Yu dɔn ɛva fil ‘pop’ na yu ni we yu de ple, dans, ɔ twis yu leg wantɛm wantɛm? Yu dɔn ɛva fil shap pen lɛk se yu ni dɔn go na sayd? Yu bin si se yu nɔ ebul fɔ waka? Dis na wetin wi kin kɔl patɛl dislɔkeshɔn pan mɛrɛsin. Pan ɔl we i kin mek yu fred, i rili izi fɔ kɔntrol am if yu no bɔt am. So, lɛ wi tɔk bɔt am tide.
Fɔ tɔk am simpul wan, wetin dis kneecap jomp min?
Fɔ ɔndastand dis, lɛ wi fɔs luk aw dɛn mek wi ni. I rili simpul. Wi ni jɔyn gɛt tri men bon dɛn.
1. Femur: Dis na di bon we lכng pas ɔl na yu ɔp leg.
2. di lכw leg bon (tibia): dis na di tik bon we de dכn di kכn εn fכnt.
3. Kneecap (patella): dis na di sכmכl, triangul bon we de fכnt εn midul pan dεn tu bon dεm ya.
Tink bɔt am lɛk tren we de na tren trak. we wi bεnd εn strεt wi leg dεm, di kכp (patella) de muv כp εn dכn insay wan grov (wi kכl am di `trochlear groove`) na di bכtכm pat pan di tכŋ bon (femur). wan nεtwכk fכ di tεndon dεm εn di ligament dεm de εp fכ kip am na dis grov.
Patella dislocation na we di kneecap, fכ sכm rizin, de slip kכmכt na in trochlear groove. I nɔ kin ebul fɔ muv nɔmal wan, ɛn di ni kin stif ɛn lɔk. Bɔku tɛm, i kin slip go na do na di ni. Lɛk ɛni jɔyn we de kɔmɔt, i kin rili pen. Bɔt sɔntɛnde di kneecap kin fɔdɔm bak na in ples fɔ insɛf.
i impɔtant fɔ no se we di patɛl we de kɔmɔt na di bɔdi rili difrɛn frɔm we di ni we de kɔmɔt na di ni. di knee dislocation na we di fimur εn tibia de separet. Na wan sik we rili siriɔs.
Dɔn bak, we di kneecap nɔ de na in ples kpatakpata, jɔs smɔl, wi kin kɔl am (patella subluxation) .
Tu men we dɛn de fɔ pop kneecap.
Wi sheb dis situeshɔn to tu men pat.
- Acute Patella Dislocation: Dis na di kayn dislokeshכn we kכmכn pas כl. I kin apin we di kneecap kin kɔmɔt wantɛm wantɛm bikɔs ɔf aksidɛnt, fɔdɔm, ɔ fɔdɔm. Di kneecap kin gɛt smɔl pawa pas ɔda jɔyn dɛn.
- Congenital Patella Dislocation: Dis na wan sik we nɔ kin apin so ɔltɛm. As pikin de gro, di kneecap de kɔmɔt na di trochlear groove. Dɛn kɔl dis trochlear dysplasia.Dɛn kin tɔk bak.
Aw yu go no if yu ni dɔn kɔmɔt?
We yu kneecap pop, yu go si wan ɔ mɔ pan dɛn sayn ya. Lɛ wi luk dɛn dis we fɔ ɔndastand dɛn klia wan.
