Yu gɛt pen na yu ni ɔ yu ɛlb? Lɛ wi lan bɔt dɛn (Valgus) ɛn (Varus) tɛst ya.

Sɔntɛnde, wi kin fil pen wantɛm wantɛm na wi ni ɔ wi ɛlb, nɔto so? Ɔ wi kin gɛt smɔl aksidɛnt lɛk fɔ slip ɛn fɔdɔm we wi de ple ɔ waka ɛn bigin fɔ fil pen na da say de. We yu go to dɔktɔ dɛn kayn tɛm dɛn de, i go du sɔm tɛst dɛn fɔ no wetin na yu injury ɛn usay di bad bad tin dɔn apin to yu. Tu impɔtant tɛst dɛm lɛk dis na di `(Valgus Stress Test)` ɛn di `(Varus Stress Test). Lɛ wi tɔk bɔt dɛn tin ya simpul wan.

Wetin na dɛn `(Valgus)` ɛn `(Varus)` tɛst ya? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, dɛn ``Valgus'' ɛn ``Varus'' strɛs tɛst ya na wan we we yu dɔktɔ de yuz fɔ no se di ligamɛnt dɛn we de na yu ni ɔ yu ɛlb dɔn pwɛl, mɔ di kolataral ligamɛnt dɛn.

Imajin se yu dɔktɔ de ol yu ni ɔ yu ɛlbo, de muv am bak ɛn biɛn, de prɛs yu fɔ si if yu fil ɛni pen ɔ ɛni ɔda tin we nɔ kɔmɔn. Dis na di men pat pan dis tɛst. Bɔku tɛm, dɛn kin du dɛn tɛst ya na yu ni ɛn ɛlbow. Bɔt nɔto ɔltɛm, dɛn kin tɛst yu an ɔ yu anklɛ dɛn bak.

Dɛn tɛst ya kin mɔs luk fɔ damej pan yu kolataral ligamɛnt dɛn . Wi ɔl gɛt dɛn kolataral ligamɛnt ya na wi ni ɛn ɛlb.

• na di insay pat pan di kכn, dat na di sayd we de fכs insay we dεn bכn di tu leg dεm tכgeda, wan ligament de we dεn kכl `(MCL - Medial Collateral Ligament)`. semweso, dis `(MCL)` de na di sayd fכ di εlbo we de nia di insay pat na di bכdi.
• na di כdasay na di kכn, dat na di sayd we de kכmכt we di lεg dεm de apat, wan ligament de we dεn kכl `(LCL - Lateral Collateral Ligament)`. dis `(LCL)` de tu na di כdasay na di εlbo.

Dɛn `(Valgus)` ɛn `(Varus)` tɛst ya na simpul tɛst we dɛn kin du na di dɔktɔ in ɔfis, we nɔ gɛt ɛni spɛshal ikwipmɛnt ɔ sɛpret apɔntinmɛnt. Dɛn kin du dɛn tin ya di tɛm we yu de du di fɔs ɛgzam we yu go to dɔktɔ fɔ mek yu gɛt pen na yu ni, yu ɛlbo pen, ɔ afta yu gɛt aksidɛnt. כltu, afta dεn tεst ya, yu go rili nid fכ du wan כ mכr `(Imaging Tests)` fכ kכnfכm di damej pan di ligament dεm כ eni כda prכblεm. Sɔntɛnde, if yu nid fɔ ripɛnt di damej insay yu jɔyn wit ɔpreshɔn, yu kin nid fɔ du `(Arthroscopy)` bak.

Ustɛm dɛn kin du dɛn tɛst ya? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

If yu gɛt pen na yu ni ɔ yu ɛlb, ɔ if yu dɔn gɛt aksidɛnt wit yu leg ɔ yu an, yu dɔktɔ kin du ``Valgus'' ɔ ``Varus'' tɛst. dis tεst dεm kin chεk fכ damej pan di ``Collalateral Ligaments'' we de sכpכt yu joyn dεm.

