Yu dɔn ɛva gɛt shap pen na yu sholda we kin mek sɔntɛnde sawnd we yu kin klik we yu es sɔntin we ebi? Ɔ yu de sɔfa wit sɔldɔm pen we nɔ de go ilɛksɛf yu tek ɔmɔs mɛrɛsin ɔ yu tek rɛst? Di tin we kin mek dis apin kin bi we yu wund di tɛndon we de ɔp yu baysɛps mɔsul. Tide, wi go tɔk bɔt wan spɛshal ɔpreshɔn we dɛn kin du fɔ jɔs dis kayn tin.
Wetin na dis ɔpreshɔn we dɛn kɔl Biceps Tenodesis?
Fɔ tɔk am simpul wan, Biceps Tenodesis na ɔpreshɔn we de mek di tɛndon we de kɔnɛkt yu biceps mɔsul to yu sholda we i dɔn rɔtin ɔ we i dɔn pwɛl. dis tεndon dεm we dεn dכn pwεl sכmtεm dεn kin kכl am ``Biceps Tendonitis'' bay dכkta dεm. dis כpεrayshכn involv fכ rilis di tεndon we dεn pwεl frכm di sכlda jכint εn fכ atak am bak to di כp an bon (humerus). Dis kin mek di an nɔ fil pen ɛn i kin mek di an gɛt trɛnk bak.
A go nid dis ɔpreshɔn bak? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
Bɔku sayn dɛn de we de sho se yu go nid fɔ du dis ɔpreshɔn. Lɛ wi tek wan luk pan wetin dɛn bi.
| Di sayn we de sho se di sik de | Wetin dis min? |
|---|---|
| Pen we de kɔntinyu fɔ de na yu sholda | Pen na di frɔnt pat na di sholda we nɔ de stɔp pan ɔl we i de rɛst, we dɛn de trit yu bɔdi, ɔ we yu de yuz mɛrɛsin fɔ mek yu nɔ fil pen. |
| Fɔ yɛri ‘klik’ ɔ ‘snap’ sawnd | Wantɛm wantɛm, yu yɛri wan big nɔys we de kam wit shap pen na yu sholda ɔ ɔp an. |
| Kramp we kin mek pɔsin kray | Di filin we di mɔsul dɛn na di ɔp an de rɔl, mɔ we yu de es ebi ebi tin. |
| "Popeye" na di Bulge | we di tεndon dכn tכn kכmplit, di biceps mכsul de kכl dכn εn i de lεk bכl, jכs lεk di ‘Popeye’ katun. |
| Brus ɛn swel | Yu kin si brus ɔ swel frɔm di sholda to di ɛlb. |
| Nɔ ebul fɔ tɔn di an | I kin at fɔ mek yu rɔta di an so dat di an go de fes ɔp. |
Wetin mek dis biceps tεndon de te?
Sɔntɛm bɔku rizin dɛn de fɔ dis.
- We wi de ol: As tɛm de go, di tɛndon dɛn na wi bɔdi kin west ɛn wik, ɛn dis kin mek dɛn kin te ivin if wi wund smɔl.
- Spɔt: Dis injury kin apin to pipul dɛn we de ple spɔt we nid fɔ ol dɛn an ɔp di ed, lɛk baysbɔl, tɛnis, ɛn swim. If yu muv am bɔku tɛm, dat kin pwɛl di tɛndon.
- כda injuri dεm na di sכlda: sכmtεm di kכtilaj we de insay di sכlda jכint kin te (a SLAP tear). we dis apin, di biceps tεndon we de atak am kin te כ kכmכt bak.
Di tu men we dɛn we dɛn kin du ɔpreshɔn
Dɛn kin du dis ɔpreshɔn mɔ pan tu we dɛn: opin ɔpreshɔn ɛn atrɔskɔpik ɔpreshɔn.
| Tin | Opin Ɔpreshɔn | Arthroscopic Surgery we dɛn kin du |
|---|---|---|
| Aw fɔ du am | dεn kin mek sכm sכm pat (3-4 cm) na di fכnt pat pan di sכlda, dεn kin pul di tεndon we dεn dכn dכn, dεn dr sכm ol na di an bon, εn dεn kin tay di tεndon bak pan am. | Dɛn kin du di ɔpreshɔn bay we dɛn kin kɔt sɔm rili smɔl smɔl say dɛn rawnd di sholda, ɛn dɛn kin put smɔl kamɛra (arthroscope) ɛn inschrumɛnt dɛn tru. |
| Ska dɛn we de na di wɔl | Wan smɔl skata de lɛf. | Na sɔm rili smɔl smɔl skata dɛn nɔmɔ lɛf. |
| Pen ɛn wɛlbɔdi | Pan ɔl we di pen kin bɔku smɔl afta dɛn dɔn du di ɔpreshɔn, sɔm stɔdi dɛn dɔn sho se di wan dɛn we de ple kin ebul fɔ go bak fɔ ple kwik kwik wan. | Di pen nɔ kin bɔku afta dɛn dɔn du di ɔpreshɔn, ɛn di tɛm we pɔsin kin gɛt fɔ wɛl kin shɔt. |
| Di prɔblɛm dɛn we kin apin | Blɔd kin klɔt, infɛkshɔn, di nerv dɛn we kin pwɛl, ɛn stiffness kin apin. | Blɔd kin klɔt, infɛkshɔn, ɛn stiffness kin apin (di risk fɔ mek di nerve damej nɔ kin bɔku). |
Di tin we impɔtant pas ɔl na dat yu dɔktɔ go disayd us ɔpreshɔn we go fayn fɔ yu, so tɔk to am bɔt dat.
