāpana mua, ma waenakonu pono o ka iwi. I ka pololei, ʻo kēia ka ʻāpana "kumu" o ka iwi ma hope o ka ʻāpana mua, e like me ke "poʻo ". ʻO nā haki ma kēia ʻāpana ʻelua ka mea a mākou e kapa ai he `Jones fracture`. Pono kēia i ke ʻoki kino. ʻOi aku ka nui o ka pilikia ma mua o nā haki ʻē aʻe ma ka wāwae.

• ʻĀpana 3: ʻO kēia kekahi ʻaoʻao o ka iwi, kahi e pili ai i nā iwi o nā manamana lima. ʻO nā haki ma kēia ʻāpana i kapa pinepine ʻia he mau haki stress, i hana ʻia e ke kaomi mau. ʻOi aku ka lōʻihi o ka ho'ōla ʻana o kēia mau mea a i kekahi manawa pono ke ʻoki ʻana.

Me he mea lā he mea huikau iki kēia mau inoa iā ʻoe. Akā, mai hopohopo. Inā haki kou wāwae i kekahi wahi, ʻo ka hana mua koʻikoʻi loa, ʻo ia ke ʻike koke i ke kauka. E wehewehe ke kauka i ke ʻano o ka haki āu i loaʻa ai a me ka mea e hana ai e pili ana i ia mea.

Pehea ka maʻamau o nā haki Jones? ʻO wai ka mea e loaʻa pinepine ai iā lākou?

ʻO nā haki wāwae ʻo Jones kekahi o nā haki maʻamau o ka wāwae. ʻO nā mea pāʻani, nā mea hula, a me nā poʻe e hana ana i nā hana e pono ai ke kū a me ka hele wāwae i ka lā a pau ka poʻe i pilikia nui.

• Nā mea pāʻani (ʻoi aku ka poʻe e pāʻani ana i nā haʻuki holo a me ka lele)
• Nā mea hula
• ʻO ka poʻe e kū a hele no ka manawa lōʻihi i ka wā e hana ana

ʻO ka mea maʻamau, ʻo nā kāne a puni ke 30 mau makahiki a me nā wahine ma luna o 70 mau makahiki he nui ka nui o ka hoʻomohala ʻana i nā haki Jones ma mua o ka poʻe o nā hui makahiki ʻē aʻe.

Eia kekahi, ʻo ka poʻe me ka osteoporosis ( kahi maʻi e hoʻomāmā ai i nā iwi) e piʻi aʻe ka pilikia o ka loaʻa ʻana o ka haki Jones, a me kekahi haki.

He aha nā hōʻailona o ka haki Jones?

Inā loaʻa iā ʻoe kahi haki Jones, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• ʻEha nui: ʻoi aku hoʻi ma waho o ka wāwae.
• Pehu.
• ʻO ke kaumaha (ʻeha ke hoʻopā ʻia a i ʻole ke kaomi ʻia).
• Ka paʻakikī o ka hele wāwae maʻamau.
• Ka palapū a i ʻole ke ʻano ʻeleʻele o ka ʻili.
• Hiki ke ʻike ʻia kahi puʻupuʻu kūikawā a i ʻole kahi loli o ke ʻano ma ka wāwae ('deformity or bump`).

He aha ka haki "neʻe ʻia" o Jones?

Ke hele ʻoe i ke kauka, lohe paha ʻoe i nā huaʻōlelo "displaced" a i ʻole "non-displaced." I ka ʻōlelo maʻalahi, ʻo ka "displaced fracture" ʻo ia ka wā i neʻe ai nā ʻāpana iwi ʻelua i haki, e waiho ana i kahi hakahaka nui ma waena. He "non-displaced fracture"ʻO ke ʻano kēia ua haki ka iwi, akā ʻaʻole i neʻe nui nā ʻāpana ʻelua i haki a ʻaʻole like ke kūlana. ʻO ka hapa nui, pono ke ʻoki ʻana i nā "haʻi i hoʻoneʻe ʻia". ʻAʻole paha e pono ke ʻoki ʻana i nā "haʻi i hoʻoneʻe ʻole ʻia".

He aha nā kumu nui o nā haki Jones?

