Koj puas tau tawg pob txha ze ntawm koj lub dab teg? Qhov no yuav yog "Chauffeur Fracture"!

Auj! Koj lub dab teg puas mob? Tej zaum nws tshwm sim thaum koj ntog, ntaus ib yam dab tsi, lossis raug ntaus hnyav rau tes? Txawm hais tias nws yuav zoo li yog qhov mob me me, qee zaum qhov mob no tuaj yeem yog qee yam loj dua. Hnub no peb yuav tham txog ib hom pob txha tshwj xeeb hauv lub dab teg. Qhov no hu ua "Chauffeur Fracture".

Qhov "Chauffeur Fracture" no yog dab tsi?

Hais yooj yim xwb, "Chauffeur Fracture" yog pob txha tawg ze koj lub dab teg. Hauv peb sab caj npab, txij ntawm lub luj tshib mus rau lub dab teg, muaj ob lub pob txha ntev tseem ceeb, puas yog? Ib qho yog radius thiab lwm qhov yog ulna . Peb hu ua "Chauffeur Fracture" thaum qhov kawg ntawm lub radius (uas cov kws kho mob hu ua radial styloid process) ntawm lub dab teg tawg.

Qhov no yog ib hom pob txha tawg hu ua "Distal Radius Fracture" . Uas yog, pob txha tawg ntawm qhov kawg qis ntawm pob txha "Radius", ze rau ntawm lub dab teg. Qhov tshwj xeeb yog, qhov "Shofer Fracture" no nthuav mus rau hauv pob qij txha dab teg . Cov kws kho mob hu qhov pob txha tawg uas hla mus rau hauv pob qij txha zoo li no ua "Intraarticular Fracture" . Koj puas nkag siab? Qhov ntawd txhais tau tias, nws tsis yog pob txha xwb, tab sis kuj yog pob qij txha thiab.

Qhov 'Shofer fracture' no muaj ntau lub npe hu ua. Tej zaum koj twb tau hnov ​​txog nws lawm:

• Qhov no kuj hu ua "Radial Styloid Fracture" .
• Kuj hu ua `(Hutchinson Fracture)` ,
• Tus mob no kuj tseem hu ua "Backfire Fracture" .

Leej twg yuav muaj feem ntau dua rau qhov "Shofer fracture" no?

Qhov tseeb, txhua tus neeg yeej muaj pob txha tawg zoo li no. Txawm li cas los xij, feem ntau, hom pob txha tawg "Distal Radius Fracture", uas yog, pob txha tawg "Radius" hauv thaj tsam dab teg, feem ntau pom muaj cov tub ntxhais hluas uas nquag ua haujlwm, lossis cov neeg hnub nyoog tshaj 65 xyoo. Qhov kev pheej hmoo no tshwj xeeb tshaj yog rau cov neeg laus uas muaj "Osteoporosis" (kab mob pob txha poob). Vim tias lawv cov pob txha tsis muaj zog me ntsis thiab tuaj yeem tawg yooj yim.

Tej zaum koj yuav xav tsis thoob thaum paub tias hom pob txha tawg no, hu ua "Distal Radius Fracture", yog hom pob txha tawg uas cov kws kho mob feem ntau kho hauv cov tebchaws zoo li Tebchaws Meskas. Nws suav txog 17% ntawm tag nrho cov pob txha tawg uas pom hauv chav kho mob ceev!

Vim li cas qhov no thiaj hu ua "Chauffeur Fracture"?

Lub npe no suab txawv me ntsis, puas yog? "Shofer" txhais tau tias cov tsav tsheb. Yog li nws tau lub npe ntawd li cas? Muaj ib zaj dab neeg me me tom qab nws.

Yav tas los, uas yog, thaum pib ntawm lub xyoo pua 20th, lub tsheb tsis tau pib los ntawm kev tig tus yuam sij zoo li tam sim no. Muaj ib lub crank-handle loj (ib tug pas nrig uas tig los ntawm tes) nyob rau pem hauv ntej ntawm lub tsheb. Lub cav tau pib los ntawm kev tig nws mus rau sab xis (mus rau sab xis).Xav txog seb cov tsav tsheb (cov neeg tsav tsheb) yuav tsum ua haujlwm ntau npaum li cas thaum lub sijhawm ntawd. Yog li, qee zaum, thaum lub cav 'pib', lub 'crank-handle' mam li rov qab los. Zoo li 'backfire'. Tom qab ntawd tus neeg uas tab tom tig lub crank mam li rov qab los ntawm lub dab teg, tawg lub taub hau ntawm '(Radius)' pob txha uas peb tau tham txog ua ntej.

