Yu gɛt fraktrɔs lɛk dis na yu an? Mek wi lan bɔt di Monteggia Fracture!

Yu dɔn ɛva gɛt aksidɛnt wit yu an ɛn dɔktɔ tɛl yu se yu gɛt ‘Monteggia Fracture’, we min se yu bon brok? Ɔ yu dɔn yɛri dis wɔd sɔmsay? Dis na rili wan kayn frakshɔn we kin kɔmplikt smɔl. I nɔ jɔs bi bon we brok na yu an. So, tide wi go tɔk bɔt dis kɔndishɔn we dɛn kɔl ‘Monteggia Fracture’ insay wan simpul we we yu go ɔndastand. Natin nɔ de fɔ fred, lɛ wi ɛksplen ɔltin.

Wetin na Mɔntejia Fraktrɔs?

Okay, naw mek wi luk wetin na ‘Monteggia Fracture’. Fɔ tɔk am simpul wan, na we yu fɔs an brok. di fכs an na di pat pan yu an we de kכmכt na yu εlbo to yu an. di frakshכn de apin na di εlbo jכint.

Yu no se tu men bon dɛn de na wi fɔrɛst.

• Wan pan dɛn na di ulna bon . dis de insay di fכs an, na di sayd we yu tכmbכl de (fכ tru, if yu luk yu an wit yu pal we de fכs dכn, di ulna de na di sayd fכ yu sכm finga. Dis na wetin dכkta dεn kכl di anatomical posishכn fכ di an).
• Di ɔda wan na di rayus bon . dis de na di כta say na di fכs an, tכwεd di big tכ (we yu de luk di an, lεk aw wi bin dכn tכk).

naw, wit sכm strכng fכs, yu ulna bon de brok nia di εlbo jכint. Wetin kin apin na dat di jɔyn nɔ kin stebul. so, di tכp εnd fכ di rayus bon, di pat we kכnekt to di εlbo jכint, de muv bak εn go bifo frכm usay i fכ de. pan mεdikal tεm dεm, dεn kכl dis ``dislocation.'' Na dat wi kin kכl ``Monteggia Fracture.''

I impɔtant fɔ mek dɔktɔ dɛn ɔndastand se dis kin kɔmplikt pas fɔ jɔs brok bon. Bikɔs i de mek di ɛlbo jɔyn nɔ stebul, i nid spɛshal tritmɛnt fɔ mek i wɛl fayn fayn wan. If i pɔsibul, dɔktɔ dɛn go yuz dɛn an fɔ put di bon dɛn bak na dɛn ples. Bɔt if dat nɔ pɔsibul, ɔ if siriɔs damej pan wan ligamɛnt, blɔd vesel, ɔ nerv na yu jɔyn, yu go nid fɔ ɔpreshɔn.

Wetin na di difrɛns bitwin Monteggia ɛn Galeazzi fraktrɔs?

Yu kin dɔn yɛri bak bɔt ‘Galeazzi fracture’. Pan ɔl we i go tan lɛk se dɛn tu tin ya fiba, difrɛns de. Dɛn tu kin kɔnfyus.

• insay Monteggia frakshכn , yu ulna bon de brok nia di εlbo jכint, we de mek di tכp εnd fכ di rayus bon kכmכt na di joyn.
• insay Galeazzi fracture , yu radius bon de brok nia di wrist joyn, εn di lכw εnd pan di ulna bon de kכmכt na da joyn de.

Na wan smɔl advays fɔ mɛmba dis. Dɛn kɔl am FROG insay Inglish. I tinap fɔ Fraktrɔs Radius Ɔf Galeazzi . Dɔn yu kin mɛmba se na Galeazzi, di rayus dɔn brok. Dɔn, i izi fɔ mɛmba se na Mɔntejia, di ulna dɔn brok, nɔto so?

Wetin na di sayn dɛm fɔ Monteggia fraktrɔs?

Pɔsin we gɛt Monteggia Fracture kin fil pen na in ɛlb . Yu go fil di frakt na di ɔpa pat pan yu fɔs an. Di say kin swel. Sɔntɛnde yu kin si di bon dɛn de muf go bifo ɛn biɛn, sɔm tɛm yu nɔ kin si. Di rayus bon de pen bak.

Yu kin fil tin dɛn bak lɛk:

• I kin fil lɛk se i at fɔ bɛn ɔ stret yu ɛlb (limited range of motion).
• sכmtεm, wan rayus bon we dכn sכmtεm go kam bak to in כrijinal posishכn bay insεf.

We dɔktɔ chɛk yu, dɛn go luk bak fɔ sayn dɛn we de sho se yu gɛt injury na yu nerv. We dɛn kayn tin ya kin apin, tin dɛn lɛk dis kin apin:

• Wan tin we de mek pɔsin fil lɛk se ant de kray rawnd na di an (paresthesia).
• Fɔ fil wik na yu fɔs an ɔ yu an.
• Pen we de kɔmɔt na di say we di bon dɔn brok.

Us nerv dɛn kin pwɛl we Monteggia fraktrɛshɔn?

