We wi gɛt pen na wi sholda, wi nɔ kin ivin ebul fɔ du di wok dɛn we wi kin du ɛvride fayn, nɔto so? Sɔntɛnde, wi nɔ kin ebul fɔ es wi an, i nɔ kin izi fɔ chenj klos, ɔ wi nɔ kin ebul fɔ bia di pen we wi es sɔntin. We yu go to dɔktɔ lɛk dis, i go tɛst yu fɔ difrɛn tin dɛn fɔ no wetin mek yu sholda de pen. Dat na tru, di O’Brien test na simpul, yet rili impɔtant tɛst fɔ ɔndastand ɛksaktɔli wetin nɔ fayn wit yu sholda.
Fɔ tɔk am simpul wan, wetin na di O’Brien Tɛst?
Di O’Brien test na simpul fyzikal test wae yu dɔktɔ kin yuse fɔ no wetin de mek yu sholda de pen. I nɔto ɛkstrem rayt ɔ blɔd tɛst. I min se yu dɔktɔ put yu an na sɔm say dɛn, prɛs yu smɔl, ɛn chɛk fɔ si if yu fil ɛni pen. Dɛn kin kɔl dis bak ‘aktiv kɔmpreshɔn tɛst.’
Dis tεst kin gi klyu dεm bכt prכblεm dεm wit tu spεshal pat dεm na di sכlda jכint, dat na:
1. wan tεm we de na di katilej na di sכlda, spεshal wan we de na wan pat we dεn k כl labrum (labral tear).
2. wan prכblεm wit di akromioklavikul (AC) jכint , we de na di tכp pat pan di sכlda.
Difrɛn pipul dɛn we sabi bɔt wɛlbɔdi biznɛs kin du dis tɛst. Fɔ ɛgzampul:
- Ɔtopɛdist dɛn
- Di wan dɛn we de mɛn pipul dɛn we gɛt bɔdi
- Atletik trena dɛn
- Yu famili dɔktɔ (Praymari kia prɔvayda dɛn) .
Wetin mek dɛn kin du dis tɛst? Us pat dɛn na di sholda i de luk?
Fɔ ɔndastand dis, wi fɔ no smɔl bɔt wi sholda fɔs. Tink bɔt wi sholda dɛn lɛk wan mashin we rili kɔmpleks ɛn we de yuz bɔku say dɛn. Bɔku men pat dɛn de fɔ am. Di O’Brien tɛst de pe atɛnshɔn mɔ pan dɛn tu pat ya.
1. AC joyn (Acromioclavicular joyn) .
dis na di say we wi kכlabon (klavikul) de kכnekt to di tכp pat pan wi sכlda bon (scapula). Fɔ tɔk am simpul wan, dis na di jɔyn usay tu bon dɛn kin mit, we yu kin fil if yu put yu an ɔp yu sholda. di O’Brien tεst de εp fכ no prכblεm dεm lεk di kכtilaj we de lכs, di joyn dεm we de sεparayt, כ prכblεm wit dis jכint.
2. Labrum we de na di wɔl
Wi sכlda jכint na ‘bol-εn-sכkεt' jכint. dat min se di pat we lεk bכl na wi כp an bon (humerus) fit insay wan pat we lεk kכp na wi sכlda bon (scapula). di labrum na tik tik pat we tan lεk rכba we de rawnd dis kכp. I de akt lɛk bampa, we de ɛp fɔ mek di bɔl stebul ɛn nɔ pop kɔmɔt na di kɔp.
Sɔntɛnde dis labrum kin te bikɔs ɔf aksidɛnt ɔ we dɛn de du spɔt. Ɛspɛshali we di ɔp pat pan am rɔtin, dɛn kin kɔl am SLAP tear.dεn kכl am bak `(Superior Labrum, Anterior to Posterior)`. Di O’Brien test kin gi clue bak if dis kayn tear de.
Apat frɔm dɛn tu men tin ya, dis tɛst kin ɛp bak fɔ pul ɔda prɔblɛm dɛn we de na di sɔl, lɛk we pɔsin kin rɔn na di kɔf we i de rɔn ɔ we pɔsin kin sidɔm na in sɔl, na in kin mek i fil pen.
Aw fɔ du dis tɛst? Step by step
Dis tɛst rili simpul. Yu nɔ nid ɛni spɛshal pripia fɔ am. Di dɔktɔ go aks yu fɔ sidɔm ɔ tinap ɛn fala dɛn step ya. I gɛt tu men pat dɛn.
Fɔs step (thumb down) .
1. Rays yu an: Rays yu an na di sayd we yu de fil stret bifo yu, paralel to di flɔ (90 digri). Kip yu ɛlb stret ɔltogɛda.
2. Bring yu an insay: Naw bring da an we yu rayz smɔl to yu bɔdi (lɛk 10-15 digri).
3. Rotate yu an: Neks, rotate yu an insaid, laik se yu de pour wata from wata botul, wit yu thumb point dong and bak of yu han de fes yu oda han. dis dεn kכl am ``pronation.''
