Koj puas muaj pob txha tawg zoo li no hauv koj txhais tes? Cia peb kawm txog Monteggia Fracture!

Koj puas tau muaj xwm txheej nrog koj txhais tes thiab tus kws kho mob hais rau koj tias koj muaj 'Monteggia Fracture', uas txhais tau tias pob txha tawg? Los yog koj puas tau hnov ​​​​​​lo lus no qhov twg? Qhov no yog ib hom pob txha tawg uas nyuaj me ntsis. Nws tsis yog pob txha tawg hauv koj txhais tes xwb. Yog li, hnub no peb yuav tham txog qhov mob no hu ua 'Monteggia Fracture' hauv txoj kev yooj yim uas koj tuaj yeem nkag siab. Tsis muaj dab tsi yuav tsum ntshai, cia peb piav qhia txhua yam.

Qhov tawg Monteggia yog dab tsi?

Zoo, tam sim no cia peb saib seb 'Monteggia Fracture' yog dab tsi. Hais yooj yim xwb, nws yog qhov tawg hauv koj txhais caj npab. Lub xub pwg nyom yog ib feem ntawm koj txhais caj npab uas mus ntawm koj lub luj tshib mus rau koj lub dab teg. Qhov tawg tshwm sim ntawm qhov sib koom ua ke ntawm lub luj tshib.

Koj puas paub, muaj ob lub pob txha tseem ceeb hauv peb lub hauv pliaj.

• Ib qho yog pob txha ulna . Qhov no nyob rau sab hauv ntawm caj npab, ntawm sab uas koj tus ntiv tes xoo nyob (qhov tseeb, yog tias koj saib koj txhais tes nrog koj xib teg tig rau hauv qab, ulna nyob rau sab ntawm koj tus ntiv tes me. Qhov no yog qhov uas cov kws kho mob hu ua qhov chaw ntawm tes).
• Qhov thib ob yog pob txha radius . Qhov no nyob rau sab nraud ntawm sab caj npab, mus rau tus ntiv taw loj (thaum saib tes, raws li tau hais ua ntej).

Tam sim no, nrog qee lub zog muaj zog, koj pob txha ulna tawg ze ntawm lub luj tshib. Qhov tshwm sim yog tias lub pob qij txha tsis ruaj khov. Yog li, qhov kawg sab saud ntawm pob txha radius, qhov uas txuas rau lub luj tshib, txav mus los ntawm qhov chaw uas nws yuav tsum nyob. Hauv cov lus kho mob, qhov no hu ua "dislocation." Qhov ntawd yog qhov peb hu ua "Monteggia Fracture."

Nws yog ib qho tseem ceeb rau cov kws kho mob kom nkag siab tias qhov no nyuaj dua li pob txha tawg xwb. Vim tias nws ua rau lub pob qij txha ntawm lub luj tshib tsis ruaj khov, nws yuav tsum tau kev kho mob tshwj xeeb kom kho tau zoo. Yog tias ua tau, cov kws kho mob yuav muab cov pob txha rov qab rau hauv qhov chaw. Tab sis yog tias qhov ntawd ua tsis tau, lossis yog tias muaj kev puas tsuaj loj rau cov leeg, cov hlab ntsha, lossis cov hlab ntsha hauv koj lub pob qij txha, koj yuav tsum tau phais.

Qhov txawv ntawm Monteggia thiab Galeazzi pob txha tawg yog dab tsi?

Tej zaum koj kuj tau hnov ​​txog 'Galeazzi fracture'. Txawm hais tias ob qho no zoo li zoo sib xws, tab sis muaj qhov sib txawv. Ob qho no tuaj yeem tsis meej pem.

• Hauv qhov pob txha tawg Monteggia , koj pob txha ulna tawg ze ntawm lub pob qij txha luj tshib, ua rau sab saum toj ntawm pob txha radius tawm ntawm lub pob qij txha.
• Hauv Galeazzi pob txha tawg , koj pob txha radius tawg ze ntawm lub pob qij txha dab teg, thiab qhov kawg ntawm pob txha ulna tawm ntawm qhov pob qij txha ntawd.