Vim yog qhov xwm txheej no uas tus kws phais pob txha Fabkis Just Lucas-Championnière tau muab lub npe pob txha tawg no hu ua "Chauffeur's fracture," tej zaum vim nws yog ib qho uas ntau tus neeg tsav tsheb thaum lub sijhawm ntawd.

Dab tsi yog cov ua rau muaj "Shofer fracture"?

Qhov ua rau mob yog vim muaj kev raug mob hnyav rau lub dab teg. Qhov no tuaj yeem tshwm sim ntau txoj hauv kev:

• Poob nrog ib txhais tes ncab tawm: Thaum peb poob, peb ncav tes mus kov hauv av nrog peb txhais tes. Lub sijhawm ntawd, qhov hnyav ntawm tag nrho lub cev hla dhau lub dab teg, uas tuaj yeem ua rau hom pob txha tawg no. Txawm tias qhov kev plam me me thiab poob tuaj yeem ua rau qhov no.
• Ib qho ntaus hnyav rau sab nraub qaum (sab saud) ntawm lub dab teg: Qhov no tuaj yeem tshwm sim yog tias muaj ib yam dab tsi hnyav poob lossis ntaus koj qhov twg.
• Kev sib tsoo tsheb: Vim yog tej yam xws li tsoo lub kauj tsheb hauv kev sib tsoo tsheb.
• Kev raug mob hauv kev ua si: Qhov no tuaj yeem tshwm sim tshwj xeeb tshaj yog thaum ua si kis las sib chwv, xws li rugby thiab football. Nws kuj tuaj yeem tshwm sim yog tias koj ntog thaum caij skating lossis snowboarding.

Cov tsos mob ntawm "Schaufer pob txha tawg" yog dab tsi?

Yog tias koj muaj 'Shofer fracture', koj yuav pom cov tsos mob hauv qab no hauv koj lub dab teg:

• Cov qhov txhab: Tej zaum yuav muaj cov qhov txhab uas yog xiav los yog ntshav.
• Kev txav mus los tsawg: Nyuaj rau tig lub dab teg, tsa thiab txo nws lub dab teg.
• Mob hnyav: Qhov mob hnyav tshwj xeeb tshaj yog thaum txav tes lossis sim kov ib yam dab tsi.
• Kev o: Thaj chaw nyob ib puag ncig lub dab teg tuaj yeem o tuaj heev.
• Kev Mob: Nws mob thaum kov lossis nias.
• Cov tsos txawv txawv ntawm lub dab teg: Lub dab teg tej zaum yuav deformed, ncab, lossis muaj ib lub pob txawv txawv.

Yog koj muaj cov tsos mob no, koj yuav tsum mus ntsib kws kho mob tam sim ntawd. Tsis txhob kho koj tus kheej.

Koj paub qhov "Shofer fracture" li cas?

Thaum koj mus ntsib kws kho mob, lawv yuav xub nug koj txog koj cov tsos mob thiab lawv tshwm sim li cas. Tom qab ntawd lawv yuav kuaj koj lub dab teg thiab lwm qhov ntawm koj txhais tes seb puas muaj kev raug mob, o, lossis hloov pauv ntawm cov duab. Lawv kuj tseem yuav kuaj xyuas koj cov hlab ntsha hauv koj txhais tes thiab cov ntiv tes. Tsis tas li ntawd, lawv yuav ua cov kev kuaj hauv qab no:

• X-ray: Qhov no tuaj yeem qhia meej qhov twg pob txha tawg thiab nws tau tawg ua pes tsawg daim. Tus kws kho mob kuj tseem yuav piv qhov ntev ntawm cov pob txha radius hauv koj ob txhais caj npab.
• Kev luam theej duab CT lossis MRI:Cov no tuaj yeem ua pov thawj ntxiv txog qhov pob txha tawg thiab qhia meej meej seb puas muaj kev puas tsuaj rau cov leeg, cov leeg nqaij, lossis cov nqaij mos ib puag ncig. Tsis yog txhua tus neeg xav tau cov no, tab sis cov kev kuaj no tuaj yeem pab tau rau qee kis nyuaj.

