Yu na kriket pleya, volibol, ɔ pɔsin we de ple spɔt we mek yu fɔ trowe bɔl wit yu an dɛn oba yu ed? Ɔ yu kin gɛt pen ɔltɛm, stiffness, ɔ "klik" na yu sholda afta yu dɔn fɔdɔm wantɛm wantɛm? Sɔntɛnde dis kin bi bikɔs di katilej we de insay yu sholda de rɔtin. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis kɔndishɔn SLAP tear . Bɔku pipul dɛn kin fred we dɛn yɛri dis nem, bɔt if wi ɔndastand am fayn, i kin izi fɔ trit.
Wetin na ‘SLAP tear’? Lɛ wi ɔndastand am simpul wan
Okay, mek wi si wetin dis wod `SLAP` min. Dɛn kin mek am bay we dɛn jɔyn di fɔs lɛta dɛn pan 4 Inglish wɔd dɛn: Superior Labrum , Anterior to Posterior . Naw yu go de wɔnda wetin na dɛn wɔd ya. Nɔ wɔri, a go ɛksplen am rili simpul wan.
Tink bɔt yu sholda jɔyn lɛk bɔl ɛn sɔkɛt jɔyn. arawnd di ed fכ dis sכkεt, lεk rכba ‘wash’, na wan strכng ring fכ kכtilaj de. dis ring de ol di כp an bon (humerus) fayn fayn wan insay di sכket. Dɛn kɔl da ring de we tan lɛk was we de na di katilej di labrum .
insay wan `SLAP tear`, di כp pat pan dis labrum de tכn frכm di fכnt (superior) to di bak (posterior). dis na di say we di tεndon fכ di men mכsul na wi an (biceps) de kam εn atak. So we dis tear de apin, di stεbiliti na di sכlda de dכn, pen de apin, εn di biceps tεndon kin pwεl bak.
Us kes dɛn i nid fɔ du ɔpreshɔn?
Bɔku tɛm, dɔktɔ nɔ kin rifer pɔsin wantɛm wantɛm fɔ mek dɛn du am ɔpreshɔn we dɛn kam fɔ no se i gɛt SLAP tear. Dɛn kin tray fɔs fɔ trit am wit tritmɛnt dɛn we nɔto ɔpreshɔn.
- Rɛst: I fayn fɔ mek yu nɔ du tin dɛn we go mek yu strɛs fɔ sɔm tɛm.
- Mɛrɛsin: Dɛn kin gi am mɛrɛsin fɔ mek i nɔ fil pen ɛn fɔ mek i nɔ swel.
- Fisiotɛrapi: Dɛn kin gi spɛshal ɛgzampul dɛn fɔ mek di mɔsul dɛn we de rawnd di sholda strɔng ɛn fɔ mek di jɔyn muv bak.
Bɔt if di pen nɔ stɔp afta sɔm mɔnt we dɛn dɔn trit am, ɛn di sholda fil lɛk se i de muv ɔltɛm (instability), den di dɔktɔ go tink bɔt fɔ ɔpreshɔn.
Na mɔtalman, .
- If dis kray wata apin pan aksidɛnt (e.g., we pɔsin fɔdɔm) ɛn i bin gɛt bɔku impak pan di stεbiliti na di sכlda.
- Dis sik kin kam wae yu de yuse yu sholda pasmak, lɛk wae yu de du spɔt.
- If yu de ple bɔl gem lɛk kriket, baysbɔl, ɔ volibol.
insay kes dεm lεk dis, if yu du כpεrayshכn bak fכ ataya di kכtilaj we dכn rכt, i kin gi fayn fayn rizulyt.
Aw dɛn kin du di ɔpreshɔn? (Atrɔskɔpik SLAP Ripa)
Naw, bɔku tɛm dɛn kin du dis ɔpreshɔn bay we dɛn de yuz wan ɔpreshɔn we dɛn kɔl atrɔskɔpi . dis min se dεn kin du am tru sεvεra sכm sכm sכm say dεm (lεk 1 cm) pas fכ mek big say na di sכlda.
. Di dɔktɔ we de du di ɔpreshɔn kin du di ɔpreshɔn we i de wach di pikchɔ frɔm dis kamɛra pan big skrin.
2. Inspek di damej: We yu yuz kamɛra, di labrum de rɔtin ɛn asɛs aw i siriɔs kɔrɛkt wan.
3. Klin: Dɔn, dɛn kin klin di ed we dɔn rɔtin wit spɛshal ikwipmɛnt ɛn rɛdi am fɔ mek dɛn atak am bak.
4. Fɔ tay di anka: Dɔn dɛn kin drɔ wan rili smɔl ol na di bon na di jɔyn usay di katilej we dɔn rɔtin nid fɔ tay bak, ɛn dɛn kin put wan smɔl tin we tan lɛk skru we dɛn kɔl suture ankɔ . Dis anka gɛt wan strɔng trɛd we dɛn tay pan am.
5. Ri-suturing: As di las step, yuz di trɛd frɔm di ankɔ, dɛn kin tay di labrum we dɔn rɔtin bak pan di bon ɛn siŋ am tayt tayt wan.
We dɛn du di ɔpreshɔn dis we, di katilej we dɔn rɔtin kin tay bak to di bon ɛn bigin fɔ wɛl.