Nov yog ib qho lus qhia me me kom nco ntsoov qhov no. Nws hu ua FROG hauv lus Askiv. Nws sawv cev rau Fractured Radius Of Galeazzi . Ces koj tuaj yeem nco ntsoov tias hauv Galeazzi, lub radius tawg lawm. Ces, nws yooj yim nco ntsoov tias hauv Monteggia, lub ulna tawg lawm, puas yog?

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

Ib tug neeg uas muaj pob txha tawg Monteggia feem ntau yuav mob hauv lub luj tshib . Koj yuav hnov ​​​​​​qhov tawg hauv peb feem ntawm koj txhais caj npab. Qhov chaw ntawd yuav o. Qee zaum koj tuaj yeem pom cov pob txha txav mus los, qee zaum koj tsis pom. Cov pob txha radius kuj mob.

Tej zaum koj kuj yuav hnov ​​​​​​tej yam zoo li:

• Zoo li nws nyuaj rau khoov lossis ncaj koj lub luj tshib (tsis tshua muaj peev xwm txav tau).
• Qee zaum, pob txha radius uas tawg lawm yuav rov qab mus rau nws qhov chaw qub.

Thaum kws kho mob kuaj koj, lawv kuj yuav nrhiav cov cim qhia tias koj raug mob ntawm cov hlab ntsha. Hauv cov xwm txheej zoo li no, tej yam zoo li no yuav tshwm sim:

• Ib qho kev xav tingling lossis kev xav zoo li cov ntsaum tau nkag mus rau hauv tes (paresthesia).
• Hnov ​​​​qhov tsis muaj zog ntawm sab caj npab lossis tes.
• Qhov mob uas kis los ntawm qhov chaw pob txha tawg.

Cov hlab ntsha twg tuaj yeem raug mob los ntawm Monteggia pob txha tawg?

Kev tawg pob txha Monteggia tuaj yeem ua rau koj lub paj hlwb radial lossis koj lub paj hlwb median puas tsuaj. Qhov kev raug mob feem ntau yog rau lub paj hlwb posterior interosseous (PIN), uas yog ib ceg ntawm lub paj hlwb radial. Yog tias cov paj hlwb no puas lawm, koj yuav muaj teeb meem ncab koj cov ntiv tes thiab tus ntiv tes xoo.

Qhov xov xwm zoo yog tias feem ntau, cov hlab ntsha puas tsuaj los ntawm Monteggia Fracture yog me me xwb ('neurapraxia'). Qhov no txhais tau tias cov hlab ntsha raug nias ib ntus. Qhov no feem ntau yuav kho nws tus kheej hauv ob peb lub hlis. Yog tias nws tsis kho, nws tuaj yeem kho tau los ntawm kev phais.

Dab tsi ua rau muaj pob txha tawg Monteggia?

Qhov no feem ntau yog los ntawm kev raug mob hnyav . Cov ua rau feem ntau yog:

• Koj ntog thaum koj tsa koj txhais tes tawm . Xav txog tias koj plam thaum koj khiav thiab koj txhais tes daig rau hauv av.
• Poob ntawm qhov siab kom lub luj tshib ntaus hauv av .
• Ib lub tshuab hnyav ncaj qha rau sab nraub qaum ntawm lub luj tshib .

Cov kws kho mob yuav paub qhov no li cas tiag?

Thaum koj muaj xwm txheej nrog koj txhais tes, tus kws kho mob yuav kuaj koj lub cev ua ntej. Tom qab ntawd lawv yuav thaij duab X-ray.Cov kev kuaj mob tiav lawm. Los ntawm kev kuaj lub cev, tus kws kho mob tau txais lub tswv yim ntawm yam yuav tsum nrhiav ntawm X-rays.

Yuav kom paub tseeb tias muaj Monteggia Fracture, koj yuav tsum tau thaij duab X-ray ntawm koj ob sab caj npab thiab lub luj tshib. Cov duab X- ray ntawm sab caj npab yuav qhia txog qhov tawg ntawm pob txha ulna. Cov duab X-ray ntawm lub luj tshib yuav qhia txog qhov radial head dislocation.