Impɔtant: Ligament injury na wan pan di injury dɛm we dɛn kin si pan atlet dɛm. Wi kin kɔl ligament injuri ``Sprain``Dɛn kin kɔl am bak ``Tiar'' . Pan ɔl we bɔku pan di sprain dɛn kin smɔl, sɔntɛnde di ligamɛnt we kin rɔtin kin bi siriɔs injury.

• Di `(Valgus Stress Test)` men wan de luk pan di damej to yu `(MCL)`.
• Di `(Varus Stress Test)` de luk di damej pan yu `(LCL)`.

If wan pan yu ligamɛnt dɛn dɔn pwɛl, yu kin gɛt sɔm sayn dɛn lɛk:

• Bluish diskɔlɔreshɔn ɔ diskɔlɔreshɔn na di say we di wund.
• I kin fil lɛk se di jɔyn dɔn lɔs, lɛk se i nɔ strɔng .
• Pen .
• Fɔ yɛri ɔ fil "klik" ɔ "klik" sawnd .
• De swɛl .
• If na leg, i at fɔ tinap wit wet pan am , ɛn if na ɛlb, i at fɔ muv yu an .
• Fɔ fil wik na da jɔyn de.

Udat de du dɛn `(Valgus)` ɛn `(Varus)` tɛst ya?

I rili simpul. Yu dɔktɔ kin du dɛn tɛst ya na in yon rum. I nɔ nid ɛni spɛshal ikwipmɛnt ɔ fɔ go na ɔda say.

Aw ɛksaktɔli dɛn kin du dɛn tɛst ya?

Dɛn `(Valgus)` ɛn `(Varus)` tɛst ya na sɔm muvmɛnt dɛm we dɛn kin du fɔ chɛk yu simptom dɛm ɛn aw fa yu kin muv yu jɔyn (Range of Motion). Dɛn tɛst ya rili simpul, ɛn na di tin dɛn we yu fɔ du:

1. Fɔs, dɛn go mek yu ledɔm na yu bak .

2. Dɔn di dɔktɔ go es yu an ɔ yu leg ɔp smɔl pas di ɔda pat dɛn na yu bɔdi .

3. Neks, di dɔktɔ go put layt prɛshɔn jɔs ɔp yu ni ɔ ɛlb.

• insay ``Valgus Stress Test'', dεn de push insay, dat na, tכwεd di midul pan yu bכdi .
• insay ``Varus Stress Test'', dεn de push dεm na do, we min fכ fa frכm yu bכdi .

If yu de du dɛn tɛst ya na yu ni, i go mɔs bi se di dɔktɔ go du am tu tɛm – wan tɛm wit yu ni we bɛn smɔl, ɛn di ɔda tɛm wit yu ni stret.

Dɛn difrɛn pozishɔn ɛn prɛshɔn ya kin mek yu ligamɛnt dɛn strɛs smɔl . Dɛn muvmɛnt ya rili fiba di strɛs we yu kin gɛt we yu de yuz yu ni ɔ yu ɛlbo ɔltɛm.

We di dɔktɔ muv yu ni ɔ yu ɛlb, i go mɔs aks yu if yu fil ɛni pen . I go pe atɛnshɔn bak if yu yɛri "klik" sawnd ɔ fil ɛnitin wit yu an. Dis go ɛp dɛn fɔ ɔndastand usay ɛn aw bad bad wan yu ligamɛnt kin rɔtin.

Wetin na di difrɛns bitwin `(Valgus)` ɛn `(Varus)` tɛst?

Dɛn tu tɛst ya rili fiba. Di wangren difrɛns na dat di dɔktɔ go luk na di sayd na yu ni ɔ yu ɛlb fɔ si if ɛni ligamɛnt dɔn pwɛl.

