Koj puas muaj mob zoo li no rau koj ceg? Cia peb tham txog Jones Fracture!

Koj puas tau muaj ib zaug koj tig koj ob txhais ceg lossis hnov ​​lub suab "tawg" ntawm sab nraud ntawm koj txhais taw thaum koj ua si kis las? Lub sijhawm ntawd, tej zaum koj yuav xav tias, "Ua cas ho muaj li no? " Tej zaum nws yog ib qho mob hu ua Jones fracture , uas peb yuav tham txog hnub no. Tsis txhob txhawj, peb yuav tham txog qhov no yooj yim, hauv txoj kev uas koj nkag siab tau.

Pob txha tawg hauv Jones yog dab tsi? Hais yooj yim xwb...

Hais yooj yim xwb, pob txha tawg hauv koj txhais taw yog pob txha tawg hauv koj txhais taw. Koj tus ntiv taw liab muaj pob txha ntev uas txuas rau koj txhais taw tas, puas yog? Qhov ntawd yog yam uas cov kws kho mob hu ua pob txha fifth metatarsal . Pob txha tawg hauv Jones yog pob txha tawg no.

Feem ntau qhov no tshwm sim thaum koj txhais taw tig mus rau hauv, thiab mam li muaj lub zog loj lossis kev nyuaj siab rau sab nraud ntawm koj txhais taw. Xav txog qhov xwm txheej uas koj cia li ntog koj txhais taw thaum koj khiav.

• Siv ko taw ntau dhau : xws li khiav ntawm av tawv thoob plaws hnub, lossis ua haujlwm uas yuav tsum sawv ntsug ntev.
• Kev raug mob hauv kev ua si : Cov no tuaj yeem tshwm sim tshwj xeeb tshaj yog hauv kev ua si dhia xws li basketball thiab volleyball, lossis hauv kev ua si uas hloov pauv sai xws li football thiab cricket.
• Kev Poob thiab Kev Ncua : Qhov no tuaj yeem tshwm sim los ntawm tej yam xws li kev poob ntaiv lossis kev npleem rau ntawm qhov chaw nplua thiab mam li tsaws rau hauv av.

Feem ntau, yuav tsum tau phais kom kho tau pob txha no kom zoo. Nws yuav siv sijhawm ob peb lub hlis kom zoo tag nrho.

Qhov txawv ntawm Jones fracture thiab avulsion fracture yog dab tsi?

Ob lub npe no yuav zoo li tsis meej pem me ntsis, tab sis lawv ob leeg tshwm sim hauv tib lub pob txha metatarsal thib tsib uas peb tau hais ua ntej. Txawm li cas los xij, muaj qhov sib txawv me me tab sis tseem ceeb ntawm ob qho pob txha tawg no.

Xav txog koj pob txha metatarsal thib tsib zoo li ib daim ntoo me me. Cov kws kho mob faib cov pob txha ua peb ntu, lossis 'zones'. Cov zones no pab cov kws kho mob nkag siab meej tias pob txha tawg qhov twg.

• Thaj Chaw 1: Qhov no yog thawj feem ntawm pob txha, ze ntawm nruab nrab ntawm ko taw. Cov pob txha tawg ntawm no hu ua avulsion fractures . Qee zaum lawv hu ua dancer fractures lossis pseudo-Jones fractures . Cov pob txha tawg no feem ntau tsis tas yuav phais. Lawv feem ntau kho tau li ob lub hlis nrog khau lossis cam khwb cia.

• Cheeb Tsam 2 (`Cheeb Tsam 2`):Qhov no yog ib feem ntawm pob txha uas nyob tom qab thaj tsam thawj zaug, nyob hauv nruab nrab ntawm pob txha. Yog xav kom meej meej, qhov no yog ib feem "ceg" ntawm pob txha uas los tom qab thaj tsam thawj zaug, uas zoo li "lub taub hau ". Cov pob txha tawg hauv thaj tsam thib ob no yog qhov peb hu ua 'Jones fracture'. Cov no feem ntau yuav tsum tau phais. Lawv yuav ua rau muaj teeb meem ntau dua li lwm cov pob txha tawg hauv ceg.

