Yu big an dɔn swɛt? (Thumb Sprain) Nɔ panik, lɛ wi fɛn ɔut bɔt dis!

We wi de du di tin dɛn we wi kin du ɛvride, i nɔmal fɔ mek sɔntɛnde gɛt smɔl aksidɛnt. Sɔntɛm yu dɔn sprain yu limb bak. Ɛspɛshali we i kam pan di big an we dɔn swɛla, di pen ɛn swel kin rili anɔynt, nɔto so? So, tide wi go tɔk bɔt dis kɔndishɔn we dɛn kɔl Thumb Sprain ditayli.

Wetin na thumb sprain?

Fɔ tɔk am simpul wan, we yu big big an swɛt na we yu strɛch ɔ te wan ligamɛnt na yu big an, we na di tisu we de kɔnɛkt tu bon dɛn na wan jɔyn. כltεm, dis kכndyushכn kin apin we di Ulnar Collateral Ligament (UCL) dεn dכn pwεl, we de insay yu tכmb, nia di mεtakarpophalangeal (MCP) jכint. Fɔ ɛgzampul, imajin se if yu big an bɛn bak wantɛm wantɛm, kɔmɔt nia yu an, ɔ twist ɔda we we nɔ kɔmɔn, yu kin gɛt swɛt.

dis sprain dεm, lεk כda sprain dεm, kin kכmכt frכm sכm sכm pul to di kכmplit tear fכ di ligament, i kin ivin kכt am frכm di bon. Sɔntɛnde dɛn kin kɔl dis kɔndishɔn "Skier's Thumb" ɔ "Gamekeeper's Thumb."

Wetin na di kayn we aw yu big big an kin swɛt?

Dɔktɔ dɛn kin klas dɛn sprain ya akɔdin to aw dɛn siriɔs. Tri men kayn dɛn de:

• Gret 1: Dis na di sprain we nɔ at pas ɔl . Di ligament de strɛch tumɔs, bɔt i nɔ de rɔtin.
• Gret 2: Dis na smɔl smɔl sprain . Na ya, wan pat pan di ligament kin rɔtin.
• Gret 3: Dis na di sprain we kin rili bad . di ligament kin kכmplit כ i kin ivin kכmכt frכm di we aw i de atak di bon. If yu gɛt siriɔs sprain lɛk dis, yu go nid fɔ go to dɔktɔ wantɛm wantɛm, sɔntɛm yu go ivin du ɔpreshɔn.

Mi tumbu dɔn brok? Yu tink se i dɔn swɛt? Aw a go no fɔ tru?

If yu big an brok ɛn yu swɛt, dat kin mek yu fil pen, swel, ɛn brus. Bɔt, sɔm tin dɛn de we difrɛn. Bɔku tɛm, di big an we brok kin mek i fil pen mɔ , ɛn di big an kin pwɛl ɔ i kin tan lɛk se i nɔ fayn. Yu kin fil bak sɔntin lɛk we yu de swɛ.

If yu gɛt pen, swel, ɔ brus na yu big an afta aksidɛnt lɛk we yu fɔdɔm, yu fɔ rili go to dɔktɔ . I at fɔ no frɔm do if na fraktrɔs ɔ na sprain. So, i go fayn fɔ mek dɔktɔ we gɛt ɛkspiriɛns chɛk yu ɛn if nid de, tek ɛkstrem rayt fɔ no wetin rili bad.

Wetin na di difrɛns bitwin we pɔsin kin swɛla ɛn we pɔsin kin swɛla?

Pan ɔl we dɛn ɔl tu kin mek pɔsin fil pen, smɔl difrɛns de.

• Sprain , lɛk aw wi bin dɔn tɔk bɔt, na injuri na di ligamɛnt dɛn we de kɔnɛkt di bon dɛn na wan jɔyn.
• Stren na we pɔsin wund di mɔsul ɔ di tɛndon we de kɔnɛkt mɔsul to bon.