Yuav kho qhov "Shofer fracture" li cas?

Lub hom phiaj tseem ceeb ntawm cov kws kho mob yog los kho cov pob txha tawg thiab khaws cia rau hauv qhov chaw kom txog thaum lawv kho tau zoo. Kev kho mob rau 'Schaufer fracture' tuaj yeem sib txawv ntawm ib tus neeg mus rau ib tus neeg. Nws nyob ntawm cov yam xws li:

• Qhov hnyav ntawm qhov tawg.
• Puas yog qhov raug mob ntawm koj txhais tes uas tseem tuav?
• Cov pob txha puas raug tsiv tawm ntawm qhov chaw uas lawv nyob?
• Koj qib kev ua ub ua no ib txwm muaj.
• koj lub hnub nyoog.
• Puas muaj lwm yam kev raug mob rau ob txhais ceg, thiab puas yuav ua rau muaj teeb meem ua haujlwm lossis ris hnyav nrog qhov kev raug mob no?

Muaj kev kho mob uas tsis yog phais thiab kev kho mob phais rau 'Shofer fractures.' Feem ntau, yuav tsum tau phais kom cov pob txha tawg no zoo.

Kev kho mob uas tsis yog phais:

• Kev Txo Qhov Mob Thiab Kev Ua Pob Txha Kaw: Tus kws kho mob yuav ua ib qho kev txiav rau hauv koj daim tawv nqaij thiab kho qhov pob txha tawg (tej zaum yuav ua rau mob me ntsis). Tom qab ntawd, yuav siv ib daim ntaub qhwv (ib qho kev txhawb nqa ib ntus uas tiv thaiv kev txav mus los) rau ob peb hnub. Thaum qhov o ploj mus lawm, yuav raug tshem tawm thiab yuav muab ib daim ntaub qhwv pob txha tso rau hauv. Koj yuav raug kuaj dua li ntawm ob mus rau peb lub lis piam thiab daim ntaub qhwv pob txha yuav raug hloov yog tias tsim nyog. Feem ntau daim ntaub qhwv pob txha yuav raug tshem tawm tag nrho li ntawm rau lub lis piam.

Kev phais mob:

• Kev Kho Sab Nraud: Hauv txoj kev kho mob no, tus kws kho mob yuav muab lub stabilizer ntxig rau hauv koj lub pob qij txha los ntawm kev siv cov hlau pins. Txoj kev kho mob no yog siv thaum ib lub cam khwb cia xwb tsis tuaj yeem tuav cov pob txha nyob rau hauv qhov chaw, lossis yog tias muaj ntau qhov raug mob hnyav.
• Kev Txo Qhov Qhib Txwv: Hauv txoj kev phais no, tus kws kho mob yuav ua ib qho kev phais me me thiab txav cov pob txha rov qab mus rau qhov chaw. Tom qab ntawd siv lub cuab yeej kho sab nraud los tuav lawv rau hauv qhov chaw. Txoj kev phais no yuav siv tau yog tias cov pob txha tsis sib dhos ntau tshaj 2 millimeters.
• Kev Qhib Qhov Kev Txo thiab Kev Kho Sab Hauv (ORIF): Qhov no yog qhov kev phais mob feem ntau rau qhov pob txha tawg Shofer. Tus kws phais yuav ua ib qho kev phais rau ntawm koj lub dab teg pem hauv ntej (sab uas peb hnov ​​lub plawv dhia - qhov volar), kho cov pob txha tawg, thiab siv ib daim hlau thiab cov ntsia hlau los tuav lawv rau hauv qhov chaw.Qee tus kws phais tam sim no siv cov thev naus laus zis luam ntawv 3D los tsim cov qauv ntawm cov pob txha cuam tshuam kom ua rau qhov kev phais raug dua.

Kev kho mob puas tuaj yeem ua rau muaj teeb meem lossis cov kev mob tshwm sim?

Cov teeb meem los ntawm kev kho mob yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Qhov teeb meem feem ntau yog ib qho mob hu ua "malunion", qhov twg pob txha kho tau txawv ntawm thaum nws kho thawj zaug. Qhov no tuaj yeem ua rau pob txha luv me ntsis, rub, lossis ntswj.