• Cheeb Tsam 3: Qhov no yog sab tod ntawm pob txha, qhov chaw uas nws txuas rau cov pob txha ntawm cov ntiv tes. Cov pob txha tawg hauv cheeb tsam no feem ntau hu ua kev tawg pob txha ntxhov siab, uas yog tshwm sim los ntawm kev nias tas li. Cov no siv sijhawm ntev dua los kho thiab qee zaum yuav tsum tau phais.

Cov npe no yuav zoo li ua rau koj tsis meej pem me ntsis. Tab sis tsis txhob txhawj. Yog tias koj tawg koj ceg qhov twg, thawj kauj ruam tseem ceeb tshaj plaws yog mus ntsib kws kho mob sai li sai tau. Tus kws kho mob yuav piav qhia koj hom pob txha tawg thiab yuav ua li cas txog nws.

Cov pob txha tawg hauv Jones feem ntau tshwm sim li cas? Leej twg yuav muaj feem mob tshaj?

Cov pob txha tawg ntawm Jones yog ib qho ntawm cov pob txha tawg uas feem ntau tshwm sim ntawm ko taw. Cov neeg ncaws pob, cov neeg seev cev, thiab cov neeg ua haujlwm uas yuav tsum tau sawv thiab taug kev tas hnub yog cov uas muaj feem yuav mob heev.

• Cov neeg ncaws pob (tshwj xeeb yog cov neeg uas ua si khiav thiab dhia kis las)
• Cov neeg seev cev
• Cov neeg uas sawv thiab taug kev ntev thaum ua haujlwm

Feem ntau, cov txiv neej hnub nyoog li ntawm 30 xyoo thiab cov poj niam hnub nyoog tshaj 70 xyoo yuav muaj feem mob pob txha tawg hauv Jones ntau dua li cov neeg nyob rau lwm pawg hnub nyoog.

Tsis tas li ntawd xwb, cov neeg uas muaj osteoporosis ( ib yam kab mob uas ua rau cov pob txha nyias) muaj feem yuav mob pob txha tawg hauv Jones, thiab lwm yam pob txha tawg.

Cov tsos mob ntawm Jones pob txha tawg yog dab tsi?

Yog tias koj muaj pob txha tawg hauv Jones, koj yuav muaj cov tsos mob zoo li:

• Mob hnyav heev: tshwj xeeb tshaj yog rau sab nraud ntawm ko taw.
• O.
• Mob (mob thaum kov lossis nias).
• Nyuaj siab taug kev li qub.
• Kev raug mob los yog xim ntawm daim tawv nqaij.
• Koj yuav pom ib lub pob lossis kev hloov pauv ntawm koj txhais taw ('deformity lossis bump').

Qhov pob txha tawg "displaced" Jones yog dab tsi?

Thaum koj mus ntsib kws kho mob, tej zaum koj yuav hnov ​​cov lus "displaced" lossis "non-displaced." Hais yooj yim xwb, "displaced fracture" yog thaum ob daim pob txha tawg tau txav mus sib nrug, ua rau muaj qhov sib txawv loj hauv nruab nrab. "non-displaced fracture"Qhov no txhais tau hais tias pob txha tawg lawm, tab sis ob daim pob txha tawg tsis tau txav ntau thiab tsis nyob hauv tib qho chaw. Feem ntau, "cov pob txha tawg uas ploj mus" yuav tsum tau phais. Cov pob txha tawg uas "tsis ploj mus" tej zaum yuav tsis tas yuav phais.

Cov ua rau pob txha tawg hauv Jones yog dab tsi?

