Sɔntɛnde yu kin fil bak wan kayn pen we nɔr de si klia wan we de kɔmɔt na yu hip ɔr yu groin eria. Sɔntɛm yu kin yɛri sawnd we de klik we yu de waka ɔ bɛn yu leg, ɔ yu kin fil lɛk se i dɔn stɔp? Bɔku pipul dɛn kin tink se dis na nɔmal tin, na jɔs wan say we de at na di bɔdi, bɔt i kin bi we di katilej we de na di hip jɔyn rɔtin. Tide wi de tɔk bɔt wan kɔndishɔn we dɛn kɔl Acetabular Labral Tear, we bɔku pipul dɛn nɔ no bɔt, bɔt i rili kɔmɔn.
Wetin na hip labral tear?
Fɔ tɔk am simpul wan, dis na damej pan di katilej we de na di hip jɔyn. Tink bɔt wi hip jɔyn lɛk bɔl ɛn sɔkɛt jɔyn. Di bɔl na di tɔp ɛnd pan yu shɔl bon. I fit insay wan pat we tan lɛk sɔkɛt na di hip bon. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis di asetabulum.
naw, rawnd dis kכp (dat na di hip sכkεt) wan strכng, fleksibul ring fכ kכtilaj de. I tan lɛk rɔba band. Dis na wetin wi de kɔl di labrum. I gɛt tu men wok dɛn:
1. fכ bi kushכn: Dis de wok lεk kushכn fכ di jכyn, we de mek di tu bon dεm (thigh bon εn hip bon) nכ de rכb togeda.
2. fכ gi stebul: dis labrum de εp bak fכ kip di כp leg bon (femur) stebul εn lכk am fayn fayn wan insay di hip sכket.
So, if eni damej de pan dis labrum, dat na if i te, wi kin kol am hip labral tear.
Wetin na di tin dɛn we kin mek dis kayn tin apin?
Difrɛn rizin kin de fɔ mek dis labrum te. Sɔntɛnde, i kin apin wantɛm wantɛm frɔm aksidɛnt, ɔ i kin bi bikɔs ɔf di damej we kin apin smɔl smɔl as tɛm de go.
| Rizin | Tɔk bɔt |
|---|---|
| Aksidɛnt dɛn we kin apin | Dis kin apin bikɔs di hip jɔyn kin pwɛl bad bad wan, lɛk we pɔsin fɔdɔm ɔ we i gɛt motoka aksidɛnt. |
| Fɔ ple gem dɛn | Pipul dεm we de ple sכpכt we nid fכ rכt di hip jכint כltεm (e.g., fכtכl, gכlf, fast bכling na kriket, balet dans) de pan hכy risk. Fɔ rɔn fast kin mek bak dis apin. |
| Damej as tɛm de go | I sɔprayz fɔ no se 75% pan di pipul dɛm wae gɛt dis sik nɔr gɛt ɛni patikyula kɔz . Dis min se as tɛm de go, di katilej we de na di hip jɔyn kin west smɔl smɔl. |
| Ɔda wɛlbɔdi prɔblɛm dɛn | Pipul dεm we gεt sכm difכmiti dεm na di hip bon dεm (e.g., hip dysplasia) de pan hכy risk. Dis sik kin gɛt fɔ du bak wit ɔstiɔ-arayt. |
Risach dɔn sho se lɛk 22% pan di atlet dɛm we kin kɔmplen bɔt di pen na dɛn groin kin gɛt wata na dis hip jɔyn. Dɔn bak, dis sik kin rili kɔmɔn pan uman dɛn.
Wetin na di sayn dɛm fɔ dis?
De sayn dɛm fɔ dis kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin.
Sɔm pipul dɛn kin gɛt dis sik ɛn nɔr kin fil fayn, bɔt ɔda pipul dɛn kin gɛt pen wae kin mek dɛn nɔr kin ebul fɔ du dɛn woke ɛvride.
Di men tin dɛn we pɔsin kin si na:
- Pen: Na shap pen na di groin eria ɔ rawnd di hip. Dis pen kin kɔmɔt na di ɔp pat na di shɔl ɔ di bɔdi.
- ‘Klik’ ɔ ‘stɔk’: Na ‘klik’ ɔ ‘pop’ sawnd we de kɔmɔt na di hip jɔyn we yu de muv di leg, mɔ we yu de bɛn ɔ rɔta am. Sɔntɛnde, di leg kin fil lɛk se i dɔn stɔp.
- limited rεnj fכ muvmεnt: Limited rεnj fכ muv bikoz fכ pen εn nכ ebul fכ muv di hip jכint fayn fayn wan.
If dɛn nɔ trit dis sik, di ɛkstra prɛshɔn we de na di jɔyn kin mek i west mɔ as tɛm de go, ɛn dis kin mek i pwɛl fɔ ɔltɛm.
Aw yu kin fɛn dis jɔs?
Fɔ tɔk tru, i nɔ kin izi fɔ no bɔt dis sik smɔl. Sɔm stɔdi dɔn sho se pipul dɛm wae gɛt dis sik kin sɔfa fɔ pas 2 ia bifo dɛn gɛt di rayt diagnosis.
