Pen na yu an? I kin bi wan kɔndishɔn we tu bon dɛn na di an kin slip (Scapholunate Dissociation)!

Sɔntɛnde yu kin fil sɔntin we strenj ɔ we de mek yu fil pen na yu an? Sɔntɛm dis pen kin bigin we yu fɔdɔm, es sɔntin we ebi, ɔ ple spɔt. Most of di taim, wi kin tink se, "Oh, na jos sprain." Bɔt sɔmtɛm, dis kin bi wan sik wae nid fɔ pe atɛnshɔn smɔl. Na dat wi go tɔk bɔt tide, wan kɔndishɔn we kin apin na di an we nid fɔ tek dip smɔl mɔ.

Wetin na dis dislokeshɔn na di wrist bon? (Skafɔlɔnat Dissosieshɔn) .

fכ simpul wan, dis `(Scapholunate Dissociation)` na we tu sכm bon dεm na wi an, di `Scaphoid` bon εn di `Lunate` bon, de muv sכmtεm apat frכm usay dεn fכ de, we de mek wan gap, כ `gap`, bitwin dεm. fכ bi prεsis, dεn tu bon dεm ya de kכnekt to dεn wan dεm bay wan rili strכng ligament, we wi kכl di `Scapholunate Interosseous Ligament (SLIL). insay sכm aksidεnt, spεshal wan we di an twist εn fכl, dis `ligament` kin te. Na da tɛm de di kɔnekshɔn bitwin di tu bon dɛn kin lɔs, ɛn dɛn kin bigin fɔ muv rawnd. we yu yuz yu wrist, dεn tu bon dεm ya de muv away frכm wan an, כ `dissociate`.

Dis tan lɛk knot we dɛn tay tu rop togɛda. As lɔng as di knot tayt, di tu rop dɛn de togɛda, bɔt as di knot de lus, di tu rop dɛn de muf apat.

Udat kin gɛt dis sik?

Infakt, dis kɔndishɔn we dɛn kɔl `(Scapholunate Dissociation)` kin apin to ɛnibɔdi, ilɛksɛf na man ɔ uman, in kɔlɔ, ɔ in rilijɔn. Bɔt di prɔblɛm we pas ɔl na fɔ di wan dɛn we fɔdɔm pan dɛn an ɛn ni . Imajin, yu de waka na strit ɛn slip wantɛm wantɛm, dɔn wi kin put wi an dɛn na grɔn ɔtomɛtik wan fɔ sev wisɛf. Na da tɛm de dis aksidɛnt kin apin mɔ.

Aw dis sik kin kɔmɔn?

as wi kin si, we wi luk pan כda wrist sprain dεm, dεn kin si dis `(Scapholunate Dissociation)` kכndishכn insay lεk 5% (`5%`) pan di kes dεm . כlso, sכm frakshכn dεm na di wrist εria, spεshal wan dεm we wi kכl ``distal radius fractures``, dat na we di big bon na di an brok klos to di wrist, yu kin si am insay lεk 40% (`40%`) pan di kes dεm wit dis `(SL dissociation)` kכndishכn . sכm spεshal frakshכn dεm de, lεk ``chauffeur fractures``, wit we dεn kin si dis bכku tεm.

Wetin mek dis de apin? Wetin na di rizin dɛn?

As a bin dɔn tɔk bifo tɛm, di men tin we kin mek dis kin apin bɔku tɛm na ``fɔ fɔdɔm pan an we dɛn stret`` . fכ bi prεsis, we yu fכl εn put yu an pan grכn εn put wet pan am, di prεshכn kin te di ``scapholunate interosseous ligament (SLIL)``.

Apat frɔm dat, sɔm ɔda rizin dɛn kin de:

• Fɔ ol di stiarin tayt we motoka aksidɛnt, lɛk motoka: Dis ligamɛnt kin pwɛl bikɔs i impak di an we i bang wantɛm wantɛm.
• sכm kכndishכn dεm we dεn kin gεt fכ bכn pikin: fכ egzampl, kכndishכn dεm lεk `Hereditary Spastic Paraparesis`.
• Congenital Ligament Laxity: Dɛn kin bɔn sɔm pipul dɛn wit lɔs ligament na dɛn jɔyn. Dis kin apin bak to dɛn mɔ.
• Rimatɔyd Atraytis: Dis na sik we kin mek di jɔyn dɛn wam. Dis sik kin mek di ligament dεm wik bak, we kin mek yu gεt dis kכndyushכn.

Wetin na di sayn dɛm fɔ dis? Aw i kin fil?