E like me kā mākou i kūkākūkā ai ma mua, hiki mai kahi haki Jones i ka wā e loaʻa koke ai i kou wāwae, ʻoiai me kou kuʻekuʻe wāwae i hāpai ʻia a kūlou ʻia. Aia kekahi mau kumu nui:

• Hoʻohana nui ʻia: Ke hele wāwae mau nei, ka holo ʻana, a i ʻole ke kū ʻana ma luna o nā ʻili paʻakikī. Eia kekahi laʻana, he mau hana ko kekahi poʻe e koi ai iā lākou e kū i ka lā a pau, a ʻoi aku ka nui o ko lākou pilikia.
• Nā ʻeha haʻuki: Hiki ke loaʻa kēia mau mea i ka wā e lele ana i luna a i lalo i nā haʻuki e like me ka basketball a me ka volleyball, a i ʻole i ka wā e wili wikiwiki ai ka wāwae i nā haʻuki e like me ka pôpeku, cricket, a me ka netball. Hiki ke loaʻa kēia mau ʻano ʻeha i ka wā e pāʻani ana i ka volleyball ma ko mākou mau kauhale.
• Hāʻule a paheʻe: ʻO kēia ka hāʻule ʻana i lalo i nā alapiʻi ma ka home, ka paheʻe ʻana i kahi pulu e like me ka lua, a me ke kuʻi koke ʻana i kou wāwae ma ka papahele.

Pehea e ʻike ai i ka haki ʻana o Jones? (Diagnosis)

E nānā mua kāu kauka iā ʻoe ('hoʻokolohua kino'). A laila, e kauoha lākou i kekahi mau hoʻokolohua kūikawā ('nā hoʻokolohua kiʻi') e nānā i ke kūlana o kou mau iwi.

He aha kēia mau hoʻāʻo?

• Nā kukuna X: Hiki i kahi kukuna X ke hōʻike maopopo inā he haki Jones kou a he haki iwi ʻē aʻe paha a me ka nui o ka pōʻino i hana ʻia i nā iwi.
• MRI Scan (Magnetic Resonance Imaging - MRI): I kekahi manawa pono ke kauka e ʻike i ka nui o ka pōʻino i nā iwi a me nā ʻiʻo a puni, e like me nā ʻiʻo a me nā ligaments. ʻO ia ka manawa e hana ʻia ai kahi MRI scan.
• ʻO ke kiʻi CT scan (`CT scan - Computed Tomography scan`): Inā pono ʻoe e hana i ke ʻoki kino, pono ke kauka ʻoki kino i kahi kiʻi maopopo loa o ka pōʻino i kou mau iwi. Hiki i kahi CT scan ke nānā i nā iwi a me nā ʻiʻo a puni me nā kikoʻī ma mua o kahi X-ray.

Pehea e mālama ʻia ai ka haki ʻana o Jones?

ʻO ke ʻano o ka mālama ʻana no ka haki ʻana o Jones e pili ana i ke koʻikoʻi o ka haki. Eia nō naʻe, pono e hoʻihoʻi ʻia nā ʻāpana iwi haki a hoʻōla ʻia. Aia kekahi mau lāʻau lapaʻau a nā kauka e hoʻohana ai e kōkua.

1. Hoʻopaʻa ʻana

Inā ʻaʻole koʻikoʻi loa ka haki, ʻo ia hoʻi, ʻaʻole mamao loa nā ʻāpana iwi (ʻaʻole i hoʻoneʻe ʻia), pono ʻoe e kau i kahi ʻōpala a i ʻole kahi kāmaʻa kūikawā ma kou wāwae. E ʻaʻahu ʻia kēia no kahi o ʻeono a ʻewalu pule. I loko o kēia manawa, pono nō hoʻi ʻoe e lawe ʻia nā kukuna X e hōʻoia i ka ho'ōla pono ʻana o ka iwi.

2. Hoʻemi pani ʻia

No nā haki ʻoi aku ka koʻikoʻi (ʻoi aku hoʻi inā ua neʻe ʻia lākou), hoʻohana ʻia kahi hana i kapa ʻia he pani pani ʻia e hoʻoponopono hou i nā iwi. Pili kēia i kahi hana ʻoki ʻole kahi e paʻa ai ke kauka i nā ʻāpana iwi haʻihaʻi mai waho o kou kino, e kaomi ana a huki hou iā lākou i ko lākou wahi. Hana ʻia kēia i ʻole ʻoe e ʻeha, e like me kēia:

• Hāʻawi ʻia kahi anesthetic kūloko e hoʻomāno wale i ka wahi haki.
• Hāʻawi ʻia nā lāʻau hoʻomaha e hoʻomaha ai i ke kino holoʻokoʻa.
• Hiki ke hana i kēia ma lalo o ka anesthesia laulā.