• ``(Valgus)`` insay mεdikal tεm min fכ displεs tכwεd di sεntrכm fכ yu bכdi, dat na, insay.di nem fכ di tεst na ``Valgus Stress Test'', we di dכkta de push yu kכn כ εlbo insay, tכwεd di sayd na yu bכdi.
• ``(Varus)`` na di nem we dεn gi fכ di fכs we dεn de push yu bכdi kכmכt, dat na, tכwεd na do . Dis na di ɔpɔzit fɔ ``(Valgus)``. Insay ``(Varus Stress Test)``, di dɔktɔ kin put prɛshɔn pan yu ni ɔ yu ɛlbo na do, fa frɔm yu bɔdi.

A nid fɔ pripia ɛnitin bifo dɛn tɛst ya?

Nɔ, yu nɔ nid fɔ pripia fɔ dɛn ``(Valgus)`` ɔ ``(Varus)`` tɛst ya. De onli tin wae yu nid fɔ du na fɔ go to dɔktɔ kwik kwik wan if yu gɛt injury na yu ni ɔr ɛlb, ɔr if yu gɛt ɛni nyu sayn na yu joyn.

Wetin a fɔ ɛkspɛkt we a de du di tɛst?

Tray fɔ rilaks as yu ebul we di dɔktɔ de muv yu ni ɔ yu ɛlb.

Bikɔs dɛn ``(Valgus)`` ɛn ``(Varus)`` tɛst ya na siriɔs muvmɛnt dɛm na yu bɔdi, yu fɔ tɛl yu dɔktɔ ɔltin we yu fil – mɔ if ɛni muvmɛnt de mek yu fil pen ɔ yu nɔ de fil fayn.

Ɛni pen, nɔr fil fayn, ɔr ɔda sayn dɛm wae yu fil we yu de du di ɛgzam go ɛp yu dɔktɔ fɔ ɔndastand usay yu ligamɛnt dɔn pwɛl, ɔr us ɔda injury yu kin gɛt.

Wetin go apin afta dɛn tɛst ya?

Valgus ɛn Varus tɛst kin bi di fɔs step nɔmɔ fɔ trit di bunion injury. If yu dɔktɔ fil ɔ yɛri ɛnitin we nɔ kɔmɔn we dɛn de du di ɛgzam, i kin ɔda fɔ mek dɛn du ɔda tɛst fɔ tek pikchɔ ɔ bigin fɔ tek tritmɛnt fɔ ɛp fɔ mek yu nɔ gɛt di sik.

Afta di valgus ɔ varus tɛst, yu kin nid fɔ du at le wan imej tɛst . Dɛn tɛst ya kin tek pikchɔ fɔ di insay pat pan yu jɔyn ɛn dɛn kin luk fɔ se di ligamɛnt ɔ ɔda tisu dɛn dɔn pwɛl. Di tɛst dɛn we dɛn kin du mɔ fɔ tek imej na:

• X-ray we dɛn kin du
• Magnɛtik Rɛsɔnans Imej (MRI) .
• Ultrasound tɛst dɛn we dɛn kin du

Yu dɔktɔ go tɛl yu us imej tɛst yu nid fɔ du ɛn us kayn injury dɛn de luk fɔ.

Yu kin nid fɔ du atrɔskɔpi fɔ luk insay yu ni ɔ yu ɛlb fɔ si wetin nɔ rayt ɔ fɔ mek i fayn. Atroskɔpi na ɔpreshɔn we nɔ kin tek bɔku tin ɛn we dɛn kin yuz smɔl kamɛra fɔ luk insay yu jɔyn. Bɔku pan di ɔpreshɔn dɛn we dɛn kin du wit atrɔskɔpi, dɛn kin du am na ɔtpeshɛnt, we min se yu kin go na os di sem de.

Ɛni risk de wit dɛn `(Valgus)` ɛn `(Varus)` tɛst ya?