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn? Lɛ wi lan bɔt di tɛm we pɔsin kin wɛl
Afta di ɔpreshɔn dɔn wok fayn, yu go nid fɔ mek big prɔmis fɔ mek yu wɛl ɔl.
- Am Sling: Yu go nid fɔ wɛr an sling fɔ lɛk 4-6 wik afta dɛn dɔn du di ɔpreshɔn. Dis na fɔ mek yu sholda rɛst ɛn alaw di nyu bɔdi we dɛn dɔn put insay di bɔdi fɔ wɛl fayn fayn wan.
- Pen: Sɔm pen kin de insay di fɔs dez. Yu fɔ tek di mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ mek yu nɔ fil pen. If yu put ays pak, dat kin ɛp bak fɔ mek yu nɔ fil pen ɛn nɔ swel.
- Fisiotɛrapi: Dis na di impɔtant pat pan dis tritmɛnt. Afta dɛn dɔn pul di an, di sholda kin stif ɛn stif. Dɛn fɔ bigin fɔ du ɛksɛsayz fayn fayn wan ɛn smɔl smɔl, ɔnda di gayd we pɔsin we de mɛn di bɔdi gɛt. Dis na wetin de ɛp fɔ mek di sholda muv bak ɛn gɛt trɛnk.
- Tɛm fɔ wɛl: I kin tek 6 to 9 mɔnt, ɔ ivin wan ia, fɔ mek yu wɛl ful wan ɛn go bak to spɔt. Peshɛnt ɛn tritmɛnt rili impɔtant.
| Di bɛnifit dɛn we pɔsin kin gɛt we dɛn du ɔpreshɔn ɛn di prɔblɛm dɛn we kin apin | |
|---|---|
| Bɛnifit dɛn | Di pen ɛn instability na di sholda dɔn go, ɛn yu kin go bak to aktif layf. Dis kin wok mɔ we yu jɔs gɛt SLAP tear we nɔ gɛt ɔda prɔblɛm. |
| Sɔm prɔblɛm dɛn we kin apin |
|
Mɛmba se di risk fɔ gɛt dɛn prɔblɛm ya rili smɔl. Dɛn risk ya kin smɔl if dɛn mek dɔktɔ we gɛt ɛkspiriɛns fɔ du di ɔpreshɔn ɛn fala di instrɔkshɔn dɛn we dɛn gi dɛn afta dɛn du di ɔpreshɔn fayn fayn wan.
A nid fɔ go to di dɔktɔ jisnɔ!
We yu rich na os afta dɛn dɔn du yu ɔpreshɔn, pe atɛnshɔn mɔ to dɛn sayn ya. If yu gɛt ɛni wan pan dɛn tin ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul usay yu bin gɛt tritmɛnt.
| Sayn we de wɔn pɔsin |
|---|
| Di bandej we de pan di wund wet ɛn blɔd de kɔmɔt. |
| Di pen so bad dat i nɔ de stɔp ivin afta a dɔn tek di pen kil we di dɔktɔ gi mi. |
| Di an ɔ di finga dɛn we de swel pasmak. |
| Di finga dɛn kin swɛla ɔ nɔ kin fil fayn. |
| Di kɔlɔ we di an ɔ finga dɛn kin chenj (we kin tɔn blu/blak) ɔ fil bad bad wan we yu tɔch am. |
| Rɛd, swel, pen we de bɔku, ɔ wata we tan lɛk yɔlɔ pus we de kɔmɔt na di wund. |
| Fiva we pas 101°F (38.3°C). |
Ultimately, wan SLAP tear na wan kondishɔn we dɛn kin trit. If dɛn nɔ trit am, i kin mek i fil pen fɔ lɔng tɛm, i nɔ kin ebul fɔ wok na in sholda, ɛn ɔda siriɔs prɔblɛm dɛn. So if yu de wɔri bɔt di pen we yu de fil na yu sholda, mek shɔ se yu go to dɔktɔ we sabi du di wok fɔ advays yu.
Mɛsej we dɛn kin kɛr go na os
- `SLAP tear` na di tear we de na di כp pat pan di imכtant kכtilaj ring we dεn kכl di labrum insay di sכlda jכint.
- Sɔntɛm dɛn kin nid ɔpreshɔn fɔ mek di sɔl nɔ stebul we nɔ kin bɛtɛ wit di nɔmal tritmɛnt dɛn.
- Bɔku tɛm, dɛn kin du dis ɔpreshɔn bay we dɛn de yuz wan ɔpreshɔn we dɛn kɔl kihol ɔpreshɔn we dɛn kɔl atrɔskɔpik ɔpreshɔn.
- I kin tek sɔm mɔnt ɔ ivin wan ia fɔ mek i wɛl ɔl afta dɛn dɔn du di ɔpreshɔn. Fisiotɛrapi rili impɔtant.
- If yu gɛt ɛnitin we nɔ kɔmɔn (bɔku pen, swel, fiva, swɛlin) afta yu dɔn du di ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm.
- I impɔtant fɔ tek tɛm fala di instrɔkshɔn dɛn we di mɛrɛsin ɛn fizik tritmɛnt de gi bifo yu go bak to dɛn tin dɛn de fɔ mek yu nɔ gɛt injury bak.
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