Wan Monteggia fracture kin damej yu radial nerve ɔ yu median nerve . di injuri we kכmכn pas כl na di posita intarosכs nεv (PIN), we na wan branch pan di raydial nεv. If dis nerve dɔn pwɛl, i kin at fɔ mek yu es yu finga ɛn yu big big an.

di gud nyus na dat bכku tεm, di nεv dεm we de pwεl frכm wan Monteggia Fracture na sכm sכm (`neurapraxia`). Dis min se di nerve de pinch fɔ sɔm tɛm. Dis kin wɛl fɔ insɛf insay sɔm mɔnt. If i nɔ du dat, dɛn kin kɔrɛkt am wit ɔpreshɔn.

Wetin kin mek wan Monteggia frakt?

Dis kin bi bikɔs ɔf wan bad bad injury . Di tin dɛn we kin mek pɔsin gɛt dis sik na:

• Yu fɔdɔm wit yu an we yu stret . Imajin se yu slip we yu de rɔn ɛn yu an stɔp na grɔn.
• Fɔ fɔdɔm frɔm ayt so dat di ɛlb go bang di grɔn .
• Wan had blow dairekt to di bak pat na di elbo .

Aw dɔktɔ dɛn kin no dis kɔrɛkt wan?

We yu gɛt aksidɛnt wit yu an, dɔktɔ go fɔs chɛk yu bɔdi . Dɔn dɛn go tek ɛkstrem rayt.Dɛn kin du di tɛst dɛn. Frɔm di ɛgzam pan di bɔdi, di dɔktɔ kin gɛt wan aidia bɔt wetin fɔ luk fɔ pan di ɛkstrem rayt.

Fɔ no kɔrɛkt wan se yu gɛt Monteggia Fracture, yu go nid fɔ tek ɛkstrem rayt fɔ yu fɔs an ɛn yu ɛlbo. di εks- ray fכ di fכs an go sho se di ulna bon dכn brok. di εks-ray dεm na di εlbo go sho wan raydial ed dislכkeshכn.

כltu, כl tu di ulna frakshכn εn di rayus frakshכn kin bi s כmtεm rili sכmtεm . So, i kin izi fɔ lɛ pɔsin mis dɛn. Dɛn tin ya kin at fɔ no , mɔ pan yɔŋ pikin dɛn . Sɔntɛnde, di bɔdi we brok so smɔl dat i nɔ kin ivin notis, ɔ di bon kin jɔs bɛn smɔl. Ɔda tɛm dɛn, di rayus we dɔn brok go go bak insay in yon bifo yu ivin go to dɔktɔ. So, fɔ no fɔ tru if na ‘Monteggia Fracture’, yu nid fɔ tek tɛm luk am fɔ si if ɛni pruf de fɔ se i bin dɔn frakt bifo.

Aw dɛn kin trit pɔsin we gɛt Monteggia fraktrɔs?

Di tritmɛnt fɔ Monteggia fraktrɔs difrɛn smɔl pas fɔ trit simpul bon we brok. Dis na bikɔs i kin gɛt fɔ du wit we di jɔyn dɛn kin kɔmɔt. We bon dɔn kɔmɔt, di tisu dɛn we kin ol am na in ples kin strɛch ɔ rɔtin. Ivin afta dɛn dɔn put di bon bak na in ples, i kin tek tɛm fɔ mek dɛn tisu dɛn ya wɛl. Di jɔyn stil nɔ stebul. So, chans de fɔ mek di tisu dɛn pwɛl bak, ɔ di bon go kɔmɔt bak.

Fɔ mek yu ebul fɔ trit ‘Monteggia Fracture’ fayn fayn wan, dɛn tin ya fɔ apin:

• di ulna bon nid fכ go bak na in k כrekt posishכn .
• di rayus bon nid fכ go bak na in k כrekt posishכn .
• Dɛn tu bon ya nid fɔ de stebul na di say we dɛn jɔyn te dɛn wɛl.

Fɔ du dis, dɔktɔ dɛn kin tray fɔ yuz di tritmɛnt we dɛn kin yuz fɔ mɛn di sik dɛn we nɔ de chenj. Na if dɛn nɔ wok, na in dɛn kin du ɔpreshɔn. Infakt, bɔku yɔŋ pikin dɛn nɔ nid ɔpreshɔn, bɔt bɔku tɛm big pipul dɛn kin nid ɔpreshɔn. Di rizin fɔ dis na bikɔs pikin dɛn bon ɛn tisu dɛn stil de gro, so i izi fɔ mek dɛn ripɛnt ɛn wɛl kwik kwik wan. Di bon dɛm na di big pipul dɛn jɔyn nɔ kin wɛl fɔ dɛnsɛf if dɛn nɔ ɛp dɛn, ɛn dɛn nɔ kin de na di rayt ples.

