Lɛ wi lan ɛksaktɔli bɔt di Hill-Sachs Lesion we kin apin we di sɔl dɔn kɔmɔt!

Yu go mɔs dɔn yɛri sɔmbɔdi se dɛn dɔn pul dɛn sholda, dɛn nɔ ebul fɔ es dɛn an, ɛn dɛn de fil pen bad bad wan, nɔto so? Sɔntɛm na dat bin apin to yu bak. We wan sholda kɔmɔt, we min se di pat we tan lɛk bɔl kɔmɔt na di sholda, di bon dɛn we de insay wi sholda kin pwɛl bak. Na dat dis `Hill-Sachs Lesion` (dεn kin kכl am bak Hill-Sachs lesion). Lɛ wi tɔk bɔt dis simpul wan ɛn klia wan.

Wetin na dis `Hill-Sachs Lesion`?

fכ simpul wan, Hill-Sachs Lesion na sכm sכm bכmp כ brus we de apin na di tכp pat pan yu כp an bon (di lכng bon we de na di tכp pat pan di an we de kכnekt to di sכlda - di humerus), spεshal wan pan di pat we lεk bכl (di humeral ed). Imajin se we yu drɔp yu sholda, dis pat we tan lɛk bɔl de rɔb tranga wan pan di sɔkɛt na yu sholda jɔyn (di glenoid sɔkɛtɛ). Na da tɛm de dɛn kin krɔs wan smɔl pat pan dis bon ɛn mek wan smɔl dent. I tan lɛk smɔl brus we apul fɔdɔm na grɔn.

Udat kin gɛt dis `Hill-Sachs Lesion` mɔ?

infakt, enibodi we kin dislocate in sholda de pan risk fכ divεlכp dis `Hill-Sachs Lesion`. Dis na bikɔs i kin apin we di sholda kɔmɔt na aksidɛnt ɔ fɔdɔm. Bɔt fɔ sɔm pipul dɛn, dis risk kin pas smɔl.

• Fɔ atlet dɛn: Ɛspɛshali di wan dɛn we de ple kɔntakt spɔt, fɔ ɛgzampul rɔgbi, futbɔl, bɔksin.
• Fɔ man dɛn: Dɛn kin se man dɛn kin gɛt prɔblɛm wit dɛn sholda pas tu tɛm pas uman dɛn.
• Fɔ yɔŋ pipul dɛn we ol bitwin 15 ɛn 30 ia: Pipul dɛn we de na dis ej grup kin gɛt aksidɛnt bikɔs dɛn kin rili du tin.
• Fɔ di wan dɛn we dɔn kɔmɔt na dɛn sholda bifo: We yu dɔn pul yu sholda, i go mɔs bi se yu go kɔmɔt bak. Dis kin mek yu gɛt `Hill-Sachs Lesion`.

Aw dis sik kin kɔmɔn?

Di Amɛrikan data sho se ɛvri ia, na lɛk 10 pipul dɛn kin kɔmɔt na dɛn sholda pan ɛvri ɔndrɛd tawzin. Dat min se i nɔ kin apin to ɔlman. כltu, if yu disloket yu sכlda, di chans fכ divεlכp wan `Hill-Sachs Lesion` na imכtant. Sɔm stɔdi dɔn sho se bitwin 40% ɛn 90% pan di pipul dɛm we de kɔmɔt na dɛn sholda go gɛt dis injuri. Dat min se if yu dislocate yu sholda, yu fɔ tink bɔt dis bak.

Aw dis `Hill-Sachs Lesion` de afɛkt yu bɔdi?

Bɔku tɛm, wan `Hill-Sachs Lesion` nɔmɔ nɔ kin gɛt big impak. Dat min se di pen we de kɔmɔt frɔm di sholda we de kɔmɔt ɛn we i nɔ ebul fɔ muv di an na di men sayn dɛm. Bɔt if dis `Hill-Sachs Lesion` de, dɛn sayn dɛn de kin tranga smɔl . Di pen kin wɔs, ɛn i kin at fɔ muv di an.