Lwm yam teeb meem uas pom tau muaj xws li:

• Mob Pob Qij Txha: Qhov no txhais tau tias o ntawm cov pob qij txha. Raws li lub sijhawm dhau mus, mob pob qij txha thiab mob nqaij tawv tuaj yeem tshwm sim.
• Nonunion: Qee zaum cov pob txha yuav tsis haum ua ke kom zoo.
• Kab Mob Plab Hauv Siab: Qhov no yog qhov txaus ntshai heev uas muaj kev nce siab hauv cov leeg nqaij caj npab. Qhov no yog qhov xwm txheej ceev.
• Mob Nyuaj Hauv Cheeb Tsam (CRPS): Qhov no ua rau mob thiab o heev.
• Kev kis kab mob: Muaj feem me me ntawm kev kis kab mob tshwm sim ntawm qhov chaw phais.
• Kev raug mob rau cov pob qij txha lossis cov leeg: Cov no kuj tuaj yeem raug puas tsuaj nrog rau qhov tawg.
• Cov kab mob ntawm cov hlab ntsha: Piv txwv li, cov mob xws li carpal tunnel syndrome tuaj yeem tshwm sim.
• Mob tas li, mob nqaij tawv, lossis tsis muaj peev xwm rov qab tau txav mus los tag nrho.
• Mob dab teg ulnar.

Kuv yuav zoo dua sai npaum li cas tom qab kho tas?

Lub sijhawm rov zoo txawv ntawm ib tus neeg mus rau ib tus neeg. Yog tias koj laus dua, lossis yog tias koj muaj lwm yam mob xws li osteoporosis lossis ntshav qab zib, nws yuav siv sijhawm ntev dua los rov zoo. Nws yog ib qho tseem ceeb uas yuav tsum ua siab ntev thiab ua raws li koj tus kws kho mob cov lus qhia.

Koj yuav ua li cas thiaj li txo tau qhov kev pheej hmoo ntawm "Schaufer fracture"?

Txawm hais tias qhov kev pheej hmoo ntawm hom pob txha tawg no tsis tuaj yeem tshem tawm tag nrho, muaj tej yam uas peb tuaj yeem ua tau los txo nws:

• Ua cov kev tawm dag zog uas siv zog hnyav: tej yam xws li kev taug kev, kev khiav qeeb qeeb, thiab kev seev cev. Tsis tas li ntawd, ua cov kev tawm dag zog uas siv zog hnyav: xws li kev tsa cov khoom hnyav. Cov no ua rau cov pob txha muaj zog.
• Noj zaub mov zoo uas muaj calcium thiab vitamin D ntau.
• Tiv thaiv lossis tswj kev mob pob txha tawg (pob txha poob): los ntawm kev noj zaub mov kom zoo, tawm dag zog, thiab noj tshuaj raws li koj tus kws kho mob tau hais yog tias tsim nyog.
• Tsum haus luam yeeb thiab siv cov khoom luam yeeb kiag li. Kev haus luam yeeb cuam tshuam rau kev kho pob txha.
• Qee cov tshuaj uas koj noj tuaj yeem cuam tshuam rau lub cev txoj kev nqus cov calcium thiab cov vitamins.Yog li ntawd, nrog koj tus kws kho mob tham txog cov tshuaj uas koj noj.
• Ua cov kauj ruam los tiv thaiv kev poob hauv tsev: tej yam xws li kev teeb tsa cov ntaiv thiab cov tuav hauv chav dej.
• Yog tias koj ua si kis las uas muaj kev cuam tshuam loj (xws li football, rugby), lossis koom nrog cov dej num xws li in-line skating lossis snowboarding, nco ntsoov hnav cov khoom tiv thaiv dab teg thiab lwm yam khoom siv tiv thaiv.

Yog tias koj muaj "Shofer fracture" koj yuav xav tau dab tsi?

Yog koj phais mob pob txha tawg 'Shofer', tus kws phais yuav muab ib daim ntaub qhwv rau ntawm koj lub dab teg li ob lub lis piam. Tom qab ntawd, thaum koj rov qab mus ntsib kws kho mob, nws yuav muab ib daim ntaub qhwv uas koj tshem tau rau koj hnav li plaub lub lis piam ntxiv.