If yu gɛt pen na yu big an, go to dɔktɔ. I go chɛk yu ɛn if nid de, ɔda tɛst dɛn lɛk ɛkstrem rayt , mɔsul ɛn skel ɔltrasɔund , ɔ MRI (Magnetic Resonance Imaging) fɔ no if pɔsin brok, swɛt, ɔ in mɔsul dɛn strɛs.

Udat dɛn kin gɛt mɔ risk fɔ mek dɛn big an brok?

Ɛnibɔdi, pan ɛni ej, kin sprain in big an. Bɔt sɔm pipul dɛn kin gɛt mɔ prɔblɛm.

• Atlet dɛn: Dis risk kin bɔku mɔ fɔ di wan dɛn we de ski , ɛn bak fɔ di wan dɛn we de ple spɔt we gɛt fɔ du wit fɔ kech ɛn trowe bɔl (e.g. baysbɔl, baskɛtbɔl, volibol, sɔk).
• Pipul wae gɛt bɔrku risk fɔ fɔdɔm: Ol pipul dɛm wae kin fɔdɔm ɔltɛm, ɔr wae gɛt prɔblɛm wit balans, dɛnsɛf kin gɛt bɔrku risk.

Infakt, we pɔsin in big an swɛt, na tin we pɔsin kin gɛt we i wund .

Wetin na di sayn dɛm we de sho se yu big an dɔn swɛt?

Di sayn dɛm kin dipen pan aw di sprain kin tranga. Di sayn dɛm kin difrɛn akɔdin to di tri lɛvɛl dɛm wae wi bin dɔn tɔk bɔt.

Gret 1 (mild sprain) .

• Pen na di bays pan di big an ɔ pen we yu prɛs am .
• Swel na di big an ɔ na in bays.
• We yu si wan brus (blu) na di bכs pat pan di tכmb.

Sɔmtɛm, pipul dɛm wae gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.

Gret 2 (Mɔdaret Sprain) .

• Limitɛd wok ɛn rɛnj fɔ muvmɛnt fɔ di tumbu.
• Big pen na di bays pan di big an ɛn pen we yu prɛs am .
• Swel na di big an ɔ na in bays.
• We yu si wan brus na di bays pan di big an.

Gret 3 (siv sprein) .

• Big pen na di bays pan di big an ɛn pen we yu prɛs am .
• Wan filin fɔ lɛ di tɔŋ jɔyn nɔ stɛdi ɔ nɔ stebul .
• I nɔ izi fɔ ol sɔntin bitwin di big finga ɛn di indeks finga.
• Wan tin we tan lɛk lump na di big an. dis kin apin we di ulnar kolateral ligament (UCL) dכn kכmplit wan. Di ɛnd pan di ligament we dɔn rɔtin kin fil lɛk wan smɔl smɔl tin we de ɔnda di skin.
• Swel na di big an ɔ na in bays.
• We yu si wan brus na di bays pan di big an.

Wetin na di tin dɛn we kin mek yu big an swɛt?

Di men tin we kin mek di big an swɛt na we i gɛt pawa wantɛm wantɛm we kin mek di big an bɛn fa frɔm di an, bak, ɔ twist na ɔda say we nɔ kɔmɔn . Bɔku tɛm, dis kin apin we wan an we i stret nak di grɔn.

I kin apin bak we pɔsin we de ski fɔdɔm we i ol wan stik fɔ ski . Na dat mek dɛn kin kɔl am bak "Skier's Thumb".

sכmtεm, pipul dεm we de du tin dεm we de ripit, ripit (e.g., sכm sכpכt, sכm wok dεm) we involv fכ grip כ twist tin fכ lכng tεm kin divεlכp di ligament dεm we dεn de pwεl εn spεn. Dis lכng tεm kכndyushכn dεn kכl am bak "Gamekeeper's Thumb."

Aw dɔktɔ dɛn kin no if yu big an dɔn swɛt?

We yu go to dɔktɔ, dɛn go aks yu fɔs bɔt aw di injury apin, ustɛm i apin, ɛn wetin na yu sayn dɛn . Dɔn, dɛn go du wan ɛgzam fɔ yu bɔdi fɔ si aw yu big an jɔyn stebul ɛn usay di pen de kɔmɔt. Dis go ɛp fɔ no if na sprain ɛn aw i bad. Dɛn kin ɔda bak fɔ mek dɛn du imej tɛst, lɛk aw wi bin dɔn tɔk.