If yu gɛt wan kɔndishɔn we dɛn kɔl ``Scapholunate Dissociation'', yu go tipikul fɔ gɛt dɛn tin ya:

• Pen na di bak pat pan di an, mɔ we yu de ol sɔntin tayt (`strɔng grip muvmɛnt`) : fɔ ɛgzampul, we yu opin bɔtul kap ɔ ol domɔt knob.
• Wiknɛs pan trɛnk fɔ grip: Na we pɔsin nɔ ebul fɔ grip tin dɛn tayt lɛk aw i bin de bifo.
• Swεla εn tεndεns rawnd di an: di εria we de rawnd di an de swεla εn i de pen fכ tכch.
• Pen we yu de es yu an: I kin at we yu tɔn yu an oba.
• Sɔntɛnde yu kin yɛri "klik" sawnd we de kɔmɔt na yu an.

Mɛmba se dɛn sik ya nɔ kin apin di sem we fɔ ɔlman. Sɔm pipul dɛn kin gɛt mɔ pen, sɔm nɔ kin gɛt bɛtɛ pen. So, if yu fil ɛnitin we nɔ kɔmɔn na yu an, i bɛtɛ fɔ go to dɔktɔ.

Aw dɔktɔ kin no bɔt dis?

We yu go to dɔktɔ, dɛn go aks yu fɔs bɔt yu sik dɛn. Aw lɔng yu dɔn gɛt di pen, aw i bigin, ɛn ustɛm i kin wɔs? Dɔn dɛn go chɛk yu an fɔ si if ɛni pen, swel, ɔ sɔri-at de.

Apat frɔm dat, dɔktɔ kin du tɛst dɛn lɛk:

• Skafoyd Shift Tεst: Insay dis tεst, di dכkta de put in an pan tap yu skafoyd bon εn muv yu an. dis tεst de chεk di stεbiliti fכ di skafoyd bon.
• εks-ray: dis kin sho aw big di gap de bitwin di skafoyd εn di lunate bon dεm (scapholunate gap). Bɔku tɛm, dis gap kin bi 2 milimita (2 mm) ɔ smɔl pas dat. כltu, insay di kes fכ SL dissociation, dis gap kin bi 5 milimita (5 mm) כ mכr. Sɔntɛnde, yu kin si sɔntin we dɛn kɔl "ring sayn" pan ɛkstrem rayt. dis na di misalignment fכ di skafoyd bon.
• MRI (Magnetik Rizɔnans Imej) tɛst:MRI kin sho klia wan if di skapholunate interosseous ligament (SLIL) dכn tכn. i kin gεt gud pikchכ fכ di sכft tisu dεm we de rawnd di bon.
• Atroskopi: Dis na fɔ mek wan rili smɔl say we dɛn kɔt ɛn put kamɛra (skɔp) tru am fɔ luk insay di jɔyn. Dis kin mek yu si di damej we di ligamɛnt dɛn dɔn pwɛl dairekt wan. Sɔntɛnde, dɛn kin du di tritmɛnt di sem tɛm we dɛn kin du di atrɔskɔpi.

Aw dɛn kin trit dis? (Tritmɛnt)

We yu de trit wan sik we dɛn kɔl `Scapholunate Dissociation`, di fɔs tin dɛn we yu fɔ du na:

• Analgesic: Dɛn kin gi am mɛrɛsin fɔ ridyus pen.
• Splinting: Dɛn kin yuz spɛshal splint fɔ mek di an ɛn di big an nɔ muv. Dis kin ɛp di ligamɛnt dɛn we dɔn pwɛl fɔ wɛl.

Dɔn, i go mɔs bi se yu dɔktɔ go sɛn yu to dɔktɔ we sabi bɔt yu an. Bɔku tɛm, dis sik kin nid fɔ du ɔpreshɔn pan in an insay siks wiks afta di injury.

We dɛn de du di ɔpreshɔn, dɛn go gi yu jenɛral anestezi (we min se yu go slip ɔl), ɔ dɛn go gi yu rijinal anestesia (we min se yu go jɔs de numb). We dɛn de du di ɔpreshɔn, di dɔktɔ go:

• Dɛn kin kɔt smɔl pat na di bak pat pan di an.
• Dɛn kin pul di tisu we dɔn pwɛl ɛn klin am.
• Dɔn fɔ lɔk di gap bitwin di skafɔyd ɛn lunate bon dɛn, dat na fɔ mek di tu bon dɛn kam bak togɛda, yu kin yuz sɔntin lɛk tɛndon we dɛn tek frɔm ɔdasay na yu yon bɔdi, sutura, ɔ mɛtal skru.
• Fɔ dɔn, dɛn kin siŋ di say we dɛn kɔt bak togɛda.

