Yu ni-kap de pop ya ɛn de? (Patellar Subluxation) Lɛ wi tɔk bɔt dis!

Yu dɔn ɛva fil lɛk se yu ni de kɔmɔt na in ples we yu de rɔn, klaym stej, ɔ jɔs tinap? Dis kin mek yu ni de at, swel, ɛn mek i nɔ izi fɔ waka. Dis kin bi sɔntin we nɔ kin rili fayn sɔntɛnde. So, tide wi go tɔk bɔt dis kneecap popping, wan kɔndishɔn we dɛn kɔl ``Patellar Subluxation''.

Wetin na dis kneecap we de slip ya ɛn de (Patellar Subluxation)?

Fɔ tɔk am simpul wan, ``Patellar Subluxation'' na we yu kneecap, di pat we wi kin kɔl ``Patella'' pan mɛrɛsin, kin kɔmɔt pan in rayt ples. dis na ``Patellar Dislocation'', nכ fכ kכnfyus wit komplit dislokeshכn fכ di kneecap. insay ``Dislocation'', di kneecap de kכmכt kכmplit wan na in sכkεt.

Imajin se di kneecap, ɔ patella, bitwin yu thigh bon (Femur) ɛn shin bon (Tibia), nɔmal fɔ slayv ɔp ɛn dɔŋ insay wan vertikal grov we dɛn kɔl trochlear groove. I tan lɛk tren we de go along wan trak. insay patellar subluxation, di kneecap de slip kכmכt na dis grov fכ sכm tεm εn afta dat i de go bak usay i bin de . Bɔku tɛm, di kneecap kin slip go na do na di leg, bɔt sɔntɛnde i kin slip go insay.

Dis kin mek yu fil pen bad bad wan ɛn mek i nɔ izi fɔ waka. we di patellar subluxation de ripit kin mek yu gɛt at at, di katilej kin pwɛl, ɛn di wan ol kכn nɔ kin stebul . Dis kin mek yu gɛt ɔda prɔblɛm dɛn na yu ni. Ivin if di patellar dislocation go bak na in ples, i impɔtant fɔ go to dɔktɔ fɔ tritmɛnt.

Wetin na di simptom dɛm fɔ wan ``Patellar Subluxation''?

We di kneecap pop, yu kin notis sayn dɛm lɛk dis:

• wan difכmiti we yu kin si frכm di כdasay na di kכn (sכmtεm dεn kin si di kכp fכ tilt to wan sayd).
• I kin pen bad bad wan na in ni .
• Di ni we de swel .
• Na filin ɔ yɛri "klik" ɔ "pop" sawnd we de kɔmɔt na di ni.
• filin lεk se di kכn de stכk, כ "lכk" .
• Knee instability , lεk se di kכn de "wobbling".
• I nɔ kin izi fɔ go ɔp ɛn dɔŋ stej, ɔ fɔ skwatin .
• Filin lεk di kכn de "go numb" כ "giv up."

we yu gεt ``Patellar Subluxation'', yu kכn stil de muv insay di sכkεt to sכm tεm, so yu kin waka. Bɔt i kin fil bad bad wan ɛn i nɔ kin stebul. Yu kin yɛri "klik" sawnd bak we yu ni de muv.

Wetin na de kɔmplikeshɔn ɔr lɔng tɛm ifɛkt dɛm wae dis sik kin gɛt?

Dis kכndishכn we dεn kכl ``Patella Subluxation``Na sɔntin we kin apin ɔltɛm. כlso, bכku tεm i kin go bifo to komplit ``Dislocation``, we min se di kכn kכlכ de kכmplit כf ples. Apat frɔm dat, dis we di kneecap nɔ de stebul kin pwɛl di katilej . As tɛm de go, dis kin mek yu gɛt ɔstiɔ-arayt na di ni.

Imajin, wan yɔŋ titi de we nem Nisal, we de na di skul nɛtbɔl tim. Wan de, we i de praktis, i twist in ni smɔl wantɛm wantɛm, ɛn wit "klik" sawnd, i fil lɛk se in ni dɔn muf go na di sayd. Afta sɔm tɛm, i bin fil lɛk se i dɔn kam bak to in nɔmal, bɔt in ni bigin fɔ at ɛn swel. I nɔ bin pe atɛnshɔn tumɔs to am. Bɔt leta, in ni bigin fɔ "go away" ɔltɛm, ɛn i nɔ bin ivin ebul fɔ ple. na we i sho am to di dɔktɔ i kam fɔ no se na ``Patellar Subluxation'', ɛn sɔm damej de pan di katilej.

Wetin na di kɔz dɛm fɔ `(Patellar Subluxation)`?