Test dɛn fɔ no if pɔsin gɛt di sik

Afta dɛn dɔn chɛk di bɔdi, di dɔktɔ kin ɔda fɔ du tɛst dɛn lɛk dɛn wan ya fɔ chɛk fɔ ɔda bad bad tin dɛn ɔ fɔ no aw di swɛt rili bad:

• X-ray we dɛn kin yuz:
• Dis kin tek ditayli pikchɔ dɛn fɔ di bon dɛn. Dis kin ɛp fɔ no if yu pen ɛn swel na bikɔs ɔf wan frakt.
• כlso, yu kin chεk fכ si if di ligament de pul εn mek wan avulsion fracture , we na wan kכndyushכn we di ligament de kכmכt na di bon wit sכm pat pan di bon.
• Stress X-ray: Dis kin min se di dɔktɔ de put smɔl prɛshɔn pan yu big an we dɔn wund we i de tek di X-ray. Dis kin gi mɔ infɔmeshɔn bɔt di stebiliti fɔ di MCP jɔyn . If di prɛshɔn de mek pɔsin fil pen, di dɔktɔ kin injɛkt wan mɛrɛsin bak we de mek pɔsin nɔ fil fayn (anestetik) na di say we de nia di big an.

• MRI (Magnetik Rizɔnans Imej): .
• MRI kin tek ditayla pikchɔ dɛn fɔ di insay pat na di bɔdi we dɛn nɔ yuz redyushɔn. i kin si di ditel dεm fכ di bon dεm we dεn nכ kin si pan rεgulεr εks-ray, εn di ditel dεm fכ di sכft tisu dεm (lεk aw di mכsul dεm sכt כ di mכsul dεm we strεn). Dis infɔmeshɔn kin ɛp di dɔktɔ fɔ plan di tritmɛnt ɛn disayd if i nid fɔ du ɔpreshɔn.

• Mɔsul ɛn skel ɔltrasɔund:
• Dis kin yuz sawnd wev fɔ tek pikchɔ dɛn fɔ di bɔdi. Yu dɔktɔ kin ɔda fɔ mek dɛn du ɔltra saund fɔ luk di sɔft tisu dɛn we de rawnd wan jɔyn. dis kin εp fכ no if di ligament dεm dכn sכm pat, dεn tכn kכmplit, כ if wata de kכlכm. Dis kin ɛp fɔ no aw di injury siriɔs ɛn di bɛst tritmɛnt.

Aw yu kin trit yu big an we dɔn swɛt?

Di we aw dɛn kin trit am kin dipen pan aw di sprain kin tranga.

Tritmɛnt fɔ mild sprain (Grɛd 1) .

Bɔku tɛm, dɛn kin trit dɛn tin ya na os bay we yu fala di PRAYS we (Protɛkshɔn, Rɛst, Ays, Kɔmpreshɔn, Ɛlevɛshɔn).

• Protekshɔn: Wear thumb spica splint fɔ sɔm dez fɔ mek di say we yu wund nɔ muv. Yu kin bay dɛn tin ya na famasi ɔ na di Intanɛt.
• Rɛst yu an: Nɔ yuz yu an we wund fɔ at le 48 awa afta di wund. Dis kin izi fɔ du if yu gɛt splint. If yu nɔ gɛt splint, nɔ yuz yu an/tumb pan ɛni we we go mek yu fil pen.
• Aysin yu big an: Put ays pan yu big an ɛn an kwik kwik wan afta di wund. Dis kin ɛp fɔ ridyus di swɛlin. Ays masaj kin ɛp fɔ tɔch di pen. Rap wan ays kiub wit klos ɛn rɔb am insay wan sɛkɔral muvmɛnt pan di say we yu de pen fɔ tri to fayv minit bɔku tɛm insay di de. Sɔntɛnde, ays bat kin ɛp bak - put yu big an ɛn yu an insay ays wata fɔ tri to fayv minit. Bɔt tek tɛm mek yu nɔ du am pasmak ɛn yu kin gɛt frɔst.
• Yuz kɔmpreshɔn bɛnd: Rap di tɔmb jɔyn we dɔn wund wit ɛlastik kɔmpreshɔn bandej . Sɔm thumb spica splint dɛn gɛt dis ɛlastik tin bak. Dis kin mek bak di swel nɔ bɔku.
• Fɔ es yu an ɔp: We yu de rɛst, kip yu an ɔp yu at as yu ebul.
• Fɔ tek tin dɛn we de mek yu fil pen: Di tin dɛn we yu kin bay we yu de sɛl pen, lɛk aspirin ɛn ibuprofen, kin ɛp fɔ mek yu fil pen ɛn swel.