Wan ɔda tin na dat dis `Hill-Sachs Lesion` kin tek smɔl tɛm fɔ mek yu sholda wɛl. Dɔn bak, di mɔ di lɛsin big, na di mɔ yu go pul yu sholda bak tumara bambay. As tɛm de go, at at sik na da sɔl jɔyn de kin kam.I kin bi bak se yu gɛt sɔldɔm at, we min se di jɔyn dɔn pwɛl.

Wetin na di sayn dɛm fɔ wan Hill-Sachs Lesion?

di simptom dεm fכ `Hill-Sachs Lesion` na esεntial di sem lεk di wan dεm fכ di sכlda we dεn sכl. Bɔt, lɛk aw a bin dɔn tɔk bifo tɛm, if yu gɛt dis `lɛshɔn`, di sayn dɛm kin tranga smɔl.

• Fɔ fil pen bad bad wan .
• A kin fil wik na mi an.
• A nɔ ebul fɔ muv mi an.
• Di sholda luk difrɛn , we nɔ gɛt usay i bin de (lɛk se i dɔn pop kɔmɔt).
• Swɛlin kin apin.
• Yu kin si brus ɔ chenj na yu skin kɔlɔ.
• Di mɔsul dɛn we de spam .
• Yu kin fil lɛk yu an , yu an, ɔ yu finga dɛn kin fil lɛk se yu nɔ gɛt bɛtɛ trɛnk, yu kin swɛt , ɔ yu kin wik .

Impɔtant: If yu tink se yu sholda dɔn kɔmɔt, ɔ if yu dɔn gɛt siriɔs aksidɛnt na yu sholda, go na di ɔspitul imejensi rum we de nia yu wantɛm wantɛm. Nɔ delay, bikɔs i rili impɔtant fɔ gɛt tritmɛnt kwik kwik wan.

Wetin de mek dis `Hill-Sachs Lesion` de?

Di men tin we kin mek i apin na we di sholda kin kɔmɔt .

Tink bɔt am dis we: wi sɔldɔm jɔyn na `bɔl-ɛn-sɔkɛt jɔyn`. di pat we lεk bכl we de tap yu כp an bon (`Humerus`) nכmal wan de insay di `sכket` na di sכlda bon (`Scapula`).

naw, if yu sכlda pop fכ go bifo (dat na, kכmכt frכm di fכnt pat na yu bכdi), di pat we lεk bכl pan di כp an bon, di sכkεt, kin stכk na di sכkεt εn rכb. dat prεshכn de mek di pat we lεk bכl de brus εn fכm wan `dent`. Dɛn kɔl dis `Hill-Sachs Lesion`.

Di men rizin dɛn we mek pɔsin kin shrug in sholda na:

• Spɔt injuri - Tink bɔt fɔ fɔdɔm we yu de ple rɔgbi, ɔ dayv we yu de ple kriket.
• Fɔl - Dis kin apin jɔs bay we yu fɔdɔm na grɔn ɔ dɔŋ stej.
• Kar aksidɛnt - Dɛn kayn aksidɛnt ya kin mek pɔsin gɛt injury na in sholda bak.

Aw dɔktɔ dɛn kin no wan `Hill-Sachs Lesion`?

We yu go to dɔktɔ we yu sholda dɔn kɔmɔt, dɛn go chɛk fɔ si if yu gɛt Hill-Sachs Lesion we dɛn de chɛk yu.

Fɔs, di dɔktɔ go chɛk yu an ɛn yu sholda. Dɛn go luk fɔ say dɛn we yu de fil pen, we yu de swel, ɛn if yu go ebul fɔ muv yu an. Dɔn, dɛn kin du sɔm imej tɛst fɔ si di rayt tin we de apin insay.