Bɔku tɛm, di men rizin we mek di kneecap pop aut lɛk dis na injury . Fɔ ɛgzampul, we dɛn blo am dairekt wan na di ni. Dis sik kin apin mɔ to pipul dɛn we de ple spɔt dɛn we gɛt bɔku prɔblɛm dɛn lɛk futbɔl . I kin apin bak if yu plant yu ɔnda leg fayn fayn wan na grɔn ɛn yu ni twis wantɛm wantɛm insay ɔ na do.

apat frכm dat, if jεnarכl laksi de na di ligament dεm εn di tεndon dεm na di kכn jכint (patellar instability) , i kin mek bak patεla sכblכkshכn.

Wetin na di risk factor dɛm fɔ Patellar Subluxation?

Pan ɔl we dis sik kin afɛkt ɛnibɔdi, i kin apin mɔ to pipul dɛn we gɛt wik mɔsul dɛn na dɛn leg ɛn we gɛt tɛndon laxity . I kin bɔku bak pan dɛn pipul ya:

• Pipul dɛn we ol bitwin 10 ɛn 20 ia (espɛshali yɔŋ atlet dɛn).
• Pipul dɛn we de du tin wit dɛn bɔdi .
• uman dεm (gεl pikin dεm kin gεt dis kכndyushכn sכmtεm).
• Atlet dɛn ɔ di wan dɛn we kin du spɔt bɔku tɛm.
• Pipul dɛn we lɔng pas di avɛrej .

If yu bin dɔn du ɔpreshɔn fɔ mek yu ni kɔmɔt ɔ sɔm pat pan yu ni, i go mɔs bi se yu gɛt dis sik bak.

Aw yu kin no if yu gɛt `(Patellar Subluxation)`?

We yu go to dɔktɔ, dɛn go du yu bɔdi ɛgzam . Dɛn go bɛn ɛn stret yu leg ɛn fil rawnd yu ni. Dɛn go aks yu bɔt yu sik ɛn wetin apin bifo yu ni kɔmɔt.

Di dɔktɔ kin du sɔm spɛshal tɛst dɛn bak (subluxation tests) pan yu ni. Dɛn kin du sɔm imej tɛst dɛn bak , lɛk:

• X-ray fɔ di niWan tɛst we dɛn kin du.
• MRI skan `(MRI Skan)` tɛst.
• CT skan na tɛst.

Aw dɛn kin trit Patellar Subluxation?

Yu dɔktɔ go fɔs tray fɔ trit dis we nɔto ɔspitul , mɔ if dis na di fɔs tɛm we sɔntin lɛk dis apin to yu. Di tritmɛnt dɛn we dɛn kin pik we nɔ gɛt ɔpreshɔn na:

• Di we aw RAYS de du am: Dis min se:
• `Rɛst`: Fɔ rɛst di ni.
• `Ais`: Fɔ put ays fɔ ridyus di swel ɛn pen.
• Kɔmpreshɔn: Na tayt bandej we de rawnd di ni fɔ kɔntrol di swɛlin.
• Ɛlevɛshɔn: Fɔ kip di leg ɔp fɔ mek yu nɔ swel.
• NSAID: Dis na nonsteroidal anti-inflammatory drugs (NSAID), we na pen kil ɛn anti-inflammatory drugs. Fɔ ɛgzampul, ibuprofen (Advil®).
• Immobilization: Dipen pan aw di injuri bad, dɛn kin yuz knee brace ɔ cast fɔ mek di ni nɔ muv.
• Di tin dɛn we de ɛp yu fɔ waka/muv: Dɛn kin aks yu fɔ yuz kruk, tik, ɔ tin fɔ waka fɔ ridyus di lod we de na yu ni. Dɛn kin aks yu bak fɔ yuz wan bres we de wok na yu ni, lɛk J-brɛs, ɔ wan sliv we de mek yu patɛl stebul.
• Ɔtotiks (spɛshal shuz): Dɛn kin advays yu fɔ yuz spɛshal sus ɔ insol fɔ ridyus prɛshɔn pan di ni.
• Fizik Tεrapi: Dis rili imכtant fכ mek di mכsul dεm we de rawnd di kכn strכng εn strεch, εn bak fכ bεlε bεlε (proprioception).

If yu sik nɔr bɛtɛ afta sɔm mɔnt, ɔ if yu dɔn gɛt pas wan patellar subluxation, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn . Di tin dɛn we dɛn kin du fɔ ɔpreshɔn na:

• Lateral Release: dis involv fכ kכt di pat pan di kכn we dεn kכl ``Lateral Retinaculum'' εn kכrekt di posishכn fכ di kneecap (``Patella Positioning''). Dis kin bi wit ɔda rikostrɔktiv prosidur dɛm.
• Medial Patellofemoral Ligament (MPFL) Ripa: Na ɔpreshɔn fɔ ripɛnt ɛn mek di ligamɛnt dɛn we de ɛp fɔ mek di kneecap kɔntinyu fɔ de na in ples.
• MPFL Rikonstrɔkshɔn: Dis na atrɔskɔpik ɔpreshɔn, we min se dɛn kin du am tru smɔl smɔl say dɛn we dɛn kin kɔt we dɛn de yuz kamɛra. insay dis, dεn de tek wan pat pan yu כwn hamstring mכsul frכm di bak pat pan yu tכŋ εn dεn de kכnstrכkt di mεdial patellofemoral ligament bak.
• Ɔstiɔtɔmi: .dis involv fכ kכt yu shin bon (Tibia) pan sכm angul dεm εn riposishכn di shin bon, kneecap, thigh bon, εn kכnektiv tisu dεm.

