ʻO kēia anei ke kumu o ka ʻeha ma hope o kou kuʻekuʻe wāwae? E aʻo kākou e pili ana i (Os Trigonum Syndrome)!

Ua ʻike anei ʻoe i kahi ʻeha ʻē a ʻeha paha ma ke kua o kou kuʻekuʻe wāwae? Ke hoʻonui nei anei kēia ʻeha, ʻoiai ke hoʻāʻo ʻoe e kū ma luna o kou mau manamana wāwae, a i ʻole ke holo a lele paha ʻoe? Inā pēlā, ʻo ke kumuhana a mākou e kamaʻilio ai i kēia lā he mea nui loa ia iā ʻoe. Kāhea mākou i kēia maʻi ʻo `(Os Trigonum Syndrome)` . ʻOiai he ʻano ʻē iki ka inoa, he maʻi kēia e hiki ke loaʻa i kekahi poʻe.

He aha ka `(Os Trigonum Syndrome)`? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo `(Os Trigonum Syndrome)` he ʻeha e kū mai ana ma ke kua o kou kuʻekuʻe wāwae, ʻo ia hoʻi, ma ka hui kuʻekuʻe wāwae. ʻO ke kumu nui o kēia he ʻāpana iwi liʻiliʻi keu ma hope o ka iwi kuʻekuʻe wāwae (`(iwi talus)`). Ua kapa ʻia kēia iwi keu ʻo `(os trigonum)` . No laila, ʻo ka hoʻonohonoho o nā hōʻailona i hoʻokumu ʻia e kēia iwi ʻo ia ka mea a mākou e kapa nei ʻo `(Os Trigonum Syndrome)`. He maʻalahi loa, ʻeā?

Ua kapa ʻia kēia he mea ʻē aʻe, ua lohe paha ʻoe iā ia:

• `(Posterior ankle impingement syndrome)`: ʻO ke ʻano kēia he ʻūmiʻi a i ʻole ka impingement ma ke kua o ke kuʻekuʻe wāwae. ʻO `(Posterior)` ʻo ia hoʻi ma hope, ʻo `(impingement)` ʻo ia hoʻi ka impingement.
• ʻO ka maʻi impingement Hindfoot: ʻO ia hoʻi ke ʻano o kahi mea like, he kaomi ma ke kua o ka ʻūhā o ka wāwae.
• ʻO ka ʻano Nutcracker impingement`: He inoa ʻakaʻaka paha kēia, akā ʻo ia hoʻi, ua ʻomi ʻia ka iwi keu (`(os trigonum)`) ma nā ʻaoʻao ʻelua, e like me ka wā e uhaʻi ai mākou i ke apo, ua ʻomi ʻia ma nā ʻaoʻao ʻelua. ʻO ia ke kumu i kapa ʻia ai kēia.
• ʻO ka maʻi hoʻopili ʻana o ka tibiotalar hope loa (Posterior tibiotalar impingement syndrome)
• `(Talar compression syndrome)`

ʻO ka mea nui loa, ʻo kēia iwi keu i kapa ʻia ʻo `(os trigonum)` he mea hānau mai ia . ʻO ia hoʻi, hiki ke loaʻa kēia iwi i ka wā e hānau ʻia ai ke kanaka. Aia paha ma kekahi wāwae wale nō, a i ʻole ma nā wāwae ʻelua. Hoʻopili ʻia kēia iwi keu i ka iwi nui o ke kuʻekuʻe wāwae e kahi ʻiʻo mānoanoa i kapa ʻia ʻo `(cartilage)`. No laila, ʻaʻole ia e neʻe a puni. E noʻonoʻo, ma ka awelika, ma waena o 15% a me 30% o ka poʻe i loaʻa kēia iwi `(os trigonum)` . Akā, ʻo ka mea kupaianaha, ʻaʻole nā ​​​​kānaka a pau i loaʻa kēia iwi e hōʻike i nā hōʻailona. ʻAʻole ʻike ka nui o ka poʻe he nui he iwi keu ko lākou!