Qhov 'Shofer fracture' tuaj yeem ua rau mob li ob peb hnub mus rau ob peb lub lis piam. Yuav kom txo qhov mob, koj tus kws kho mob yuav sau ntawv kom noj tshuaj tua kab mob xws li '(Ibuprofen)' lossis '(Acetaminophen)' . Yog tias qhov mob hnyav heev, yuav muaj tshuaj uas muaj zog dua.

Koj tus kws kho mob kuj tseem yuav qhia koj cov kev tawm dag zog yooj yim los pab koj txav koj lub dab teg thiab cov ntiv tes qeeb qeeb . Lawv kuj tseem yuav pom zoo kom siv kev kho lub cev kom pab koj rov qab muaj zog thiab txav tau hauv koj lub dab teg. Qhov no tseem ceeb heev.

Qhov no puas muaj peev xwm ua rau muaj teeb meem mus sij hawm ntev?

Tej zaum yuav muaj mob thiab mob dab teg mus txog ob xyoos . Kev kho lub cev tuaj yeem pab kho kom dab teg rov qab txav tau zoo tshaj plaws.

Feem ntau, koj tuaj yeem rov ua cov dej num me me xws li ua luam dej hauv ib lossis ob lub hlis tom qab tshem cov ntaub qhwv lossis tom qab phais. Nws yuav siv sijhawm li peb txog rau lub hlis los rov ua cov dej num hnyav dua xws li rugby thiab snowboarding.

Nws yuav siv sijhawm tsawg kawg ib xyoos los kho kom zoo. Rau qee tus neeg, tshwj xeeb tshaj yog:

• Yog tias qhov txhab mob hnyav heev,
• Yog koj muaj hnub nyoog tshaj 50 xyoo lawm ces
• Yog koj muaj mob pob qij txha (mob pob qij txha),

Kuj tseem yuav muaj mob mus tas li lossis mob txhav ntawm lub dab teg.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Txawm yog tom qab muab cov hlau nplaum los yog phais lawm los xij, yog tias koj tsis tuaj yeem txav koj cov ntiv tes vim o lossis mob hauv 24 teev, mus ntsib kws kho mob tam sim ntawd. Koj yuav tsum sim rov qab tau tag nrho cov kev txav mus los hauv koj cov ntiv tes sai li sai tau. Tsis tas li ntawd, nco ntsoov nrog koj tus kws kho mob tham raws li tau hais thaum lub sijhawm koj kho mob. Qhov no yuav pab txheeb xyuas txhua yam teeb meem uas yuav tshwm sim thaum koj rov zoo.

Cov Lus Qhia Txog Kev Coj Mus Tsev

Zoo, yog li tam sim no koj nkag siab lawm tias "Chauffeur Fracture" uas peb tau tham txog hnub no yog qhov tawg ntawm pob txha radius ze ntawm lub dab teg. Qhov no tuaj yeem tshwm sim los ntawm kev poob, kev sib tsoo, thiab lwm yam.

Qhov tseem ceeb tshaj plaws yog tsis txhob ntshai thaum koj raug mob zoo li no, tab sis nrhiav kev pab kho mob sai sai. Cov kws kho mob tuaj yeem kho cov pob txha tawg 'Shofer' no tau zoo los ntawm kev siv plaster, txuas cov khoom siv sab nraud, lossis phais.

Yog tias koj muaj teeb meem tom qab kev kho mob, nrog koj tus kws kho mob tham txog nws thiab tau txais cov tshuaj tsim nyog lossis kev kho lub cev. Txawm hais tias nws yuav siv sijhawm me ntsis, feem ntau cov neeg tuaj yeem rov qab ua lawv cov haujlwm ib txwm hauv ob peb lub hlis. Yog li, nws yog ib qho tseem ceeb kom ua siab ntev thiab ua raws li koj tus kws kho mob cov lus qhia thaum lub sijhawm kho mob! Xav kom koj rov zoo sai sai!

` Kev Pob Txha Ntawm Tus Neeg Tsav Tsheb, Kev Pob Txha Radial Styloid, Kev Pob Txha Dab teg, Kev Pob Txha Pob Txha, Mob Tes, Mob Dab teg, Kev Pob Txha Radius