If di pen ɛn swel nɔ stɔp afta tu dez we yu dɔn rɛst ɛn dɛn tritmɛnt ya na os, go mɔs go to dɔktɔ .

Tritmɛnt fɔ mɔdaret sprain (Grɛd 2) .

• Wear Thumb Spica Splint ɔ Cast: Yu dɔktɔ go mɔs se yu fɔ wɛr splint ɔ cast fɔ mek yu thumb nɔ muv te i wɛl. Dipen pan aw di skrach bad, yu kin nid fɔ kip am na in ples te yu dɔktɔ tɛl yu fɔ pul am.
• Ays yu big an ɛn yu an: Put ays kwik kwik wan afta yu wund. Dis kin ɛp fɔ ridyus di swɛlin.
• Fɔ tek mɛrɛsin fɔ mek yu fil pen: Yuz mɛrɛsin fɔ mek yu fil pen we yu kin bay na di famasi.
• Ɛksesaiz dɛn fɔ strɛch:Di big an kin stif bikɔs i nɔ de muv. So, yu dɔktɔ kin tɛl yu fɔ du sɔm ɛksashɔn dɛn fɔ strɛch fɔ ɛp fɔ mek yu big an muv bak. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn bɔt ustɛm fɔ bigin dɛn ɛgzampul ya.

Tritmɛnt fɔ siriɔs sprayn (Grɛd 3) .

• We dɛn de du ɔpreshɔn: We di ligament dɔn rɔtin, bɔku tɛm i kin nid fɔ du ɔpreshɔn. Difrɛn ɔpreshɔn dɛn de, lɛk fɔ tay di ligamɛnt bak to di bon, fɔ fiks di avulshɔn fraktrɔs wit bon ankɔ, pin, ɔ skru.
• We yu wɛr kast ɔ splint: Afta yu dɔn du di ɔpreshɔn, yu go nid fɔ wɛr kast ɔ splint fɔ lɛk 6 to 12 wiks fɔ ɛp yu big an fɔ wɛl.
• Occupational/Pphysical Therapy: Wae yu big an dɔn wɛl afta dɛn dɔn ɔpreshɔn yu, yu mɛdikal tim go tɛl yu fɔ du spɛshal ɛgzampul fɔ ɛp yu fɔ gɛt trɛnk bak ɛn fɔ muv yu big an ɛn an.

Yu nid fɔ go na ɔspitul if yu sprain yu big an?

Wi ɔl kin gɛt pen ɛn pen wan wan tɛm, bɔt fɔ pen ɔltɛm nɔto nɔmal tin. If yu dɔn wund yu big an, ɛn yu stil de fil pen afta yu dɔn rɛst fɔ tu-tri dez ɛn put ays pan am, yu fɔ rili go to dɔktɔ . I go mɔs bi se i go rɔn tɛst fɔ si if ɛni bad bad injuri de, ɔ i kin gi yu splint fɔ mek yu big an nɔ tinap tranga wan.

Aw lɔng i kin tek fɔ mek di big an we dɔn swɛt wɛl?

Di tɛm we i kin tek fɔ mek dis apin kin dipen pan aw di swɛt kin tranga. If yu gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.