Ustɛm a fɔ go to dɔktɔ?

If yu tink se yu kin gɛt ``Patellar Subluxation'', we min se yu gɛt sɔm kayn sik lɛk dis, yu fɔ rili go to dɔktɔ:

• Pen ɛn swɛlin .
• Nɔ ebul fɔ bia wet na grɔn wit di fut .
• "klik" sawnd ɔ "buckling" senseshɔn na di ni.
• Di kneecap kin apia ɔ fil lɛk se i de kɔmɔt na di sɔkɛt .

Mɛmba se ivin if yu tink se yu ni dɔn muf bak na in ples, i stil impɔtant fɔ go to dɔktɔ. If dɛn nɔ trit am fayn, dis kin apin mɔ ɛn mɔ ɛn i kin mek yu gɛt big prɔblɛm leta.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

We yu go to dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us tritmɛnt dɛn yu kin advays?
• Yu tink se a go nid ɔpreshɔn?
• Wetin na di chans fɔ mek a gɛt dis kɔndishɔn bak?
• Wetin a go du fɔ mek mi ni nɔ pop kɔmɔt lɛk dis igen?

Aw lɔŋ i kin tek fɔ wɛl frɔm wan ``Patellar Subluxation''?

De tɛm wae i kin tek fɔ wɛl frɔm dis sik kin dipen pan sɔm tin dɛm:

• Dis na yu fɔs subluxation, ɔ na rikɔrɛshɔn ?
• Di kayn we aw yu sik bad .
• Us kayn tritmɛnt yu bin gɛt ?

If dis na yu fɔs subluxation, i nɔ tu siriɔs, ɛn yu nɔ nid ɔpreshɔn, yu fɔ wɛl ɔlsay insay 4 to siks wik . Bɔku tɛm, yu dɔktɔ go tɛl yu fɔ trit yu bɔdi fayn. Yu fyzikal tritmɛnt kin gi yu wan patikyula tɛm.

If yu dɔn gɛt pas wan subluxation, big injury, ɔ ɔpreshɔn, yu go tek lɔng tɛm fɔ wɛl . Yu fɔ ebul fɔ bigin fɔ du layt wok bak insay siks to et wiks. Bɔt i kin tek wan ia ɔ pas dat bifo yu bigin fɔ spɔt bak.

Aw a go mek a nɔ gɛt Patellar Subluxation?

כl di patellar subluxations de kכz fכ injuri, so wi nכ kin prεvεnt כl dεm. Bɔt tin dɛn de we yu kin du fɔ mek di kɔnɛktiv tisu we de rawnd yu ni strɔng. Na sɔm tin dɛn ya yu kin du fɔ mek yu ni nɔ pop kɔmɔt:

• Du tin dɛn we go mek ɔl di mɔsul dɛn na yu leg strɔng .
• We yu de wɛr knee pad we yu de ple kɔntakt spɔt.
• If yu bin dɔn wund yu ni bifo, if yu wɛr knee bres , dat kin ɛp fɔ mek yu nɔ wund bak.
• If yu dɔktɔ dɔn tɛl yu fɔ du fizik tritmɛnt, fala dɛn instrɔkshɔn dɛn de kɔrɛkt wan .

Mɛsej we dɛn kin kɛr go na os

Patellar subluxation kin bi wan kכndyushכn we de rili anɔynt εn we de mek yu fil pen. I kin mek yu kneecap fil nɔ stebul. Yu kin ebul fɔ put yu ni bak na in ples, bɔt yu fɔ rili go to dɔktɔ . biכs, as tεm de go, dεn kayn sכblכkshכn dεm ya kin mek dεn kכmplit dislokeshכn. Yu dɔktɔ kin ɛp yu fɔ mek dis nɔ apin. I kin tɛl yu di bɛst tritmɛnt fɔ mek yu ni strɔng ɛn mek yu go bak na di rayt rod. So, if yu gɛt prɔblɛm wit yu ni, nɔ ignore am, i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm!

` patellar subluxation, kneecap dislocation, ni pen, ni instability, ni dizayd, fyzikal tεrapi, ni כpεrayshכn