Dɛn na:

• Fɔ chɛk wit ɛkstrem rayt(`X-rays`): dis kin εp fכ chεk di posishכn fכ di bon dεm, di frakshכn dεm, εn כda tin dεm Ivin wan `Hill-Sachs Lesion` sכmtεm dεn kin si pan `X-ray`.
• MRI (Magnetic Resonance Imaging) skan: Dis kin mek yu si di sɔft tisu dɛn lɛk di mɔsul dɛn, di ligamɛnt dɛn, di tɛndon dɛn, ɛn di bon dɛn klia wan. MRI rili impɔtant fɔ no di rayt sayz ɛn dip we wan Hill-Sachs Lesion gɛt.
• CT (Computed Tomography) skan: Dis kin gi yu bak bɔku tin bɔt di bon dɛn. Sɔntɛnde, dɛn kin yuz CT skan we dɛn de plan fɔ du ɔpreshɔn.

Dɛn skan ya kin si klia wan usay di bon brus de ɛn di sayz, ɛn dis kin ɛp yu fɔ plan di tritmɛnt.

Aw dɛn kin trit wan Hill-Sachs Lesion?

Di kayn tritmɛnt we yu nid de dipen pan aw di Hill-Sachs Lesion dɔn rich, dat na di damej we di bon dɔn pwɛl.

tipikli, if less dan 20% pan di humeral ed brok, no spεshal tritmεnt nכ nid. Dɛn kin yuz di tritmɛnt we dɛn kin yuz fɔ di sholda we dɔn kɔmɔt na di bɔdi.

Tritmɛnt dɛn we nɔto ɔpreshɔn

1. Klos ridyushɔn: .

Dis na di tin we impɔtant pas ɔl. I min fɔ put yu sholda bak usay i bin de, insay di sɔkɛtɛ. Dis nɔto ɔpreshɔn. Di dɔktɔ go ol yu sholda frɔm do, pul am na di rayt say, ɛn push am bak insay.We yu de du dis, dɛn kin gi yu lokal anɛstɛtik (we na mɛrɛsin we de mek yu nɔ fil na di say nɔmɔ) fɔ mek yu nɔ fil pen, ɔ dɛn kin gi yu sɔm mɛrɛsin dɛn we de mek yu fil fayn (mɛrɛsin we de mek yu fil kol smɔl).

2. Immobilizayshɔn: .

Afta dɛn dɔn put di sholda bak na in ples, yu go nid fɔ wɛr splint ɔ sling fɔ mek i kɔntinyu fɔ de na in ples. Dɛn kɔl dis immobilization. Dis kin mek di sholda we wund ebul fɔ rɛst ɛn ɛp am fɔ wɛl.

Di dɔktɔ kin tɛl yu fɔ put ays bɔku tɛm insay di de. I kin tɛl yu bak fɔ du sɔm ɛgzampul dɛn fɔ mek yu sholda nɔ stif ɔ frɔz (friz). Aks yu dɔktɔ aw lɔng yu fɔ wɛr di sling ɛn ɔmɔs ɛksesaiz yu fɔ du. Bɔrku pipul dɛn nid fɔ kip dɛn sholda nɔr de muv fɔ sɔm wiks.

3. Fyzikal tritmɛnt:

As yu sholda de wɛl smɔl smɔl, gɛt trɛnk bak ɛn ebul fɔ muv am fayn fayn wan.Fizik tɛrapi go bigin. Fɔs, yu go du smɔl smɔl tin dɛn fɔ mek yu sholda nɔ stif ɛn nɔ stif. Dɔn, yu dɔktɔ ɔ pɔsin we de mɛn yu go ad trɛnk ɛksesaiz fɔ mek yu mɔsul ɛn ligamɛnt dɛn strɔng. Dis go ɛp bak fɔ ridyus di risk fɔ dislɔkeshɔn tumara bambay. Bɔrku pipul dɛn go nid fɔ du fizik tɛrapi fɔ sɔm mɔnt afta dɛn dɔn dislokeshɔn.