Ma hope o ka hōʻemi pani ʻia, e kau ke kauka i kahi hoʻolei a kāmaʻa paha ma kou wāwae.

3. ʻO ke ʻoki ʻana i ka haki ʻo Jones

No nā haki koʻikoʻi loa, pono ke ʻoki kino. Hoʻoponopono hou ke kauka lapaʻau i nā ʻāpana iwi haki a hoʻoponopono iā lākou i ʻole lākou e neʻe a hiki i ko lākou ho'ōla ʻana. Ua kapa ʻia kēia he hoʻopaʻa kūloko . ʻO ke ʻano kēia, hoʻokomo ke kauka lapaʻau i nā mea hoʻokomo metala i loko o kou iwi e hoʻopaʻa iā ia ma kahi. ʻO nā ʻano hana i hoʻohana ʻia no kēia:

• Nā koʻokoʻo: He koʻokoʻo metala i hoʻokomo ʻia ma waenakonu o ka iwi mai luna a lalo.
• Nā papa a me/a i ʻole nā ​​wili: Nā papa hao a me nā kui i hoʻokomo ʻia i loko o ka iwi e hoʻopaʻa i nā ʻāpana iwi.
• Nā pine a me nā uea: Hoʻohana ʻia kēia mau mea ma kahi i loaʻa ai nā ʻāpana iwi liʻiliʻi ma mua o nā mea hoʻopaʻa ʻē aʻe. Hoʻokomo pinepine ʻia lākou me nā koʻokoʻo a i ʻole nā ​​​​papa.

Loaʻa i kekahi poʻe kēia mau mea hoʻokomo hao i loko o ko lākou kino no ke koena o ko lākou ola. No kekahi poʻe, pono lākou e hana i ke ʻoki ʻana e wehe iā lākou ma hope o ka ho'ōla ʻana o ka iwi.

4. Hoʻopili iwi

Inā ua neʻe nui kou haki Jones, a inā ʻaʻole e ho'ōla pono ana ka iwi, pono paha ʻoe e loaʻa kahi hoʻopili iwi . ʻO kēia kahi e hoʻokomo ai ke kauka lapaʻau i nā ʻiʻo iwi keu e hoʻohui hou i kou iwi haki. A laila, hoʻopaʻa ʻia ka iwi me kahi mea hoʻopaʻa kūloko a hiki i kona ulu hou ʻana. Hiki ke lawe ʻia nā hoʻopili iwi aʻe:

• Mai kahi ʻē aʻe ma kou kino ponoʻī - ʻo ka hapa pinepine ma luna o kou iwi ʻūhā.
• Mai kekahi mea hāʻawi aku (`mea hāʻawi waho`).
• He ʻāpana pani hana.

Hana pinepine ʻia nā ʻoki haki Jones ma ke ʻano he mau kaʻina hana outpatient. Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me ke ʻoki ʻana.

Ma hope o ke ʻoki ʻana, e paʻa ana kou wāwae. Pono ʻoe e komo i kahi kāmaʻa a i ʻole ka ʻaʻahu hoʻoheheʻe ma mua o kou kau ʻana i ke kaumaha ma luna a hoʻohana hou.

He aha nā lāʻau lapaʻau i hoʻohana ʻia no nā haki Jones?

Hāʻawi ʻia kekahi mau lāʻau ʻeha , e like me ka aspirin a i ʻole ibuprofen, e hōʻemi i ka ʻeha.Hiki ke loaʻa ke kahe koko a me nā pilikia ʻē aʻe ma hope o ke ʻoki ʻana. No laila, e haʻi aku kāu kauka ʻoki iā ʻoe i nā lāʻau lapaʻau hiki iā ʻoe ke lawe e hōʻemi i ka ʻeha ma hope o ke ʻoki ʻana.

He aha nā pilikia o ka mālama ʻana i ka haki Jones?