Na di we dɛn fɔ trit am:

• Ridyushɔn we dɛn dɔn lɔk:‘Ridyushכn’ min fכ put di bon we dεn displεs bak na in ples. ‘Klos ridyushɔn’ min fɔ ajɔst di jɔyn wit yu an we yu nɔ du ɔpreshɔn. Ɛnitɛm we i pɔsibul, dɔktɔ dɛn go tray fɔ du dis fɔs. Dɛn kin du dis we yu de ɔnda anestezi. Afta dat, yu go nid fɔ wɛr kas ɔ splint fɔ ol di bon na in ples te i wɛl.
• Opin ridyushɔn ɛn intanɛnt fikseshɔn (ORIF): If klos ridyushɔn nɔ pɔsibul, di nɛks opshɔn na ɔpreshɔn (open ridyushɔn). insay fikseshɔn involv fɔ put ɔl di bon dɛn bak na dɛn ples ɛn ol dɛn na dɛn ples. Sɔntɛnde, di dɔktɔ go nid fɔ atak di ulna bon bak bifo i put di rayus bak na in ples. Ɔda tisu dɛn we dɔn pwɛl kin nid fɔ trit ɔ pul dɛn bak.

Aw lɔng i kin tek fɔ wɛl frɔm Monteggia fraktrɔs?

Bɔrku pipul kin kam bak to nɔrmal tin wae dɛn kin du insay 8 to 12 wiks afta dɛn dɔn trit dɛn. Atlet ɛn di wan dɛn we gɛt wok we nɔ izi fɔ dɛn bɔdi kin tek lɔng tɛm.

If yu gɛt klos ridɔkshɔn, yu kin nid fɔ wɛr kas fɔ lɛk 6 to 8 wiks. If yu gɛt ɔpreshɔn, yu kin nid fɔ wɛr kas fɔ lɛk 3 wiks. Afta dat, yu kin nid fɔ du ɔkupeshɔn tɛrapi ɔ fizik tɛrapi fɔ sɔm wiks fɔ mek yu an ebul fɔ chenj ɛn fɔ mek yu ebul fɔ muv difrɛn say dɛn.

Aw di sityueshɔn de afta tritmɛnt fɔ wan Monteggia fraktrɔs?

If dɛn no di sik di rayt tɛm ɛn trit dɛn fayn, bɔku pipul dɛn kin wɛl ɛn nɔ gɛt big prɔblɛm. Bɔt bikɔs dis na siriɔs injury, i nɔ kin izi fɔ mek yu ɛlbo stif, yu kin fil pen ɔltɛm, ɛn yu kin wik afta yu dɔn trit yu. Na lɛk 10% pan pipul dɛn kin gɛt sɔm kayn nerv damej fɔ sɔm tɛm, we kin las fɔ sɔm mɔnt.

Di impɔtant tin na dat if dɛn nɔ no bɔt wan Monteggia Fracture ɛn lɛf am fɔ sɔm wiks, i nɔ kin izi fɔ trit am fayn fayn wan. I kin mek bak bad bad tin apin fɔ lɔng tɛm.

We yu an brok nia wan joyn, i impɔtant fɔ tink bɔt if di jɔyn insɛf sɛf dɔn pwɛl. I at fɔ no we yu gɛt tu injuri na di sem ples, nia di sem jɔyn. Bɔt if yu sik dɛn kɔntinyu fɔ mɔna yu afta yu dɔn gɛt tritmɛnt, nɔ jɔs ignore dɛn. Si yu dɔktɔ bak. Dɛn go tek tɛm nɔ fɔ delay di rayt tritmɛnt fɔ wan Monteggia fraktrɔs, pas fɔ avɔyd am.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

• Monteggia frakshכn na frakshכn we di ulna bon na di fכs an de brok na di εlbo, we de mek di rayus bon kכmכt na di jכint.
• dis kin kכmplikt pas jכs fכ brok, biכs di εlbo jכint nכ de stebul.
• Dis kin apin bikɔs ɔf tin dɛm lɛk fɔdɔm ɛn fɔ blo dairekt to di ɛlb.
• Di men sayn dɛm na di ɛlb pen, swel, ɛn nɔ ebul fɔ muv di an fayn fayn wan. Smɔl chans de bak fɔ mek di nerv dɛn pwɛl.
• Fɔ no am kɔrɛkt wan, yu nid fɔ tek ɛkstrem rayt na yu fɔɛd ɛn yu ɛlb.
• Bɔku tɛm, dɛn kin kɔrɛkt yɔŋ pikin dɛn we dɛn nɔ gɛt ɔpreshɔn, bɔt big pipul dɛn kin nid ɔpreshɔn.
• If dɛn no di sik kwik kwik wan ɛn trit am fayn, i pɔsibul fɔ mek i wɛl fayn fayn wan. If i delay, kɔmplikeshɔn kin apin.
• If yu kɔntinyu fɔ gɛt pen ɔ nɔ fil fayn afta yu dɔn trit yu, mek shɔ se yu go to dɔktɔ.

A op se yu si dis infɔmeshɔn yusful. If yu gɛt ɛni kwɛstyɔn, nɔ shek fɔ aks yu dɔktɔ. Stay wit wɛlbɔdi!

` Monteggia fraktכs, εlbo injuri, fraktכs, ulna, rayus, an frakshכn, כpεrayshכn