| Di sayn we de sho se di sik de | Wetin dat min? |
|---|---|
| Dɛn kin yɛri wan ‘tik’ sawnd. | Dis kayn sawnd yu kin yɛri we di kneecap pop kɔmɔt na in nɔmal pozishɔn. |
| Ni dɛn kin bɛn we dɛn nɔ ebul fɔ kɔntrol (Buckling) . | Bikɔs di jɔyn nɔ kin stebul, yu ni kin bɔk wantɛm wantɛm we yu tray fɔ tinap. |
| Siri pen we pɔsin nɔ go ebul fɔ bia | We yu strɛch ɛn te di ligamɛnt ɛn tɛndon dɛn, dat kin mek yu fil bad bad wan. |
| Knee Swelling (Effusion) we de mek pɔsin in ni swɛla . | Di injuri de mek wata gɛda insay di jɔyn ɛn mek i swel kwik kwik wan. |
| Bluish/bruiz we de mek pɔsin brus | If di smɔl smɔl blɔd vesel dɛn we de insay pwɛl, dat kin mek di skin tɔn blu. |
| Knee lok | A dɔn stɔp na wan pozishɔn, a nɔ ebul fɔ bɛn ɔ stret mi ni dɛn. |
| A nɔ ebul fɔ waka. | Pen ɛn instability de mek i nɔ pɔsibul fɔ waka wit wet na di leg. |
| Di kneecap de sho na di sayd. | Ivin frɔm do, yu kin si se di kneecap nɔ de usay i fɔ de, bɔt i de na di sayd. |
Yu tink se dis kin afɛkt am fɔ lɔng tɛm?
Yɛs, sɔm prɔblɛm dɛn kin de we kin de fɔ lɔng tɛm. we di kneecap pop, di ligament dεm we de ol di joyn tכgeda de strεch, we de mek di joyn nכ de stebul . Dɔn bak, di sɔft katilej we de ɔnda di kneecap kin pwɛl. Dis kin mek di risk fɔ gɛt knee osteoarthritis tumara bambay.
Impɔtant, lɛk 45% pan di pipul dɛm wae dɔn gɛt kneecap sprain go gɛt am bak. Dis kin apin insay sɔm wik ɔ ivin sɔm ia afta dat.
Wetin mek di kneecap de jomp lɛk dis?
Di men rizin we mek pɔsin jomp aksidɛnt na we i de yuz pawa. Dis kin apin tu we dɛn.
1. Dayrɛkt Impɛkt: If pɔsin blo am dairekt wan, i rɔsh, ɔ i fɔdɔm tranga wan na di ni, i kin mek di kneecap kɔmɔt.
2. Twisting Motion: Dis no nid fo bi big aksident ol taim. Imajin se yu de ple, dans, ɔ rɔn ɛn wantɛm wantɛm yu put yu fut dɔŋ ɛn twist yu bɔdi to di ɔda say. we dis kin apin, di lכw leg kin de na wan ples, we kin mek di tכŋ bon de twist. Di pawa we dis kin gɛt kin mek di kneecap pop. Dis kin apin to atlet ɛn dansa dɛn.
Apat frɔm dat, dɛn kin bɔn sɔm pipul dɛn wit wan lɔs ligamɛnt ɛn tɛndon we kin ol dɛn ni kap na in ples. Wi kɔl dis patɛl instability . Pipul dɛn lɛk dat kin pop dɛn ni wit ivin di smɔl muvmɛnt.
Udat dɛn de pan denja mɔ?
Pan ɔl we ɛnibɔdi kin gɛt aksidɛnt, di prɔblɛm kin pas smɔl fɔ sɔm pipul dɛn.
| Risk kategori | Rizin |
|---|---|
| Di wan dɛn we de ple | Ɛspɛshali fɔ di wan dɛn we de ple spɔt we de put bɔku prɛshɔn pan di ni (futbɔl, baskɛtbɔl). |
| Di wan dɛn we de dans | Bikɔs ɔf di muvmɛnt dɛn we dɛn kin twis ɛn jomp wantɛm wantɛm. |
| Yɔŋ pikin dɛn (Teenagers) . | Bikɔs di jɔyn ɛn di ligamɛnt dɛn kin lɔs smɔl we di bɔdi de gro kwik kwik wan. |
| Uman dɛn | di lateral fכs pan di kכn de inkrεs bikoz di hip bon de wayd εn di lכs nεchכr fכ di ligament dεm. |
| Man dɛn we lɔng | If yu bɔdi wet pasmak, dat kin mek di jɔyn dɛn gɛt mɔ prɛshɔn. |
Aw ɛksaktɔli di dɔktɔ kin fɛn dis?
Bɔku tɛm, dɔktɔ kin no if yu ni dɔn swɛt bay we i chɛk yu ni, aks yu bɔt di aksidɛnt, dɔn i chɛk yu ni.