We yu go to dɔktɔ, di fɔs tin we i kin du na fɔ chɛk yu gud gud wan. I de chɛk yu hip ɛn aks yu fɔ bɛn ɛn rɔta yu leg na difrɛn say dɛn fɔ si if ɛni pen de.
Dɔn, chɛk if dis kray wata de de.Dɛn kin aks yu fɔ du sɔntin lɛk MRI skan, bɔt sɔntɛnde ivin dɛn tɛst ya kin at fɔ no klia wan.
Wan ɔda we fɔ no dis na bay we dɛn de du atrɔskɔpi . dis involv fכ mek fכ rili sכm sכm say dεm εn put sכmכl instrכmεnt we gεt kεmεra insay di hip jכint fכ si dεn wan dεm dεn wan fכ si if tכch de na di labrum. Bɔku tɛm, dɛn kin du dis as pat pan di ɔpreshɔn we dɛn kin du.
Aw dɛn kin trit am?
If dɛn no se yu gɛt hip labral tear, yu dɔktɔ go tray fɔs fɔ trit am we yu nɔ gɛt ɔpreshɔn.
Tritmɛnt we nɔ gɛt ɔpreshɔn (Kɔnsɔvativ Tritmɛnt) .
- Rɛst ɛn mɛrɛsin: Fɔs, rɛst di hip jɔyn ɛn dɛn kin gi am mɛrɛsin fɔ mek pɔsin fil pen.
- Fizik Tɛrapi: Dis rili impɔtant. Wan dɔktɔ we de mɛn yu bɔdi go tich yu aw fɔ wok fɔ ridyus di strɛs na di jɔyn ɛn ɛksesaiz fɔ mek di mɔsul dɛn we de rawnd di hip strɔng. we dεn mכsul dεm ya strכng, di sכpכt we dεn gi di jכint go bכku.
bכt di prכblεm ya na dat bכku pan wi labrum nכ de gεt bכku bכdi, so di chans fכ dis kray wata hεl nכmal wan rili lכw.
Ɔpreshɔn
If di tritmɛnt dɛn we wi dɔn tɔk bɔt nɔ mek yu fil fayn, yu dɔktɔ kin sɛn yu fɔ go du ɔpreshɔn pan yu at .
Dis kin min fɔ put kamɛra ɛn dilik inschrumɛnt dɛn tru tu ɔ tri smɔl smɔl say dɛn fɔ pul di katilej we dɔn rɔtin (debridement) ɔ, sɔm tɛm dɛn, fɔ mek di say we dɔn rɔtin fayn bay we dɛn siŋ am bak togɛda.
Bɔt sɔm tin dɛn de we yu fɔ no bifo yu disayd fɔ du dis ɔpreshɔn:
- No klia pruf stil nɔ de fɔ se dis ɔpreshɔn kin mek pɔsin nɔ gɛt at at sik tumara bambay.
- Pruf de bak fɔ se di sakrifays fɔ dis ɔpreshɔn kin smɔl smɔl pan di wan dɛn we dɔn pas 45 ia.
- Jɔs lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de we kin apin, lɛk fɔ mek di nerv dɛn pwɛl fɔ sɔm tɛm.
- Pan ɔl we i kin bɛtɛ fɔ shɔt tɛm afta dɛn dɔn du di ɔpreshɔn, i nɔ kin izi fɔ tɔk aw lɔng i go las. Pipul wae dɔn ɔlrɛdi gɛt ɔda hip prɔblɛm (lɛk at at sik) kin gɛt smɔl sakrifays frɔm ɔpreshɔn.
Afta dɛn dɔn du ɔpreshɔn, i rili nid fɔ gɛt fizik tritmɛnt fɔ mek di jɔyn gɛt trɛnk bak ɛn fɔ mek i ebul fɔ chenj.
So bifo yu du ɔpreshɔn, tɔk to yu dɔktɔ bɔt di gud ɛn bad tin dɛn. If i pɔsibul, i fayn bak fɔ gɛt sɛkɔn opinion frɔm ɔda spɛshal pɔsin.
Mɛsej we dɛn kin kɛr go na os
- If yu gɛt pen we de kɔmɔt na yu hip ɔr groin, wit ‘klik’ sawnd ɔ tayt, i kin bi Hip Labral Tear.
- Dis sik kin kam bikɔs ɔf aksidɛnt, ple spɔt, ɔr yuz di jɔyn pasmak fɔ sɔm tɛm.
- Fɔ no di sik kin kɔmplikt smɔl ɛn i kin nid fɔ mek dɛn du MRI skan.
- Rɛst, mɛrɛsin fɔ mɛn pen, ɛn fɔ trit yu bɔdi rili impɔtant as di fɔs tritmɛnt.
- Ɔpreshɔn na jɔs wan tin we pɔsin kin du. Di sakrifays we i gɛt nɔto di sem fɔ ɔlman. So tek tɛm tɔk to yu dɔktɔ bifo yu disayd fɔ du sɔntin.
- Di tin we impɔtant pas ɔl na, nɔ ignore hip pen. Fɔ tru, yu fɔ go to dɔktɔ fɔ advays yu.
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