Txawm li cas los xij, ob qho tib si ulna fractures thiab radius fractures qee zaum yuav tsis pom tseeb heev . Yog li ntawd, lawv tuaj yeem yooj yim tsis pom. Cov mob no tuaj yeem nyuaj rau pom , tshwj xeeb tshaj yog rau cov menyuam yaus . Qee zaum qhov tawg me me uas nws tsis pom tseeb, lossis pob txha tsuas yog khoov me ntsis xwb. Lwm lub sijhawm, qhov tawg radius yuav rov qab mus rau qhov chaw ntawm nws tus kheej ua ntej koj mus ntsib kws kho mob. Yog li ntawd, kom paub tseeb tias nws yog 'Monteggia Fracture', koj yuav tsum tshuaj xyuas nws kom zoo zoo kom pom tias puas muaj pov thawj ntawm qhov tawg yav dhau los.

Yuav kho qhov pob txha tawg Monteggia li cas?

Kev kho mob rau pob txha tawg Monteggia txawv me ntsis ntawm kev kho pob txha tawg yooj yim. Qhov no yog vim nws cuam tshuam nrog kev sib koom ua ke. Thaum pob txha raug sib koom ua ke, cov ntaub so ntswg uas feem ntau tuav nws rau hauv qhov chaw raug ncab lossis dua. Txawm tias tom qab pob txha raug muab rov qab rau hauv qhov chaw, nws yuav siv sijhawm rau cov ntaub so ntswg no kom kho tau. Lub pob qij txha tseem tsis ruaj khov. Yog li ntawd, muaj lub sijhawm uas cov ntaub so ntswg yuav raug puas tsuaj dua, lossis pob txha yuav sib koom ua ke dua.

Yuav kom kho tau qhov 'Monteggia Fracture' kom zoo, cov hauv qab no yuav tsum tshwm sim:

• Cov pob txha ulna yuav tsum tau rov qab mus rau nws qhov chaw raug .
• Lub pob txha radius yuav tsum tau rov qab mus rau nws qhov chaw raug .
• Ob lub pob txha no yuav tsum tau khaws cia kom ruaj khov ntawm qhov sib tshuam kom txog thaum lawv kho tau zoo.

Yuav ua li no, cov kws kho mob feem ntau sim ua cov kev kho mob uas tsis tas kho mob ua ntej. Tsuas yog tias lawv tsis ua tiav lawv thiaj li yuav tsum phais. Qhov tseeb, feem ntau cov menyuam yaus tsis tas yuav phais, tab sis cov neeg laus feem ntau xav tau. Qhov laj thawj rau qhov no yog vim cov pob txha thiab cov nqaij ntawm cov menyuam yaus tseem tab tom loj hlob, yog li lawv yooj yim kho thiab kho sai. Cov pob txha hauv cov pob qij txha ntawm cov neeg laus yuav tsis zoo li qub yog tsis muaj kev pab, thiab lawv yuav tsis nyob hauv qhov chaw zoo.

Nov yog cov txheej txheem kho mob:

• Kev txo qis kaw:'Kev txo qis' txhais tau tias muab cov pob txha uas raug tshem tawm rov qab rau hauv qhov chaw. 'Kev txo qis kaw' txhais tau tias kho qhov pob qij txha tes yam tsis tas phais. Thaum twg ua tau, cov kws kho mob yuav sim ua qhov no ua ntej. Qhov no ua thaum koj nyob hauv qab tshuaj loog. Tom qab ntawd, koj yuav tsum hnav lub cast lossis splint los tuav cov pob txha kom ruaj khov kom txog thaum nws kho tau.
• Kev txo qhov qhib thiab kev kho sab hauv (ORIF): Yog tias kev txo qhov kaw tsis ua tau, qhov kev xaiv tom ntej yog phais (kev txo qhov qhib). Kev kho sab hauv suav nrog kev muab tag nrho cov pob txha rov qab rau hauv qhov chaw thiab tuav lawv rau hauv qhov chaw. Qee zaum, tus kws phais yuav tsum tau rov txuas cov pob txha ulna ua ntej muab lub radius rov qab rau hauv qhov chaw. Lwm cov nqaij uas puas lawm kuj yuav tsum tau kho lossis tshem tawm.

Yuav siv sijhawm ntev npaum li cas los kho qhov mob Monteggia?

Feem ntau cov neeg tuaj yeem rov qab mus ua ub ua no li qub tau hauv 8 txog 12 lub lis piam tom qab kev kho mob. Cov neeg ncaws pob thiab cov neeg uas muaj txoj haujlwm hnyav yuav siv sijhawm ntev dua.