Zoo li peb tau tham ua ntej lawm, pob txha tawg hauv Jones tshwm sim thaum koj ceg, tshwj xeeb tshaj yog thaum koj lub pob luj taws tsa thiab khoov, tam sim ntawd muaj kev cuam tshuam. Muaj ob peb yam tseem ceeb ua rau:

• Siv ntau dhau lawm: Taug kev tas li, khiav, lossis sawv ntawm cov chaw tawv. Piv txwv li, qee tus neeg muaj cov haujlwm uas yuav tsum tau sawv ntsug thoob plaws hnub, thiab lawv muaj kev pheej hmoo siab dua.
• Kev raug mob hauv kev ua si: Cov no tuaj yeem tshwm sim thaum dhia nce thiab nqis hauv kev ua si xws li basketball thiab volleyball, lossis thaum tig ceg sai sai hauv kev ua si xws li football, cricket, thiab netball. Cov kev raug mob no kuj tuaj yeem tshwm sim thaum ua si volleyball hauv peb cov zos.
• Kev ntog thiab plam: Cov no suav nrog kev ntog ntaiv hauv tsev, plam hauv qhov chaw ntub dej xws li chav dej, thiab tam sim ntawd ntaus koj txhais taw rau hauv pem teb.

Yuav kuaj mob pob txha tawg Jones li cas? ('Kev kuaj mob')

Koj tus kws kho mob yuav xub kuaj koj lub cev ("physical exam") ua ntej. Tom qab ntawd, lawv yuav xaj ntau qhov kev kuaj tshwj xeeb ("imaging tests") los xyuas seb koj cov pob txha zoo li cas.

Cov kev ntsuam xyuas no yog dab tsi?

• X-rays: X-ray tuaj yeem qhia meej meej seb koj puas muaj pob txha tawg hauv Jones lossis lwm pob txha tawg thiab puas muaj kev puas tsuaj ntau npaum li cas rau cov pob txha.
• Kev Ntsuas MRI (Magnetic Resonance Imaging - MRI): Qee zaum tus kws kho mob yuav tsum pom tag nrho qhov kev puas tsuaj rau cov pob txha thiab cov nqaij nyob ib puag ncig, xws li cov leeg thiab cov leeg. Thaum ntawd mam li ua kev ntsuas MRI.
• Kev thaij duab CT ('CT scan - Computed Tomography scan'): Yog tias koj xav tau phais, tus kws phais yuav xav tau daim duab meej heev ntawm kev puas tsuaj rau koj cov pob txha. Kev thaij duab CT tuaj yeem saib cov pob txha thiab cov nqaij nyob ib puag ncig kom meej dua li kev thaij duab X-ray.

Yuav kho qhov pob txha tawg ntawm Jones li cas?

Kev kho mob rau pob txha tawg hauv Jones nyob ntawm seb pob txha tawg hnyav npaum li cas. Txawm li cas los xij, cov pob txha tawg yuav tsum tau muab rov qab ua ke thiab kho kom zoo. Muaj ntau txoj kev kho mob uas cov kws kho mob siv los pab.

1. Kev Tiv Thaiv Kev Txav Mus Los

Yog tias qhov pob txha tawg tsis hnyav dhau, txhais tau tias cov pob txha tsis nyob deb dhau (tsis ploj mus), koj yuav tsum tau muab ib daim cam khwb cia lossis ib lub khau tshwj xeeb rau ntawm koj ceg. Qhov no yuav raug hnav li rau txog yim lub lis piam. Thaum lub sijhawm no, koj kuj tseem yuav tsum tau thaij duab X-ray kom paub tseeb tias pob txha kho tau zoo.

2. Kaw qhov txo qis

Yog tias pob txha tawg hnyav dua (tshwj xeeb tshaj yog tias lawv raug tshem tawm), ib txoj kev kho mob hu ua kev txo qis kaw yog siv los kho cov pob txha. Qhov no suav nrog ib txoj kev kho mob uas tsis yog phais uas tus kws kho mob tuav cov pob txha tawg los ntawm sab nraud ntawm koj lub cev, nias thiab rub lawv rov qab rau hauv qhov chaw. Qhov no ua tiav kom koj tsis hnov ​​​​​​mob, zoo li no:

• Muab tshuaj loog rau qhov chaw tawg tsuas yog kom loog xwb.
• Cov tshuaj sedatives raug muab los so kom txaus rau tag nrho lub cev.
• Qhov no ua tau raws li kev siv tshuaj loog dav dav.