ʻO wai ka mea i ʻoi aku ka paʻakikī ke loaʻa i ka "Os Trigonum Syndrome"?

I mea e hōʻeha ai kēia iwi `(os trigonum)`, pono pinepine kekahi ʻano ʻeha (`(trauma)`) i ka ʻāpana kuʻekuʻe wāwae. ʻO ia hoʻi, kekahi mea e like me ka hāʻule koke ʻana a i ʻole ka ulia. A i ʻole, hiki ke hana ʻia kēia ʻano e ka `(repetitive stress)`, ʻo ia hoʻi ke kaomi pinepine ʻia ma ke kua o ke kuʻekuʻe wāwae .

Eia kekahi laʻana, e noʻonoʻo:

• Nā mea hula ballet : Kū pinepine lākou me ko lākou mau manamana wāwae i kuhikuhi ʻia i lalo, kahi e kau ai i ka nui o ke kaomi ma ke kua o ka kuʻekuʻe wāwae.
• Nā mea pāʻani pôpeku : Ke kīkēkē lākou i ka pōpō (nā haʻuki kīkēkē), kuhikuhi mau ko lākou mau wāwae i lalo.
• Nā mea holo/hele wāwae i lalo: Hoʻokomo pū lākou i ke kaomi hou aku ma ke kua o ka kuʻekuʻe wāwae me ka ʻike ʻole.

ʻO ka poʻe e komo ana i ia mau hana, ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka "Posterior ankle impingement" a i ʻole "Os Trigonum Syndrome".

No ke aha e kū mai ai ka ʻeha ma hope o ka kuʻekuʻe wāwae?

E like me kā mākou i kūkākūkā ai ma mua, ʻo ka "Os Trigonum Syndrome" ke loaʻa i kahi kanaka me kēlā iwi keu kahi ʻeha i kahi i hoʻopili ʻia ai kēlā iwi. Eia kekahi laʻana, kahi mea e like me ka kuʻekuʻe wāwae i haki .

Eia kekahi, hiki ke hana ʻia kēia e ke kaomi mau ʻana ma ke kuʻekuʻe wāwae. E noʻonoʻo:

• Ke kū mau ka mea hula ma luna o ka manamana wāwae.
• Ke kīkē mau nei ka mea pāʻani pôpeku i ka pōpō.
• Ke paʻi aku ka mea holo me kona wāwae (`(e paʻi ana i ke kua o ke kuʻekuʻe wāwae)`).

Ma muli o kahi ʻeha a i ʻole ka hoʻohana nui ʻana, hoʻomaka ka iwi keu e paʻi a huki paha mai kahi i hoʻopili ʻia ai. Hiki i kēia ke hoʻolōʻihi a haehae i nā ʻiʻo a puni. ʻO ia ka manawa e ʻike ʻia ai nā hōʻailona e like me ka mumū, ka pehu, a me ka ʻeha .

He aha nā hōʻailona o ka `(Os Trigonum Syndrome)`?

ʻO ka hapa nui o ka manawa, ʻo ka poʻe i loaʻa ka iwi "os trigonum" ʻaʻole lākou i ʻike e pili ana i ia mea, no ka mea, ʻaʻohe ia e hoʻopilikia ai.

Akā inā loaʻa iā ʻoe ka "Os Trigonum Syndrome", e ʻike paha ʻoe i nā hōʻailona e like me kēia ma ke kua o kou kuʻekuʻe wāwae:

• ʻEha : ʻIke ʻia ka ʻeha, ʻoiai ke kīkē ʻia kou manamana wāwae nui a i ʻole ke kuhikuhi ʻana i kou manamana wāwae i lalo.
• Hoʻemi ʻia ka laulā o ka neʻe ʻana : Lilo i mea paʻakikī ke hoʻoneʻe i ka wāwae i luna a i lalo me ke kūpono, a i ʻole mai kēlā ʻaoʻao a i kēia ʻaoʻao.
• ʻOʻoleʻa : Paʻa ke kuʻekuʻe wāwae.
• Pehu : Hiki ke pehu ke kua o ke kuʻekuʻe wāwae.
• ʻOluʻolu i ka pā ʻana: ʻEha nō hoʻi ke pā ʻia .