Yog tias koj muaj qhov kaw qhov txhab, koj yuav tsum hnav ib daim ntaub qhwv li 6 txog 8 lub lis piam. Yog tias koj phais, koj yuav tsum hnav ib daim ntaub qhwv li 3 lub lis piam. Tom qab ntawd, koj yuav tsum ua kev kho mob ua haujlwm lossis kev kho lub cev rau ob peb lub lis piam kom rov qab tau qhov ywj pheej thiab ntau yam kev txav mus los hauv koj txhais tes.

Tom qab kho pob txha tawg Monteggia lawm, qhov xwm txheej zoo li cas?

Yog tias kuaj pom tias muaj mob raws sijhawm thiab kho kom zoo, feem ntau cov neeg yuav zoo rov qab los yam tsis muaj teeb meem loj. Txawm li cas los xij, vim tias qhov no yog qhov raug mob hnyav, nws tsis yog qhov txawv txawv uas yuav muaj kev mob ntawm lub luj tshib, mob tas li, thiab qaug zog tom qab kho. Kwv yees li 10% ntawm cov neeg muaj kev puas tsuaj rau cov hlab ntsha ib ntus, uas tuaj yeem kav ntev li ntau lub hlis.

Qhov tseem ceeb yog tias yog tias Monteggia Fracture tsis raug lees paub thiab tsis kho rau ob peb lub lis piam, nws nyuaj rau kho kom zoo. Nws kuj tseem tuaj yeem ua rau muaj kev puas tsuaj mus sij hawm ntev.

Thaum koj txhais caj npab tawg ze ntawm ib qho pob qij txha, nws yog ib qho tseem ceeb uas yuav tsum xav txog qhov ua tau tias qhov pob qij txha nws tus kheej yuav raug puas tsuaj. Nws nyuaj rau qhia thaum koj muaj ob qhov raug mob hauv tib qho chaw, ze ntawm tib qho pob qij txha. Txawm li cas los xij, yog tias koj cov tsos mob tseem ua rau koj ntxhov siab tom qab kev kho mob, tsis txhob tsuas yog tsis quav ntsej lawv. Mus ntsib koj tus kws kho mob dua. Lawv yuav ceev faj tsis txhob ncua kev kho mob kom zoo rau Monteggia pob txha tawg, es tsis txhob zam nws.

Tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

• Ib qho pob txha tawg Monteggia yog ib qho pob txha tawg uas pob txha ulna ntawm lub forearm tawg ntawm lub luj tshib, ua rau pob txha radius tawm ntawm qhov sib koom ua ke.
• Qhov no nyuaj dua li qhov tawg xwb, vim tias lub pob qij txha ntawm lub luj tshib yuav tsis ruaj khov.
• Qhov no tuaj yeem tshwm sim vim yog tej yam xws li ntog thiab raug ntaus ncaj qha rau lub luj tshib.
• Cov tsos mob tseem ceeb yog mob lub luj tshib, o, thiab tsis txav tau caj npab kom zoo. Kuj tseem muaj feem me me uas yuav ua rau cov hlab ntsha puas tsuaj.
• Yuav kom paub meej tias nws yog dab tsi, koj yuav tsum tau thaij duab X-ray ntawm koj lub hauv pliaj thiab lub luj tshib.
• Cov menyuam yaus feem ntau kho tau yam tsis tas phais, tab sis cov neeg laus yuav xav tau phais.
• Yog tias paub tus kab mob thaum ntxov thiab kho kom zoo, ces yuav zoo rov qab los tau. Yog tias qeeb, tej zaum yuav muaj teeb meem tshwm sim.
• Yog tias koj tseem muaj mob lossis tsis xis nyob tom qab kho tas, nco ntsoov mus ntsib kws kho mob.

Vam tias koj pom cov ntaub ntawv no muaj txiaj ntsig. Yog tias koj muaj lus nug dab tsi, tsis txhob yig nug koj tus kws kho mob. Nyob kom noj qab nyob zoo!

` Monteggia pob txha tawg, raug mob ntawm lub luj tshib, pob txha tawg, ulna, radius, pob txha tawg tes, phais mob