I kin tek sɔm mɔnt fɔ mek yu gɛt bad bad sprain (Grɛd 3) fɔ wɛl ɛn fɔ mek yu ebul fɔ yuz yu big an nɔmal wan. Dis na bikɔs bad bad sprain kin nid ɔpreshɔn, dɔn dɛn kin splin/kast, ɛn fizik tritmɛnt.

Aw a go tek kia ɔf wan big big an we dɔn swɛt?

Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Bikɔs di ligament kin tek tɛm fɔ wɛl, tray fɔ avɔyd tin dɛn ɛn spɔt dɛn we de yuz yu an fɔ at le wan mɔnt.

Aw fɔ mek yu nɔ gɛt big big an?

Bɔku tin dɛn de we yu kin du fɔ mek yu big big an nɔ swɛt:

• Bifo yu du ɛni ɛksesaiz ɔ spɔt we yu de yuz yu an dɛn , strɛch di mɔsul dɛn na yu an ɛn finga dɛn fayn fayn wan .
• Wear tin dɛn fɔ protɛkt yusɛf we yu de ple spɔt.
• Ɛksesaiz pan flat ples fɔ mek yu nɔ fɔdɔm.
• Wear sus we fit fayn ɛn mek shɔ se dɛn tay yu sules fayn fayn wan. Dis go mek dɛn nɔ gɛt bɔku chans fɔ mek dɛn tang.
• We yu de ski, if yu want fɔ fɔdɔm, lɛf yu ski pol dɛn , nɔ ol am tu tayt.
• If yu de pan big risk fɔ fɔdɔm, yuz sɔntin we de ɛp yu fɔ waka lɛk ken ɔ waka.

Wetin na di prɔgnosis fɔ wan sprained thumb?

Mild (Gred 1) ɛn mɔdaret (Gred 2) thumb sprain, if dɛn trit am wit fayn rɛst ɛn immobilization of di thumb, kin wɛl fayn fayn wan witout lɔng tɛm kɔmplikeshɔn.

bכku stכdi dεm sho se כpεrayshכn fכ siriכs (Gred 3) ulnar kolataral ligament (UCL) sprayn kin jεnarali saksesful. Gret 3 UCL sprain we dɛn nɔ trit ɔspitul kin rilizɔt fɔ mek i nɔ stebul fɔ lɔng tɛm .

Yu tink se we yu big an we dɔn swɛt, yu kin gɛt prɔblɛm dɛn?

di potenshal fכ komplikεshכn dεm dipכnt pan di siriכs fכ di sprein εn di ligament dεm we dεn dכn pwεl. Sɔm pan di prɔblɛm dɛn we kin apin we yu big big an swɛt na:

• Pen we nɔ de dɔn na di big an.
• Atraytis na di tɔmb jɔyn.
• Instability of di thumb joint.
• Di trɛnk we di pinch gɛt go dɔŋ .
• Di nerve damej we dɛn du ɔpreshɔn pan.
• di rεnj fכ muvmεnt na di tכmb jכint dεn dכn dכn.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sɔm sayn dɛn we de sho se yu big big an swɛt, lɛk we yu big big an de pen ɛn yu jɔyn dɛn nɔ de stebul, go to dɔktɔ .

If yu dɔn gɛt big big an we dɔn pwɛl, tɛl yu dɔktɔ if yu gɛt ɛni nyu sayn we de mɔna yu.

Mek wi mɛmba (Take-Home Message) .

As wi ɔl de du wi layf ɛvride, wi ɔl kin gɛt smɔl smɔl aksidɛnt ɛn fɔdɔm. Wan big big an we swɛt na wan pan dɛn kayn bad bad tin dɛn ya we kin apin. If yu sprain yu big an, nɔ fred fɔ go to dɔktɔ. I impɔtant fɔ no if na simpul sprain, sɔntin we rili siriɔs, ɔ ɔda injury. I go ɛp yu bak fɔ gɛt tritmɛnt plan fɔ mek yu big an kam bak to nɔmal. So, tek tɛm!

` Thumb Sprain, Sprain, Ligament, Thumb Pen, Tritmɛnt, Prɛvenshɔn, Spɔt Injuri