Wetin kin apin afta di ɔpreshɔn?
Ivin if di ɔpreshɔn nɔ wok fayn, yu dedikeshɔn impɔtant bak fɔ mek yu wɛl fayn fayn wan.
- We yu wɛr Am Sling: Yu go nid fɔ wɛr an sling fɔ rɛst yu an fɔ 2 to 6 wik afta dɛn dɔn du di ɔpreshɔn.
- Aw fɔ mɛn yu pen: Yu kin gɛt sɔm pen insay di fɔs dez. Yuz pen kil lɛk aw yu dɔktɔ tɛl yu. If yu put ays pak, dat kin ɛp fɔ mek yu nɔ swel ɛn nɔ fil pen.
- Fizik Tɛrapi: Dis na impɔtant pat pan di wɛlbɔdi prɔses. Afta sɔm wiks, yu fɔ bigin fɔ du ɛksɛsayz ɔnda di gayd we pɔsin we de mɛn yu bɔdi go gi, lɛk aw yu dɔktɔ tɛl yu fɔ du. Dis go ɛp yu smɔl smɔl fɔ mek yu ebul fɔ muv ɛn gɛt trɛnk bak na yu sholda.
- Fɔ wɛl kɔmplit wan: Fɔ wɛl kɔmplit wan kin tek bitwin 4 ɛn 6 mɔnt, bɔt dis tɛm kin difrɛn frɔm wan pɔsin to ɔda pɔsin.
Nɔ rɔsh! If yu bigin fɔ es wet ɔ ple spɔt bifo i wɛl ɔl, di tɛndon kin te bak. So peshɛnt te yu dɔktɔ se "OK."
Yu tink se ɔda we de fɔ du dat?
Yes, wan ɔda ɔpreshɔn de we dɛn kɔl ``Biceps Tenotomy''. dis kin כnli involv fכ kכt εn rilis di tεndon we dεn dכn frכm di sכlda jכint; i nɔ de atak di bon bak. pan ɔl we dis na simpul ɔpreshɔn, chans de fɔ mek "Popeye" bulge de divɛlɔp afta di ɔpreshɔn.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go na os afta dɛn dɔn du yu ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU).
- If di say we dɛn kɔt de blɔd bad bad wan ɛn nɔ stɔp ivin we dɛn prɛs am.
- De pen so bad dat yu nɔr kin ebul fɔ kɔntrol am ivin wit mɛrɛsin wae de mek yu fil pen.
- If di swɛlin na yu an de wɔs.
- Yu finga ɔ an nɔ de fil fayn ɔ yu nɔ de fil fayn.
- Di kɔlɔ we de na di an ɔ di finga dɛn (blu/blak) ɔ di an dɛn we kol we nɔ kɔmɔn.
- Rɛd, swel, pen mɔ, ɔ wata we tan lɛk pus we de kɔmɔt na di say we dɛn du di ɔpreshɔn.
- Fiva (we pas 101 F / 38.3 C).
Mɛsej we dɛn kin kɛr go na os
- Biceps Tenodesis na wan ɔpreshɔn we rili saksesful fɔ di sholda pen we kin kam bikɔs di biceps tendon tear. I gɛt sakrifays rɛt we pas 70%.
- I kin tek 4-6 mɔnt fɔ mek i wɛl ful wan, ɛn i rili impɔtant fɔ peshɛnt insay dis tɛm.
- Fyzikal tritmɛnt na impɔtant pat pan di wɛl bɔdi prɔses. Nɔ skip am.
- Nɔ bigin bak fɔ es wet ɔ ple spɔt if yu dɔktɔ nɔ advays yu. If yu du dat, dat kin mek di injuri kam bak.
- If yu gɛt ɛni kwɛstyɔn bɔt yu sik, di ɔpreshɔn, ɔ aw fɔ wɛl, nɔ fred fɔ aks yu dɔktɔ.
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