Tom qab kaw qhov kev txo qis, tus kws kho mob yuav muab ib daim cam lossis khau looj plab hlaub rau ntawm koj ceg.

3. Kev phais pob txha tawg ntawm Jones

Yog tias pob txha tawg hnyav heev, yuav tsum tau phais. Tus kws phais yuav kho cov pob txha tawg kom sib dhos thiab kho kom lawv tsis txhob txav mus txog thaum lawv zoo. Qhov no hu ua kev kho sab hauv . Qhov no txhais tau tias tus kws phais yuav muab cov hlau cog rau hauv koj pob txha kom tuav nws rau hauv qhov chaw. Cov txheej txheem siv rau qhov no yog:

• Cov pas nrig: Ib tug pas nrig hlau uas muab ntxig rau hauv nruab nrab ntawm pob txha txij sab saud mus rau hauv qab.
• Cov Phaj thiab/lossis cov ntsia hlau: Cov phaj hlau thiab cov ntsia hlau uas muab ntxig rau hauv pob txha kom tuav cov pob txha ua ke.
• Cov koob thiab cov xov hlau: Cov no yog siv rau qhov twg muaj cov pob txha me dua li lwm yam kev kho. Lawv feem ntau raug muab tso nrog cov pas nrig lossis cov phaj.

Muaj ib txhia neeg muaj cov hlau cog rau hauv lawv lub cev mus tas lawv lub neej. Rau lwm tus, lawv yuav tsum tau phais kom tshem tawm tom qab pob txha kho zoo lawm.

4. Kev txuas pob txha

Yog tias koj qhov pob txha tawg hauv Jones raug tshem tawm loj heev, lossis yog tias pob txha tsis kho kom zoo, koj yuav tsum tau muaj pob txha txuas . Qhov no yog qhov chaw uas tus kws phais muab cov pob txha ntxiv rau hauv kom txuas koj cov pob txha tawg rov qab ua ke. Tom qab ntawd, cov pob txha raug kho nrog lub cuab yeej kho sab hauv kom txog thaum nws loj hlob rov qab. Cov pob txha txuas hauv qab no tuaj yeem ua tau:

• Los ntawm lwm qhov chaw ntawm koj lub cev - feem ntau yog sab saum toj ntawm koj lub pob txha duav.
• Los ntawm lwm tus neeg pub dawb ('tus neeg pub dawb sab nraud').
• Ib daim khoom hloov pauv cuav.

Kev phais pob txha tawg ntawm Jones feem ntau yog ua raws li kev kho mob sab nraud. Koj yuav tuaj yeem mus tsev tib hnub uas koj phais.

Tom qab phais lawm, koj ob txhais ceg yuav tsis txav mus los. Koj yuav tsum tau hnav khau looj plab hlaub lossis daim ntaub qhwv ua ntej koj thiaj li muab qhov hnyav rau nws thiab siv nws dua.

Cov tshuaj twg siv rau Jones pob txha tawg?

Qee cov tshuaj tua kab mob , xws li aspirin lossis ibuprofen, raug muab rau kom txo qhov mob.Kev los ntshav thiab lwm yam teeb meem tuaj yeem tshwm sim tom qab phais. Yog li ntawd, koj tus kws phais yuav qhia koj seb koj noj tau cov tshuaj dab tsi los txo qhov mob tom qab phais.

Cov teeb meem ntawm kev kho mob pob txha tawg hauv Jones yog dab tsi?