Ɔpreshɔn fɔ Hill-Sachs Lɛshɔn

if di `Hill-Sachs Lesion`, dat na di bon brus, kכba mכr dan 20% pan di pat we lεk bכl pan di כp an bon (di `humerus ed`), we min se di brus big, i kin nid כpεrayshכn fכ mek i fayn.

Bɔku ɔpreshɔn dɛn de we dɛn kin du:

• Remplissage procedure: dis involv fכ fulכp di spεs we lεk pit we wan Hill-Sachs lεshכn lεf wit sכft tisu we de nia. כltu, dεn kin yuz di kapsul εn tεndon nia di sכlda injuri fכ dis.
• Bone grafting: Insay dis prosidur, di dɔktɔ kin tek ɛkstra bon tisu ɛn transplant am na di say we dɔn pwɛl na di humerus fɔ mek i fayn. Sɔntɛnde dɛn kin kɔl dis bon augmentation.
• Sכlda riples: If bכku damej de pan di humerus, skapula (sכlda bled), εn כda tisu dεm na di sכlda, i kin nid fכ riples di sכlda. If na so i bi, di dɔktɔ we de du di ɔpreshɔn kin pul di pat dɛn na di sholda we dɔn pwɛl ɛn put prɔstɛtik pat dɛn insay dɛn.

Aw lɔng i kin tek fɔ mek i wɛl?

I kin tek sɔm mɔnt fɔ mek i wɛl frɔm wan Hill-Sachs Lesion. Yu sholda go nid fɔ mek yu nɔ muv fɔ sɔm wiks, dɔn yu go nid fɔ tek yu bɔdi tritmɛnt fɔ sɔm mɔnt.

Aw lɔng i kin tek fɔ mek yu wund wɛl, i kin dipen pan bɔku tin dɛn:

• Aw di injuri apin (lɛk fɔ fɔdɔm ɔ spɔt aksidɛnt).
• If ɔda injuri ɔ damej de insay di sɔl (lɛk di ligamɛnt dɛn we dɔn rɔtin ɔ di labrum we dɔn pwɛl).
• Us kayn tritmɛnt yu bin nid, ɔ if yu fɔ gɛt ɔpreshɔn ?

Yu dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn go gi yu wan patikyula tɛm fɔ wɛl fɔ yu injuri, so nɔ wɔri.

Yu tink se dɛn kin ebul fɔ protɛkt dis `Hill-Sachs Lesion`?

biכs mכst sholda dislokeshכn kin kכz fכ sכdεn tin dεm lεk fכ fכl εn sכpכt aksidεnt, rili nכtin de we dεn kin du spεshal fכ mek dis `Hill-Sachs Lesion` nכ.

Bɔt i fayn fɔ fala dɛn jenɛral sefty tips ya fɔ ridyus di risk fɔ aksidɛnt:

• Ɔltɛm wɛr sit bɛlt we yu de rayd motoka.
• Wear di rayt sef ikwipmɛnt we yu de du ɛni aktiviti ɛn spɔt.(e.g. ɛlmɛt, sɔldɔm pad).
• Kip yu os ɛn wokples klin ɛn nɔ gɛt tin dɛn we go mek yu ɔ ɔda pipul dɛn fɔdɔm. Yu fɔ no bɔt say dɛn we slipul.
• We yu de pik sɔntin frɔm ɔp, yuz tul ɔ aplayans we dɛn mek fɔ di rizin ɔltɛm. Nɔ ɛva klaym pan chia ɔ tebul.
• If yu gɛt prɔblɛm fɔ waka ɔ yu de pan big risk fɔ fɔdɔm, yuz ken ɔ waka.

Wetin fɔ ɛkspɛkt wit wan `Hill-Sachs Lesion`?

Bɔrku pipul dɛn kin wɛl kpatakpata frɔm wan injury. Ivin if dɛn du yu ɔpreshɔn, yu fɔ ebul fɔ go bak to bɔku pan yu nɔmal tin dɛn ɛn spɔt dɛn we yu sholda dɔn wɛl.