4. Nɔ gri wit di prɛshɔn: Naw di dɔktɔ go ol yu an bay di rayt say ɛn prɛs yu an dɔŋ. Wetin yu nid fɔ du na fɔ mek yu nɔ du di prɛshɔn, dat min se yu fɔ tray fɔ push yu an ɔp instead fɔ lɛ i go dɔŋ.
Di dɔktɔ aks yu if yu de fil ɛni pen na yu sholda dis tɛm.
Sɛkɔn step (thumb up) .
1. Chenj yu an posishun: Naw ton yu an di oda we. I tan lɛk se yu de aks pɔsin fɔ sɔntin, yu an de fes ɔp ɛn yu big an de fes na do. Dɛn kɔl dis pozishɔn `(supination)`. Kip yu an stil paralel to di grɔn, stret.
2. Nɔ gri wit di prɛshɔn bak: Di dɔktɔ go prɛs yu an dɔŋ bak lɛk aw i bin de bifo. Yu fɔ tray fɔ ol yu an ɔp agens di prɛshɔn.
Di dɔktɔ kin aks bak aw di pen de dis tɛm.
Wetin ‘pɔzitiv’ rizɔlt min?
Naw na di impɔtant pat. Dɛn kin kɔl dis tɛst ‘pɔzitiv’ nɔmɔ if dɛn mit dɛn tu kɔndishɔn ya:
- Yu fɔ fil pen na yu sholda na di fɔs pozishɔn (wit yu big an we de pɔynt dɔŋ).
- Dɔn bak, na di sɛkɔn pozishɔn (wit di big an tɔn ɔp), di pen we dɛn bin dɔn fil fɔs fɔ ridyus bad bad wan ɔ i fɔ dɔn kpatakpata.
Fɔ ɔndastand dis rizɔlt mɔ klia wan, luk di tebul we de dɔŋ ya.
| Di say we di pen de | Wetin i kin min (Possible Meaning) . |
|---|---|
| Wan dip pen we de chuk pɔsin insay di shɔlda jɔyn | Bɔku tɛm dis kin sho se i pɔsibul fɔ lɛ di labral te . Sɔmtɛm dis pen kin kam wit ‘klik’ sawnd. |
| Wan pen we de ɔp di sholda | Bɔku tɛm dis kin sho se prɔblɛm de wit di AC jɔyn . |
Dis test na 100% akchual? Wetin kin apin afta dat?
Dis na sɔntin we wi ɔl nid fɔ no. Di O’Brien test na wan tin we rili yusful we kin gi yu wan clue bɔt wan prɔblɛm wit yu sɔl. Bɔt, i nɔto 100% kɔrɛkt, difinitiv tɛst. Sɔmtɛm, pɔrsin wae gɛt wɛl bɔdi in sholda kin test pɔsitiv fɔ dis tɛst ivin if dɛn nɔr gɛt prɔblɛm.
So, di dɔktɔ nɔ de ɛva abop pan di tin dɛn nɔmɔ we dɛn dɔn du fɔ dis wan tɛst. Dis tan lɛk wan pat pan wan big pazl.
Di dɔktɔ kin kam fɔ no di las tin afta we i dɔn tink bɔt di tin dɛn we dɛn dɔn du fɔ dis ɛgzam, ɛn dɛn tin ya bak:
- Di ditel dɛm wae yu gi: Aw de pen bigin, ustɛm e bi, aw e fil, ɛn ɔda tin dɛm.
- Ɔda tɛst dɛm fɔ yu bɔdi: Ɔda tɛst dɛm wae de luk pan tin dɛm lɛk aw yu sholda de muv ɛn trɛnk.
Sɔntɛnde, yu dɔktɔ kin tɛl yu fɔ du sɔm ɔda tɛst fɔ no mɔ bɔt di sik.
- X-ray, CT scan, ɔ MRI: Dɛn tin ya kin si klia wan di bon dɛn, di katilej, ɛn di mɔsul dɛn we de insay di sɔl jɔyn.
- Blɔd tɛst: Chɛk fɔ si if na ɔda tin dɛn lɛk gaut ɔr rεumatoid at.
- Shoulder arthroscopy: Dis na smɔl ɔpreshɔn. Dɛn kin put wan rili smɔl kamɛra insay di jɔyn fɔ si dairekt wan wetin di prɔblɛm de insay.
Mɛsej we dɛn kin kɛr go na os
- Di O’Brien tɛst na simpul, we nɔ de mek pɔsin fil pen fɔ no wetin mek i de fil pen na in sɔl.
- dis kin sho mεntal wan se di katilej na di sכlda (especially di labrum) de tכn כ prכblεm wit di AC jכint.
- fכ di tεst fכ bi ‘positiv’, dεn fכ fil pen we dεn tכn di tכmbכl dכn, εn di pen fכ dכn we dεn tכn di tכmb כp.
- Dis tɛst nɔmɔ nɔ go du fɔ mek dɛn no di sik. Na wan pat nɔmɔ pan wan kɔmplit ɛvalueshɔn we di dɔktɔ go du.
- If yu gɛt pen na yu sholda ɔltɛm, nɔ ignore am, bɔt fɔ tru, go to dɔktɔ we sabi du di wok fɔ mek dɛn chɛk yu fayn fayn wan.
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