Hoʻololi kekahi poʻe i ke ʻano o ko lākou hele ʻana, holo ʻana, kīkēkē ʻana, a hula paha e pale aku i kēia ʻeha. I kekahi manawa hana lākou i kēia me ka ʻike, i kekahi manawa hana lākou me ka ʻike ʻole.

Eia nō naʻe, ke hoʻololi ʻia ke kūlana maoli o ka wāwae ma kēia ʻano, hiki ke loaʻa ka ʻoluʻolu ʻole a me ka ʻeha ma nā wahi ʻē aʻe o ke kino . No ka laʻana, hiki i kahi mea hula ballet me ka "Os Trigonum Syndrome" ke hoʻohuli i ka wāwae i loko a i waho paha i ke kū ʻana ma nā wēlau o nā manamana wāwae. Eia nō naʻe, i ka hala ʻana o ka manawa, hiki i kēia ke hōʻeha i nā manamana wāwae, nā wāwae, nā kuli, a i ʻole nā ​​​​pūhaka.

Pehea e ʻike ai nā kauka i ka Posterior Ankle Impingement?

Ke loaʻa iā ʻoe ka ʻeha kuʻekuʻe wāwae, e hahai ke kauka i kekahi mau ʻanuʻu e hoʻoholo ai inā loaʻa iā ʻoe kēia ʻano:

1. E nīnau ʻia ʻoe i nā nīnau : He aha kāu mau hōʻailona, ​​​​he aha nā hana e hōʻeha ai, a pēlā aku.

2.Ke kamaʻilio nei e pili ana i kou mōʻaukala olakino: nā ʻeha ma mua, nā maʻi ʻē aʻe.

3. E nānā i kou wāwae a me kou kuʻekuʻe wāwae : E kīkoʻo, kūlou, a hoʻohuli i kou wāwae e ʻike i ke ʻano o ka neʻe ʻana e hoʻoulu ai i ka ʻeha.

Hiki ke like nā hōʻailona o ka Os Trigonum Syndrome me nā kūlana ʻē aʻe, e like me ka ʻeha o ke aʻalolo Achilles a i ʻole ka haki ʻana o ka talus . No laila, e kauoha pinepine kāu kauka i nā hoʻokolohua kiʻi e hōʻoia i ke alo o Os Trigonum a e kāpae i nā kumu ʻē aʻe. Hiki i kēia mau mea ke komo pū me:

• Hoʻokolohua kukuna-X (`(Kukui-X)`)
• ʻIke MRI (`(MRI)`)
• ʻIke CT (`(ʻIke CT)`)
• Hoʻokolokolo Ultrasound (`(Ultrasound)`)

Hiki i kēia mau hoʻokolohua ke ʻike maopopo inā aia ka iwi keu a inā ua hōʻino ia i nā ʻiʻo a puni.

Pehea e mālama ʻia ai ka `(Posterior Ankle Impingement)`?

Hoʻomaka ka mālama ʻana no kēia ʻeha ma ke kua o ke kuʻekuʻe wāwae me nā ʻano hana maʻalahi loa, ʻaʻole me ke ʻoki ʻana. Hiki ke hana ʻia kēia mau lāʻau lapaʻau ma ke ʻano he hui pū ʻana:

• E hoʻomaha no kekahi mau lā mai nā hana e hoʻoulu ai i ka ʻeha.
• Nā hoʻomaʻamaʻa home a i ʻole ka hoʻōla kino : Hiki i kēia ke kōkua i ka hoʻoponopono ʻana i ke kūlana o ka kuʻekuʻe wāwae a hoʻoikaika i nā ʻiʻo o ka wāwae a me ka wāwae.
• Ke kau nei i ka hau i nā manawa he nui i ka lā : Hiki i kēia ke hōʻemi i ka pehu.
• Ke komo ʻana i kahi kāmaʻa hele wāwae kūikawā e kaupalena i ka neʻe ʻana o ka kuʻekuʻe wāwae : Kōkua kēia i ka ho'ōla ʻana o ka ʻeha.
• Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) : Hoʻēmi i ka ʻeha a me ka pehu.
• Nā inikini steroid : I kekahi manawa, inā ʻeha nui ka ʻeha, paipai nā kauka i kēia mau inikini.

Ua loaʻa i nā poʻe he nui ka hōʻoluʻolu me kēia mau lāʻau lapaʻau maʻalahi. Eia nō naʻe, inā ʻaʻole e hoʻomaikaʻi nā hōʻailona ma hope o kekahi mau mahina o ka lāʻau lapaʻau, ʻoiai inā he mea pāʻani ʻoe e komo mau ana i kahi hana, pono paha ke ʻoki ʻana.

ʻO ke ʻoki kino e pili ana i ka wehe ʻana i ka os trigonum a me nā ʻiʻo i hōʻino ʻia a puni. Hiki ke hana ʻia kēia ma ke ʻano arthroscopically (kahi hana kahi e hoʻokomo ʻia ai kahi kāmela a me nā mea kani ma o kekahi mau ʻoki liʻiliʻi) a i ʻole ma ke ʻano he ʻoki hāmama . ʻO ka manawa hoʻōla ma kahi o hoʻokahi mahina a ʻelua paha. Hiki i nā mea pāʻani ke hoʻi i ka hana haʻuki piha i loko o ʻeono mahina.

Pehea lā e pale aku ai i kēia `(Posterior Ankle Impingement)` mai ka hanana ʻana?

ʻOiaʻiʻo, ʻaʻohe ala e pale aku ai i ka hoʻokumu ʻia ʻana o kēlā iwi keu i kapa ʻia ʻo "os trigonum". He mea ia e kū nei i ka wā hānau. Akā inā loaʻa iā ʻoe kekahi (a ʻelua paha!), e makaʻala i nā ʻeha kuʻekuʻe wāwae, a e noho mamao aku mai nā hana e kuhikuhi mau ana i kou mau manamana wāwae i lalo , hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana o kēia maʻi.

He aha ke ʻano o ka wā e hiki mai ana e hiki i kekahi me ka `(Os Trigonum Syndrome)` ke manaʻo?

ʻAʻohe mea e makaʻu ai! Hoʻōla maikaʻi ka hapa nui o ka poʻe me ka `(Os Trigonum Syndrome)` me ka hoʻomaha a me ka lāʻau lapaʻau ʻole . Akā, hoʻokahi mea e hoʻomanaʻo ai, inā ʻoe e hoʻomau i ka hana i hoʻokumu i nā hōʻailona, ​​​​hiki ke ʻike hou ʻia nā hōʻailona. No laila, ʻoi aku ka maikaʻi o ka makaʻala iki.

Pehea e hiki ai iaʻu ke pale i koʻu mau kuʻekuʻe wāwae?

E hoʻomanaʻo i kēia mau mea liʻiliʻi e pale i kou kuʻekuʻe wāwae mai nā ʻeha:

• E ʻaʻahu i nā kāmaʻa kūpono no ka hana āu e hana nei. E hoʻolei aku i nā kāmaʻa kahiko a pau.
• E pale i nā wahi ʻaʻole like a i ʻole nā ​​​​​​wahi lua. No ka laʻana, nā pali iho i lalo i ka wā e holo ana, nā kahua ʻaʻole like a i ʻole nā ​​​​​​wahi lua i ka wā e pāʻani ana i ka pôpeku, a i ʻole nā ​​​​​​papahele haʻihaʻi i nā hale hula.
• Inā pinepine ʻoe e kuʻekuʻe wāwae i kou kuʻekuʻe wāwae, e noʻonoʻo e hoʻohana i kahi mea kākoʻo kūikawā a i ʻole lipine e hoʻopaʻa i kou kuʻekuʻe wāwae.
• E hoʻonui mālie i ka ikaika o kāu hoʻoikaika kino. Eia kekahi laʻana, inā ʻaʻole ʻoe i pāʻani pôpeku ma mua, mai hoʻomaka koke i ka pāʻani no ʻekolu hola i ka lā. E hoʻomaka liʻiliʻi a hoʻonui mālie i ka manawa a me ka ikaika.
• E aʻo a hoʻomaʻamaʻa i ke ʻano hana kūpono, ʻoiai i ka wā e holo ana, e kīkē ana i ka pōpō, a me ka hula ʻana.
• E hoʻolohe i kou kino. Inā ʻeha kekahi mea, e hoʻōki i ka hana ʻana.
• E hoʻomehana maikaʻi ma mua o kekahi hana kino, a e hoʻolōʻihi maikaʻi ma hope.

He aha ka ʻokoʻa ma waena o ka Anterior Ankle Impingement a me ka Posterior Ankle Impingement?

ʻOiai ʻo kēia mau mea ʻelua he mau ʻeha kuʻekuʻe wāwae, loaʻa lākou ma nā wahi ʻelua.

• ʻO ka maʻi hoʻopaʻa kuʻekuʻe wāwae hope (ka mea a mākou i kamaʻilio ai i kēia lā) e kū mai ana ma ke kua o kou kuʻekuʻe wāwae . Ke kuhikuhi ʻoe i kou wāwae i lalo, e ʻūmiʻi ʻia ka ʻiʻo ma kēia wahi a e hōʻeha ai. ʻO ka loaʻa ʻana o kēlā iwi keu i kapa ʻia ʻo ka os trigonum e hoʻonui i ka hiki ke loaʻa i kēia mau hōʻailona.
• ʻO ka maʻi hoʻopili ʻana o ke kuʻekuʻe wāwae mua e kū mai ana ma ke alo o kou kuʻekuʻe wāwae . Hoʻokumu ʻia ia e nā iwi spurs keu (bone spurs) e ulu ana ma ke alo o ka hui kuʻekuʻe wāwae, a i ʻole ka ʻaoʻao haʻahaʻa o ka iwi shin.

I ka ʻōlelo maʻalahi, ma ka "Posterior ankle impingement" hele mai ka ʻeha mai ke kua o ke kuʻekuʻe wāwae, a ma ka "Anterior ankle impingement" hele mai ka ʻeha mai ke alo o ke kuʻekuʻe wāwae.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO ka "Os Trigonum Syndrome" kahi maʻi e hōʻeha ai i ke kua o ke kuʻekuʻe wāwae. Hoʻokumu ʻia ia e kahi ʻāpana iwi keu i loaʻa i ka wā hānau. ʻO ia ka mea maʻamau i nā mea holo, nā mea hula, a me ka poʻe e pāʻani ana i nā haʻuki e like me ka pôpeku.

Inā loaʻa iā ʻoe kēia ʻano ʻeha kuʻekuʻe wāwae, e ʻike pono i ke kauka no ka ʻōlelo aʻo. A laila hiki iā ʻoe ke ʻike pono i nā lāʻau lapaʻau kūpono iā ʻoe a pehea e mālama ai i kēia ʻano. E hoʻomanaʻo, mai hoʻowahāwahā i kahi ʻeha liʻiliʻi!

E mālama i kou mau wāwae, e noho olakino!

ʻEha kuʻekuʻe wāwae, os trigonum, kuʻi ʻana o ke kuʻekuʻe wāwae hope, iwi keu, nā ʻeha haʻuki, ʻeha wāwae, hoʻōla kino