ʻO nā pilikia e hiki mai ana ma hope o ke ʻoki ʻana i ka haki ʻo Jones:

• ʻO ka Acute Compartment Syndrome (ACS): Inā piʻi ke kaomi i loko o ka ʻiʻo a pau ke kahe o ke koko i nā ʻiʻo, hiki ke hōʻino mau ʻia nā ʻiʻo a me nā aʻalolo.
• Malunion: ʻO kēia ka manawa e kū pono ʻole ai nā ʻāpana o kou iwi haʻihaʻi i ko lākou ho'ōla ʻana, akā hoʻomaka lākou e neʻe pū.
• ʻAʻole hui pū nā iwi, a ʻaʻole hoʻi e kūpono pono. ʻOi aku ka nui o ka pilikia o ka nonunion no nā haki Jones ma mua o nā haki ʻē aʻe. Ua ʻōlelo ʻia e loaʻa ana i hoʻokahi o kēlā me kēia kanaka ʻekolu kēia maʻi.
• ʻO nā pōʻino kūloko ʻē aʻe: Hiki i ka iwi haʻihaʻi ke hōʻino i nā ʻiʻo a puni, nā aʻalolo, nā kīʻaha koko, nā tendon, a me nā ligaments.
• Refracture: ʻOi aku ka nui o ka haki ʻana o ka haki ʻana o ka Jones ma mua o nā haki ʻē aʻe.

Hiki i nā lāʻau lapaʻau e like me NSAID ke hana i kekahi mau hopena ʻaoʻao: ke kahe ʻana o ke koko, nā ʻōpū ʻōpū, ka ʻeha ʻōpū, a me nā pilikia ʻōpū.

ʻEhia ka manawa e ʻoi aku ai koʻu maikaʻi ma hope o ka lāʻau lapaʻau?

He mau pule paha e emi ai kou mau hōʻailona a hiki iā ʻoe ke hele hou. Ma muli o ke ʻano o ke ʻoki kino āu i hana ai, ʻaʻole paha ʻoe e hiki ke kau i ke kaumaha ma kou wāwae no kahi o ʻewalu pule. E hiki mālie iā ʻoe ke hana a hele hou. Pono ʻoe e hiki ke hoʻi hou i kāu mau hana maʻamau a pau, me nā haʻuki, i loko o 3-4 mahina.

Eia nō naʻe, inā ʻoe e ʻike nei i ka ʻeha hiki ʻole ke hoʻomanawanui ʻia ʻaʻole e emi iho, e ʻike koke i kāu kauka.

He aha kaʻu e hana ai e hōʻemi i ka pilikia o ka haki ʻana o Jones?

E hahai i kēia mau ʻōlelo aʻoaʻo palekana maʻalahi e pale aku i ia mau pōpilikia:

• E komo i nā lako palekana kūpono i ka wā o kekahi hana a haʻuki paha.
• E mālama i kou home a me kāu wahi hana i maʻemaʻe, me ka ʻole o nā mea pono ʻole a me nā mea e hiki ke keʻakeʻa.
• E hoʻohana mau i nā lako kūpono (e like me ke alapiʻi) i ka wā e hiki ai i kahi mea kiʻekiʻe o ka hale. Mai piʻi i luna o nā noho a i ʻole nā ​​​​papa e hiki ai i nā mea.
• E hahai i kahi papaʻai a me ka hoʻolālā hoʻoikaika kino e kōkua ai e mālama i kou mau iwi i ke olakino .
• Inā ʻoi aku ʻoe ma mua o 50, a inā he osteoporosis kekahi o kou ʻohana, e kamaʻilio me kāu kauka e pili ana i kahi hoʻāʻo paʻa o ka iwi .

Pehea e hiki ai iā ʻoe ke pale aku i ka haki Jones?

Mai hoʻohana nui i kou mau wāwae i ka hiki. E hāʻawi i kou kino i ka manawa e hoʻomaha ai a hoʻōla ma hope o ka hana kino ikaika. Inā ʻoe e hoʻohana i kahi mea hele wāwae a i ʻole ke koʻokoʻo e kōkua iā ʻoe e hele, mai hoʻāʻo e hele me ka ʻole o lākou. E akahele loa i ka wā e hele ana ma luna o nā ʻili ʻole, e like me ke one.

He aha ka mea e hana ai inā loaʻa iaʻu kahi haki Jones?