Bɔt i fayn fɔ du sɔm imej tɛst dɛn fɔ no if ɛni ɔda damej de insay.
- Knee X-ray: Chɛk fɔ si if di bon dɛn brok.
- MRI skan: Fɔ luk gud wan pan di damej we di ligamɛnt, tɛndon, ɛn katilej dɔn pwɛl.
- CT skan: Stɔdi dip dip wan di subtil fraktrɔs ɛn di pozishɔn we di bon dɛn de.
Sɔntɛnde di kneecap kin pop aut ɛn fɔdɔm bak na in ples fɔ insɛf. Yu no ivin rialize se i pop out. Bɔt di ni dɔn swel ɛn i de fil pen. Ivin insay kes dɛm lɛk dis, di dɔktɔ kin yuz di skan dɛm we wi dɔn tɔk bɔt fɔ no if na pop ɔ if ɛni ɔda damej de.
Wetin yu kin du we yu gɛt kneecap dislocation? Wetin na di tritmɛnt dɛn?
Di tritmɛnt kin bigin wit fɔ rɛst di ni. Nɔ waka pan am ɔ du nɔmal tin dɛn. Yu kin put ays fɔ mek yu nɔ gɛt pen ɛn swel, ɛn tek mɛrɛsin fɔ mek yu fil pen (e.g. NSAID) lɛk aw yu dɔktɔ tɛl yu. Apat frɔm dat, yu dɔktɔ go fala dɛn tritmɛnt ya.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Ridyushɔn | Di dɔktɔ go tek tɛm ɛn put di kneecap bak na in ples saful wan. Dɛn kɔl dis klos ridɔkshɔn . If nid de, dɛn kin gi am smɔl mɛrɛsin fɔ mek pɔsin fil pen ɔ wan mɛrɛsin we de mek pɔsin fil pen. |
| Bracing ɛn kruk dɛn | dεn go put bres/splint fכ fכ wik fכ mek di jכint stebul. Dɛn go tɛl yu fɔ yuz kruk fɔ mek yu ni nɔ put wet pan am. |
| Ɔpreshɔn | If di bon dɛn, di katilej, ɔ di ligamɛnt dɛn dɔn pwɛl bad bad wan, ɔ if di injuri kɔntinyu fɔ de, dɛn kin se dɛn fɔ du ɔpreshɔn fɔ mek dɛn fayn. |
| Rihabiliteshɔn | Fyzikal tritmɛnt na wan impɔtant pat pan dis tritmɛnt. I de ɛp fɔ mek di mɔsul dɛn we de rawnd di jɔyn strɔng, we de mek i ebul fɔ muv tru wan rɛnj we i de muv te i stebul bak. |
A nɔ go ebul fɔ fiks dis misɛf? A nid fɔ go to dɔktɔ?
Sɔntɛnde, we yu es yu leg smɔl smɔl, i kin fɔdɔm bak na in ples. Bɔt if i nɔ izi fɔ mek yu ɛkstɛnd yu leg bikɔs yu de fil pen, nɔ du am. Dɔktɔ kin mek di pen nɔ bɔku ɛn mek i izi fɔ am.
Di tin we impɔtant pas ɔl: Ivin if yu ebul fɔ fiks am yusɛf, yu fɔ rili go to dɔktɔ. i impɔtant fɔ chɛk fɔ si if di bɔdi brok insay di bɔdi, if di katilej dɔn pwɛl, ɔ if di ligamɛnt dɛn dɔn rɔtin. If wi nɔ du dat, dat kin mek wi gɛt mɔ prɔblɛm dɛn tumara bambay.
If yu fil se yu ni nɔ de stebul, i nɔ izi fɔ es yu leg, yu de fil pen ɛn swel, ɔ yu fil lɛk se yu ni de stɔp, mek shɔ se yu go to dɔktɔ.
Aw lɔng i kin tek fɔ mek i wɛl?
Dis kin dipen pan aw yu injuri bad ɛn aw fɔ trit yu.