Cov teeb meem uas yuav tshwm sim tom qab phais pob txha tawg hauv Jones muaj xws li:

• Mob Hlwb Plawv Acute Compartment Syndrome (ACS): Yog tias qhov siab hauv cov leeg nqaij nce ntxiv thiab cov ntshav ntws mus rau cov nqaij tsis ntws lawm, cov leeg nqaij thiab cov hlab ntsha yuav raug puas tsuaj mus tas li.
• Malunion: Qhov no yog thaum cov pob txha tawg tsis sib dhos zoo thaum lawv kho, tab sis hloov chaw pib txav mus ua ke.
• Kev tsis sib koom ua ke: Qhov no yog qhov txaus ntshai tshaj plaws. Cov pob txha tsis rov qab los ua ke, lossis tsis haum ua ke kom zoo. Qhov kev pheej hmoo ntawm kev tsis sib koom ua ke yog siab dua rau Jones pob txha tawg dua li lwm cov pob txha tawg. Nws tau hais tias kwv yees li ib ntawm peb tus neeg yuav muaj tus mob no.
• Lwm yam kev puas tsuaj sab hauv: Pob txha tawg kuj tuaj yeem ua rau puas tsuaj rau cov leeg nqaij, cov hlab ntsha, cov hlab ntsha, cov leeg, thiab cov leeg nqaij.
• Kev tawg pob txha: Kev tawg pob txha hauv Jones yuav tawg dua li lwm cov pob txha tawg.

Cov tshuaj xws li NSAIDs kuj tseem tuaj yeem ua rau muaj qee qhov kev mob tshwm sim: los ntshav, mob plab, mob plab, thiab teeb meem plab hnyuv.

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

Tej zaum yuav siv sijhawm ob peb lub lis piam rau koj cov tsos mob kom ploj mus thiab kom koj taug kev tau dua. Nyob ntawm seb koj tau phais hom twg, koj yuav tsis muaj peev xwm muab qhov hnyav rau ntawm koj ceg li yim lub lis piam. Koj yuav maj mam ua haujlwm thiab taug kev tau dua. Koj yuav tsum rov qab ua tau koj cov dej num ib txwm, suav nrog kev ua si nawv, hauv 3-4 lub hlis.

Txawm li cas los xij, yog tias koj mob hnyav thiab tsis ploj mus, mus ntsib koj tus kws kho mob tam sim ntawd.

Kuv yuav tsum ua li cas thiaj li txo tau qhov kev pheej hmoo ntawm Jones pob txha tawg?

Ua raws li cov lus qhia yooj yim no kom tsis txhob muaj xwm txheej zoo li no:

• Hnav cov khoom siv kev nyab xeeb thaum lub sijhawm ua ub ua no lossis kev ua si.
• Khaws koj lub tsev thiab chaw ua haujlwm kom huv si, tsis txhob muaj cov khoom tsis tsim nyog thiab tej yam uas yuav cuam tshuam koj.
• Siv cov khoom siv tsim nyog (xws li ntaiv) thaum koj ncav tes mus rau tej yam siab hauv tsev. Tsis txhob nce mus rau saum cov rooj zaum lossis cov rooj kom ncav tes mus rau tej yam.
• Ua raws li kev noj zaub mov thiab kev tawm dag zog uas pab kom koj cov pob txha noj qab nyob zoo .
• Yog tias koj muaj hnub nyoog tshaj 50 xyoo, lossis yog tias muaj ib tug neeg hauv koj tsev neeg muaj mob pob txha tawg, nrog koj tus kws kho mob tham txog kev kuaj pob txha ceev .

Koj yuav ua li cas thiaj tiv thaiv tau qhov pob txha tawg ntawm Jones?

Tsis txhob siv koj txhais taw ntau dhau li ntau tau. Muab sijhawm rau koj lub cev so thiab rov zoo tom qab ua si hnyav. Yog tias koj siv lub cuab yeej taug kev lossis pas nrig los pab koj taug kev, tsis txhob sim taug kev yam tsis muaj lawv. Ceev faj heev thaum taug kev ntawm cov chaw tsis sib npaug, xws li cov xuab zeb.

Yog tias kuv pob txha tawg hauv Jones, yuav ua li cas?