Inā loaʻa iā ʻoe kahi haki Jones, hiki iā ʻoe ke manaʻo i ka hoʻōla piha ʻana. Eia nō naʻe, pono ʻoe i ka lāʻau lapaʻau kino e hoʻihoʻi i ka ikaika a me ke ʻano o ka neʻe ʻana i kou wāwae.

ʻEhia ka lōʻihi o ka ho'ōla ʻana o ka haki Jones?

Aia kēia i ke koʻikoʻi o kou haki a me ke ʻano lapaʻau āu e pono ai. ʻO ka hapa nui o ka poʻe e lawe ma kahi o ʻekolu a ʻehā mahina e ho'ōla ai mai kahi haki Jones.

Inā loaʻa iā ʻoe kahi pilikia e like me ka nonunion a i ʻole refracture, ʻoi aku ka lōʻihi o kou manawa hoʻōla. Eia kekahi, inā ua loaʻa iā ʻoe ke kāpili iwi e hoʻoponopono i kou haki Jones, e lōʻihi ka manawa e ho'ōla ai kou kino.

ʻAʻole hiki iaʻu ke hele i ka hana/kula?

Inā hiki iā ʻoe ke hana i kāu hana a i ʻole ke aʻo ʻana ʻoiai ua paʻa kou wāwae, ʻaʻole pono ʻoe e haʻalele i ka hele ʻana i ka hana a i ʻole ke kula.

E kamaʻilio me kāu kauka a kauka paha ma mua o ka hoʻomaka hou ʻana i kekahi hana kino i kou wā hoʻōla.

ʻO kahi huaʻōlelo hope loa e pili ana i ka haki ʻana o Jones ...

He maikaʻi ka manaʻo no ka haki ʻana o Jones. ʻOiai inā hana ʻia ʻoe i ke ʻoki ʻana, hiki iā ʻoe ke hoʻōla piha.

Āhea wau e hele ai i ka lumi pilikia?

Inā manaʻo ʻoe he haki Jones kou - a i ʻole kekahi haki iwi ʻē aʻe - pono ʻoe e ʻike i ke kauka i ka wā hikiwawe loa. E hele koke i ka lumi pilikia inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• ʻEha hiki ʻole ke hoʻomanawanui.
• Inā ʻaʻole hiki iā ʻoe ke hoʻoneʻe i kahi ʻāpana o ke kino hiki iā ʻoe ke hoʻoneʻe maʻamau.
• Inā he ʻano ʻē kekahi ʻāpana o kou kino a i ʻole ua neʻe aku ma kahi ʻē.
• Inā hiki iā ʻoe ke ʻike i ka iwi ma o kou ʻili.
• Pehu nui.
• Inā ʻike ʻia nā palapū hou me kēia mau hōʻailona ʻē aʻe.

Inā ua loaʻa iā ʻoe kahi ulia nui (trauma), e hele koke i ka haukapila.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

• ʻO wai o koʻu mau iwi i haki?
• He haki Jones koʻu, a i ʻole kekahi ʻano haki ʻē aʻe o ka iwi metatarsal ʻelima?
• E pono anei iaʻu ke ʻoki kino?
• ʻEhia ka lōʻihi e ho'ōla ai?
• Āhea e hiki ai iaʻu ke hoʻomaka hou i ka hana kino?

Hiki i ka haki ʻiʻo Jones ke lilo i mea hopohopo iki, ʻoiai inā ua pāʻani ʻoe i kahi haʻuki āu e makemake ai a ua hoʻokuʻu koke ʻia ʻoe no nā mahina. Akā e hoʻomanaʻo, ʻoiai inā loaʻa iā ʻoe ke ʻoki kino, ʻo ka haki ʻiʻo Jones kahi kūlana e pane maikaʻi ana i ka lāʻau lapaʻau, a hiki iā ʻoe ke ho'ōla piha. E kamaʻilio me kāu kauka e pili ana i ke ʻano e hiki ai iā ʻoe ke mālama i kou mau iwi i ikaika a olakino, a e loaʻa i nā hoʻokolohua mānoanoa o ka iwi maʻamau inā ʻoi aku ʻoe ma mua o 50 a inā he osteoporosis kekahi o kou ʻohana.

Haʻihaʻi Jones , haki wāwae, iwi metatarsal, haki iwi, ʻeha wāwae, nā ʻeha haʻuki, ho'ōla iwi