- Fɔ di fɔs tɛm, if nɔr big damej nɔr de: De recovery outluk na rili gud. Bɔrku pipul kin kam bak to nɔrmal tin wae dɛn kin du ɛvride insay 6-8 wik . Dɛn kin bigin fɔ ple spɔt insay 3-4 mɔnt .
- If yu dɔn fɔdɔm ɔ ɔpreshɔn bɔku tɛm: Di tɛm fɔ wɛl go ivin lɔng. I kin tek pas wan ia bifo yu ebul fɔ ple spɔt bak.
Aw wi go mek dis nɔ apin igen?
We di jɔyn dɔn swɛt, di ligamɛnt dɛn kin strɛch, we kin mek i izi fɔ mek i swɛt bak if di sem aksidɛnt apin. Pan ɔl we i nɔ kin izi fɔ mek aksidɛnt nɔ apin, tin dɛn de we wi kin du fɔ ridyus di prɔblɛm.
- Du di fizik tritmɛnt kɔrɛkt wan: Du di ɛgzampul dɛn fɔ di tɛm we dɛn dɔn tɛl yu fɔ du, lɛk aw yu dɔktɔ ɛn pɔsin we de mɛn yu bɔdi tɛl yu fɔ du. Nɔ rɔsh fɔ put bɔku wet pan yu leg.
- Strɔng yu leg mɔsul dɛm: Du ɛksɛsayz we de mek di mɔsul dɛm we de rawnd yu ni dɛn strɔng (espɛshali di fɔs ɛn bak pat na yu shɔl). Dis go ɛp fɔ mek yu nɔ strɛs pasmak pan jɔs wan mɔsul grup.
- Kɔrɛkt spɔt postura: If yu na atlet, mek spɛshal pɔsin chɛk yu muvmɛnt ɛn posture fɔ mek shɔ se i kɔrɛkt.
- Tink bɔt fɔ du ɔpreshɔn: If di ligamɛnt dɛn na yu ni rili lɔs, tɔk to yu dɔktɔ bɔt aw fɔ du ɔpreshɔn fɔ mek dɛn strɔng.
Yu tink se dis kin mek pɔsin fil bad bad wan? A kin waka afta we wan ni-kap dɔn kɔmɔt?
Yɛs, dis na sik we de mek pɔsin fil pen bad bad wan. Yu nɔ go ebul fɔ waka we di kneecap dɔn dislocated. Di ni kin lɔk, ɔ i kin bɛn we pɔsin nɔ ebul fɔ kɔntrol am. If yu tray fɔ put wet pan am, di ni go ‘buckle’. If i fɔdɔm bak na in ples, yu kin ebul fɔ waka, bɔt yu go gɛt pen ɛn swel. So fɔ yuz kruk na di bɛst tin fɔ du.
If yu kneecap dislocation, i kin mek yu fred ɛn i kin mek yu fil pen. Bɔt wit di rayt tritmɛnt ɛn rihabiliteshɔn, yu kin mek yu wɛl ful wan ɛn go bak to yu nɔmal layf ɛn spɔt aktiviti dɛm. Di tin we impɔtant pas ɔl na fɔ fala wetin yu dɔktɔ tɛl yu fɔ du.
Mɛsej we dɛn kin kɛr go na os
- Patella dislocation na we di kneecap slip kכmכt na in nכmal grov.
- Dis kin rili pen, ɛn da tɛm de i nɔ kin izi fɔ put wet pan di leg ɛn waka.
- Ivin if di kneecap fɔdɔm bak insay in yon, yu fɔ rili go to dɔktɔ fɔ chɛk if di insay brok ɔ di ligament dɔn pwɛl.
- Di tritmɛnt na fɔ rɛst, wɛr bres, ɛn fɔ trit yu bɔdi. Sɔntɛnde, i kin nid fɔ du ɔpreshɔn.
- Fɔ mek dis nɔ apin igen, i rili impɔtant fɔ du di rayt rihabiliteshɔn ɛgzampul ɛn mek di mɔsul dɛn we de rawnd di ni strɔng.
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