Wetin a go du fɔ ridyus dis risk?

Fɔ ridyus di risk fɔ `(Scapholunate Dissociation)`, di tin we impɔtant pas ɔl na fɔ tek step fɔ protɛkt yusɛf frɔm fɔdɔm. Yu kin du tin dɛn lɛk:

• Fɔ du ɛksɛsayz dɛn we go mek yu balans, kɔdineshɔn, ɛn trɛnk.
• Fɔ pul di trip hazards na di os. Fɔ ɛgzampul, chɛk fɔ si if kɔd dɛn dɔn lɔs, layt nɔ fayn, ɛn rug dɛn.
• If nid de, yuz sɔntin we go ɛp yu lɛk ken ɔ tin fɔ waka.
• We yu wɛr flat, strɔng, gud trakshɔn sus.

Wetin a go ɛkspɛkt if a gɛt dis sik? (Kɔmplikeshɔn dɛn) .

If yu nɔ gɛt tritmɛnt fɔ SL dissociation kwik, kɔmplikeshɔn dɛn lɛk dis kin apin:

• Pen we nɔ de dɔn: Yu kin gɛt pen we de kɔntinyu fɔ de na yu an.
• Inflammatory arthritis: Atraytis kin kam wit inflammation na di joyn.
• Joint instability: Di an kin fil lɛk se i de muv we i nɔ ebul fɔ kɔntrol am.
• Ridyushɔn fɔ grip: Sɔntɛm yu nɔ go ebul fɔ grip tin dɛn fayn fayn wan.
• Scapholunate Advanced Collapse (SLAC) Ankle: Dis na wan sik we de mek yu gɛt at at sik we de mek di an jɔyn west. Dis kin rili mek yu fil pen.

Aw lɔŋ i go tek fɔ mek a wɛl if a gɛt (Scapholunate Dissociation)? (Autluk) .

If yu gɛt ɔpreshɔn fɔ SL dissociation, yu go nid fɔ wɛr kas fɔ sɔm wiks afta dat. Afta di dɔktɔ dɔn pul am, fizik tritmɛnt go ɛp yu an fɔ gɛt trɛnk bak. If yu gɛt di rayt tritmɛnt ɛn tritmɛnt fɔ yu bɔdi, yu fɔ ebul fɔ go bak to yu nɔmal tin dɛn insay sɔm mɔnt.

Aw a go tek kia ɔf misɛf wit Scapholunate Dissociation?

Afta tritmɛnt fɔ SL dissociation, tɔk to yu dɔktɔ bɔt us kayn aktiviti ɛn ɛksesaiz yu kin du sef wan. Sɔm patikyula ɛksɛsayz program dɛn de we go ɛp yu fɔ gɛt trɛnk bak ɛn fɔ muv difrɛn say dɛn na yu an. Nɔ ɛva go pas wetin yu dɔktɔ tɛl yu fɔ du ɛn du tin dɛn we at fɔ yu an.

Mɛsej we dɛn kin kɛr go na os

Okay, so di `Scapholunate Dissociation` we wi bin tok boht na we di tu sכm bon dεm na di wrist, di `Scaphoid` εn `Lunate`, de muf kכmכt na di ples, we de mek gap bitwin dεm. di men tin we de mek dis de apin na di damej we di `Ligament` we de kכnekt dεn tu bon dεm ya. Bɔku tɛm dis kin apin we yu fɔdɔm wit yu an we yu stret.

Di men sayn dɛm na wae yu an de pen, yu de swel, yu nɔr de fil fayn, ɛn yu nɔr de grip yu an. Dɔktɔ kin yuz tɛst dɛn lɛk di skafɔyd shift tɛst, ɛkstrem rayt, MRI, ɛn atrɔskɔpi fɔ no dis.

Bɔku tɛm, ɔpreshɔn na di bɛst tritmɛnt. If dɛn trit dɛn fayn ɛn gɛt di rayt tritmɛnt fɔ dɛn bɔdi, bɔku pipul dɛn kin ebul fɔ du dɛn nɔmal tin dɛn insay sɔm mɔnt. So, if yu gɛt pen ɔltɛm ɔ yu nɔ de fil fayn na yu an, i impɔtant fɔ go to dɔktɔ ɛn gɛt advays pas fɔ tink se na jɔs swɛt.

` Wrist, Wrist Pen, An Bon, Ligament, Scapholunate Dissociation, Frakt, Ɔpreshɔn