Bɔt we yu dɔn pul yu sholda, i go izi fɔ mek yu wund bak. Sɔm stɔdi dɛn dɔn sho se pas 90% pan di atlet dɛn we nɔ rich 25 ia yet we kin kɔmɔt na dɛn sholda we dɛn de du kɔntakt spɔt go wund di sem sholda bak tumara bambay.

So, bifo yu bigin fɔ du ɛni fyzikal aktiviti bak – mɔ fɔ kɔntakt spɔt – tɔk to yu dɔktɔ ɔ ɔspitul dɔktɔ. Dɛn kin ɛksplen wetin fɔ ɛkspɛkt ɛn aw fɔ mek dɛn nɔ gɛt dislokeshɔn tumara bambay. If yu trit yu bɔdi fayn fayn wan, dat kin mek bak dis prɔblɛm nɔ bɔku.

A nɔ go ebul fɔ go wok ɔ skul te a wɛl?

If yu nɔ ebul fɔ du yu wok ɔ skul wok we yu nɔ de muv yu an we yu sholda nɔ de muv, yu nɔ go ebul fɔ go wok ɔ skul. Yu dɔktɔ go tɛl yu us muvmɛnt ɛn pozishɔn fɔ avɔyd te yu wɛl. Tek tɛm fala dɛn instrɔkshɔn dɛn de.

Ustɛm a fɔ go na di imejensi rum?

If yu dɔn gɛt big aksidɛnt (trauma) , go na di imejensi rum wantɛm wantɛm.

If yu tink se yu sholda dɔn kɔmɔt na di say we yu de:

• Go na di imejensi rum ɔ kɔl 1990.
• Nɔ muv yu an. Kip am nia yu bɔdi.
• Nɔ tray fɔ ripɔzishɔn yu sholda yusɛf. Nɔ mek ɔda pɔsin du am pas dɔktɔ. If pɔsin we nɔto spɛshal pɔsin tray fɔ put yu sholda bak, yu kin pwɛl di blɔd vesel dɛn, di mɔsul dɛn, di ligamɛnt dɛn, ɛn di nerv dɛn.
• Put wan ays pak na di say we yu wund. Dis go mek yu nɔ swel ɛn nɔ fil pen.
• Di mɛrɛsin dɛn we de mek pɔsin fil pen (e.g. paracetamol, ɔ `NSAIDs` - Nɔn-stɛroyd anti-inflammatory drɔgs, lɛk aw yu dɔktɔ tɛl yu) kin ɛp fɔ ridyus pen ɛn ɔda sayn dɛm. Bɔt nɔ tek pas di doz we dɛn se yu fɔ tek.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu gɛt dis kayn tin, i go fayn fɔ aks yu dɔktɔ bɔt dɛn tin ya:

• A nid ɔpreshɔn fɔ mek a ripɛnt mi Hill-Sachs Lesion? If na so i bi, us kayn?
• Aw lɔng a nid fɔ mek mi an nɔ ebul fɔ muv?
• Ustɛm a fɔ bigin fɔ du fizik tritmɛnt? Aw lɔng i go tek?
• Ustɛm a go ebul fɔ ple spɔt ɔ ɛksesaiz bak? Us kayn tin dɛn a go du fɔs?
• Wetin a go du fɔ mek mi sholda nɔ pop igen?

Wetin na di difrɛns bitwin `Hill-Sachs Lesion` ɛn `Rivas Hill-Sachs Lesion`?

Wan `Hill-Sachs Lesion` ɛn wan `Reverse Hill-Sachs Lesion` na di sem kayn injuri. di onli difrεns na us say na di pat we lεk bכl na yu כp an bon (`Humerus`) di injuri de pan .

• `Hill-Sachs Lesion` na bכmp we de apin na di bak sayd (insay mεdikal tεm, `posterolateral aspect`) na di pat we lεk bכl na di sכlda we dεn push am fכ go bifo frכm di `anterior sayd`.
• `Rivas Hil-Sachs Lεshכn` na bכmp we de apin na di fכnt sayd (insay mεdikal tεm, di `anteromedial aspect`) na di pat we lεk bכl na di sכlda we dεn trowe am frכm di `posterior sayd`.