Nɔ, nɔ risk nɔ de fɔ yu ni ɔ ɛlbow we yu de du ``Valgus'' ɔ ``Varus'' tɛst.

Yu kin fil sɔm pen ɔr nɔr fil fayn we yu de du di tɛst. Bɔt ivin if yu gɛt injury na yu ligament, yu nɔ fɔ fil ɛni bad bad pen we di dɔktɔ de du di tɛst.

Bɔt mɛmba se, di `(Valgus)` ɛn `(Varus)` tɛst nɔto di wan tɛst we yu fɔ du. Dɛn nɔto pafɛkt we fɔ no if injuri ɔ damej de. Bɔt dɛn na fayn fɔs tin we yu dɔktɔ fɔ du fɔ no wetin na yu injury. Imej tɛst na di mɔs difinitiv ansa, na dat mek yu fɔ gɛt at le wan imej tɛst afta yu dɔn du `(Valgus)` ɔ `(Varus)` tɛst.

Wetin na di rizulyt dɛn we a kin gɛt? Wetin dɛn de tɛl mi?

Di rizulyt fɔ di `(Valgus)` ɛn `(Varus)` tɛst nɔto dairekt rizɔlt lɛk sɔm pan di tɛst dɛn we yu dɔn gɛt bifo. Dat min se, insted fɔ gi yu wan patikyula rɛnj ɔ wan patikyula nɔmba, dɛn tɛst ya kin gi yu dɔktɔ bɛtɛ aidia fɔ no if i kin gɛt injury na yu jɔyn ɛn aw siriɔs da injuri de.

Dis na mɔ lɛk "rayt ɔ rɔng" kwɛstyɔn dɛn , nɔto mats prɔblɛm wit wan difinit ansa. Yu dɔktɔ go klas yu tɛst as "positiv" if dɛn fɛn ɛnitin we sho se yu gɛt kolataral ligamɛnt injuri. "Negative" rizulyt min se di dɔktɔ nɔ bin fil ɔ yɛri ɛnitin we nɔ kɔmɔn we dɛn bin de du di tɛst.

Impɔtant: If yu gɛt bad rizɔlt nɔ min se yu nɔ gɛt injuri. I jɔs min se di dɔktɔ nɔ bin fɛn ɛnitin we nɔ kɔmɔn we dɛn bin de du di ɛgzam, ilɛksɛf na ``Valgus'' ɔ ``Varus''. Yu kin stil gɛt wan ligamɛnt we dɔn rɔtin, ɔ yu kin gɛt ɔda kayn injuri.

Ustɛm a fɔ kɔl mi dɔktɔ?

If yu sik, lɛk pen ɔr swel, wɔs afta sɔm dez, go to dɔktɔ.

Go na di imejensi rum wantɛm wantɛm if yu gɛt dɛn sik ya:

• Pen we rili bad .
• If di swɛlin de wɔs .
• If yu si di kɔlɔ we dɔn chenj .
• If yu nɔ ebul fɔ muv yu ni ɔ yu ɛlb atɔl .

Tin dɛn fɔ Mɛmba (Take-Home Message) .

``(Valgus)`` εn ``(Varus)`` strεs tεst na kwik, simpul fכs step dεm we de εp dכkta dεm fכ no if injuri de na di ligament dεm na yu kכn כ εlbo. Wae den nor de gi yu difrεnt ansa , dεn kin εp fכ gayd di nεks step dεm fכ no εn trit yu injury.

If yu wund yu ni ɔ yu ɛlb – mɔ if yu nɔ ebul fɔ yuz ɔ muv dɛn – go to dɔktɔ ɔ go na imejensi rum wantɛm wantɛm. Fɔ kia fɔ yu wɛlbɔdi na di tin we impɔtant pas ɔl!

` Ni pen, Ɛlbo pen, Ligamɛnt injuri, Strɛs tɛst, Valgus tɛst, Varus tɛst, Jɔyn dizayd