Yog koj muaj pob txha tawg hauv Jones, koj tuaj yeem cia siab tias koj yuav zoo tag nrho. Txawm li cas los xij, koj yuav xav tau kev kho lub cev kom rov qab muaj zog thiab txav tau ntau yam hauv koj ob txhais ceg.

Yuav siv sijhawm ntev npaum li cas rau pob txha tawg hauv Jones kom zoo?

Qhov no nyob ntawm seb koj pob txha tawg hnyav npaum li cas thiab kev kho mob uas koj xav tau. Cov neeg feem coob siv sijhawm li peb txog plaub lub hlis los kho los ntawm pob txha tawg hauv Jones.

Yog tias koj muaj teeb meem xws li nonunion lossis refracture, koj lub sijhawm rov zoo yuav ntev dua. Tsis tas li ntawd, yog tias koj tau muaj pob txha grafting los kho koj qhov Jones fracture, nws yuav siv sijhawm ntev dua rau koj lub cev kom kho.

Kuv puas yuav mus tsis tau haujlwm/tsev kawm ntawv?

Yog tias koj tseem ua tau koj txoj haujlwm lossis kawm ntawv thaum koj txhais ceg tsis txav mus los, koj yuav tsis tas yuav tsum tsis txhob mus ua haujlwm lossis kawm ntawv.

Tham nrog koj tus kws phais lossis tus kws kho mob ua ntej rov pib ua ub ua no thaum koj lub sijhawm rov zoo.

Ib lo lus kawg txog Jones pob txha tawg ...

Qhov kev cia siab rau qhov mob pob txha tawg hauv Jones yog qhov zoo. Txawm tias koj tau phais lawm los xij, koj tuaj yeem rov zoo tag nrho.

Kuv yuav tsum mus rau chav kho mob ceev thaum twg?

Yog koj xav tias koj pob txha tawg los yog lwm yam pob txha tawg, koj yuav tsum mus ntsib kws kho mob sai li sai tau. Mus rau chav kho mob ceev tam sim ntawd yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no:

• Mob tsis taus.
• Yog tias koj tsis tuaj yeem txav ib feem ntawm lub cev uas koj ib txwm tuaj yeem txav mus los tau.
• Yog tias ib feem ntawm koj lub cev zoo li txawv txawv lossis zoo li tau tsiv tawm ntawm qhov chaw.
• Yog tias koj pom tau pob txha los ntawm koj daim tawv nqaij.
• o hnyav heev.
• Yog tias pom cov qhov txhab tshiab nrog rau lwm cov tsos mob no.

Yog koj raug xwm txheej loj (kev raug mob), mus rau tsev kho mob tam sim ntawd.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

• Kuv cov pob txha twg tawg lawm?
• Kuv puas muaj pob txha tawg hauv Jones, lossis lwm hom pob txha tawg ntawm pob txha metatarsal thib tsib?
• Kuv puas yuav tsum tau phais?
• Yuav siv sijhawm ntev npaum li cas thiaj kho tau?
• Kuv mam li pib ua ub ua no dua thaum twg?

Qhov pob txha tawg ntawm Jones tuaj yeem ua rau koj ntxhov siab me ntsis, tshwj xeeb tshaj yog tias koj tau ua si ib qho kev ua si uas koj nyiam thiab tam sim ntawd raug tso tseg rau ntau lub hlis. Tab sis nco ntsoov, txawm tias koj tau phais, qhov pob txha tawg ntawm Jones yog ib qho mob uas teb tau zoo rau kev kho mob, thiab koj tuaj yeem rov zoo tag nrho. Tham nrog koj tus kws kho mob txog seb koj tuaj yeem ua li cas kom koj cov pob txha muaj zog thiab noj qab haus huv, thiab tau txais kev kuaj pob txha tsis tu ncua yog tias koj muaj hnub nyoog tshaj 50 xyoo lossis yog tias ib tug neeg hauv koj tsev neeg muaj osteoporosis.

Pob txha tawg hauv Jones, pob txha tawg hauv ko taw, pob txha metatarsal, pob txha tawg, mob ko taw, raug mob thaum ua si nawv, kho pob txha