Dɛn kin no dɛn ɔl tu ɛn trit dɛn di sem we.

Wetin na di difrɛns bitwin `Hill-Sachs Lesion` ɛn `Bankart Lesion`?

`Hill-Sachs Lesion` εn `Bankart Lesion` na tu kayn injuri dεm we de asai wit di sכlda dεm we de kכmכt. Bɔt, dɛn difrɛn.

• `Hill-Sachs Lesion` na bon spur we de apin we yu sכlda slip fכ go bifo frכm sayd to sayd (anterior glenohumeral dislocation), we de mek di ed fכ di כp an bon (`humerus`) kכmprεs, we de mek wan lump na di sכlda sכkεt. Dis min se dis na damej pan di bon.
• `Bankart Lesion` na injuri na di protεktiv katilej ring we de rawnd di sכlda jכint (dεn kכl am `Labrum`). Wan `Bankart Lesion` na wan kray wata na dis `Labrum`. dis kin apin frכm dislכkeshכn כ sכm muvmεnt (`subluxation`). Wans di sholda dɔn kɔmɔt, i kin izi fɔ mek i apin bak. if di sכlda kכntinyu fכ disloket כ `subluxate`, di `Labrum` kin dכn mכr (lεk `SLAP tear`).

If yu sholda dɔn kɔmɔt na yu bɔdi, dat kin rili mek yu fil pen ɛn mek yu fred. Wantɛm wantɛm we yu nɔ ebul fɔ muv yu an, we yu fil lɛk se yu sholda nɔ de igen usay i bin de, na big big shɔk. Nɔ ɛva tray fɔ "tɔk" yu sholda ɛn put am bak togɛda. Go na di imejensi rum wantɛm wantɛm ɛn go to dɔktɔ kwik kwik wan.

>

If yu dɔn pul yu sholda wan tɛm, ilɛksɛf yu gɛt Hill-Sachs Lesion ɔ yu nɔ gɛt am, yu de pan ay risk fɔ wund am bak tumara bambay. So, tɔk to yu dɔktɔ we yu de wɛl. Da we de, yu go ebul fɔ no mɔ bɔt wetin fɔ ɛkspɛkt ɛn aw fɔ protɛkt yu sholda.

Mɛsej we dɛn kin kɛr go na os

Okay, so lɛ wi rikap di impɔtant tin dɛn we wi tɔk bɔt na dis `Hill-Sachs Lesion`:

• dis kin apin we wan sכlda kכmכt , εn di pat we lεk bכl pan di כp an bon (di `humerus`) de hit di sכkεt fכ di sכlda bled, we de mek wan sכm sכm sכlda we lεk dent f כm pan di bon.
• I gɛt di sem sayn dɛn we pɔsin kin si we in sholda kin kɔmɔt na in bɔdi, lɛk we i kin fil pen bad bad wan, we i nɔ kin ebul fɔ muv in an, ɛn we i kin swel , bɔt i kin tranga smɔl.
• Bɔku tɛm, dɛn kin put di sholda bak, mek i nɔ muv, ɛn trit am wit fizik tɛrapi we dɛn nɔ gɛt ɔpreshɔn .
• if di wund big (mכr dan 20% pan di bon), i kin nid fכ du כpεrayshכn .
• Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ wantɛm wantɛm if yu sholda kɔmɔt. Nɔ tray fɔ fiks am yusɛf.
• If yu pul yu sholda wan tɛm, yu go pul am bak. So, i rili impɔtant fɔ fala di advays we dɔktɔ gi yu ɛn mek yu sholda strɔng.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ aks yu dɔktɔ ɔ midwayf. Stay wit wɛlbɔdi!

` Sholda dislocation, Hill-Sachs Lesion, Hill-Sachs lesion, sholda pen, bon brus, sholda tritmɛnt, fizik tɛrapi