Yu dɔn brok di bon we de ɔp yu il? Mek wi tok abaut dis Talus Fracture!

Yu dɔn ɛva twis yu leg wantɛm wantɛm, yu anklɛ swel ɛn pen, ɛn yu nɔ ebul fɔ ivin waka? If na so i bi, yu go dɔn brok di talus, we na wan impɔtant bon na yu anklɛ. Tide, wi go tɔk bɔt wetin na talus fraktrɔs, aw i kin apin, ɛn wetin dɛn kin du bɔt am.

Wetin na di Talus Bɔn? Aw i impɔtant?

Fɔ tɔk am simpul wan, yu talus na smɔl bɔt rili impɔtant bon na yu fut we de kɔnɛkt yu anklɛ to yu leg. Tink bɔt am, di tu lɔng bon dɛn na yu lכw leg (di tibia ɛn fibula) de jɔyn togɛda fɔ mek yu anklɛ jɔyn. Dis jɔyn na in de mek yu ebul fɔ muv yu fut ɔp ɛn dɔŋ.

כlso, di talus bon de sidon oba yu il bon (calcaneus). dis tu bon dεm kin kam togεda fכ mek wan jכint we dεn kכl di sכbtalar jכint. dis joyn na in de mek yu muv yu fut frכm sayd to sayd, insay εn autsay.

Di talus bon de du ɔda impɔtant tin. Dat min se i de ɛp fɔ transfa yu bɔdi wet to di fut tru di anklɛ jɔyn. Dis bon kin kɔba mɔ wit wan smɔl smɔl tin we kin slipul we dɛn kɔl katilej . dis katilej na in de mek di bon dεm muv fayn fayn wan we dεn nכ de rכb pan dεn wan dεm. So, yu kin si aw di talus bon impɔtant to di muvmɛnt ɛn stebul na di anklɛ. Na dat mek if wan talus bon brok, i kin rili stɔp yu fɔ muv ɛn mek i nɔ izi fɔ du ɛvride wok.

Wetin na di kayn Talus Fractures?

di talus bon kin brok na difrεn ples dεm εn difrεn we dεm. Lɛ wi luk sɔm pan di men kayn dɛn:

• Nεk fכ di Talus Frakshכn: Dis na di kayn talus frakshכn we kכmכn pas כl. di "nεk" fכ di talus na di midul pan di bon. spεshal wan, di nεk na di sכm sכm εria bitwin di "bכdi" fכ di talus - di pat we de nia di ankכl jכint, dכn di tibia - εn di "hed" - di pat we de fכs dכn di lεg.
• di lateral prכsεs fraktכs: di lateral prכsεs na di pat we de kכmכt na di talus bon. Dɛn fraktrɔs ya kin apin we di anklɛ twist wantɛm wantɛm ɛn kwik kwik wan go na do. Sɔntɛnde dɛn kin kɔl dɛn "snowboarder fractures" bikɔs dɛn kin kɔmɔn pan snobɔda pipul dɛn.
• Avulsion fractures: dis kin apin we dεn pul wan ligament (lεk bכnd we de kכnεkt di bon dεm togeda) כ wan tεndon (lεk bכnd we de kכnεkt mכsul to bon) we de atak di talus bon wan wan, we de mek wan sכmכl pat pan di talus bon kכmכt frכm di say we di talus de atak.
• Strεs frakshכn: Dis na rili sכm sכm krak krak dεm na di talus bon. Bɔku tɛm dɛn kin apin bikɔs dɛn de yuz di talus bon pasmak ɔ we dɛn de ripit strɛs pan di bon. Fɔ ɛgzampul, dis kin apin to pipul dɛn we de rɔn fɔ lɔng tɛm.

Aw dɛn kin klas di talus fraktrɔs?

Dɔktɔ dɛn kin klas dɛn fraktrɔs ya bay aw fa di bon fragmɛnt dɛn we dɔn brok de kɔmɔt na dɛn nɔmal pozishɔn.

• di frakshכn dεm we nכ de displεs כ stebul: Na ya, pan כl we di talus bon dכn brok, di bon fragmεnt dεm nכ muv bכku frכm di say we dεn bin de fכs. Dɛn kin de bɔku pan dɛn na layn, i kin lɛf smɔl fɔ lɛ dɛn de na layn.
• Displaced fractures: Insay dis, di bon dɔn brok ɛn di fragmɛnt dɛn dɔn muf kɔmɔt na dɛn nɔmal ples .
• Opin ɔ kɔmpawnd fraktrɔs: Dis na tin we rili siriɔs. Na ya, di bon we brok kin brok di skin ɛn kɔmɔt na do. If na so i bi, di chans de fɔ mek di mɔsul dɛn, di tɛndon dɛn, ɛn di ligamɛnt dɛn we de rawnd am pwɛl. Dɔn bak, jem kin kam insay ɛn mek pɔsin gɛt infɛkshɔn.

Wetin na di sayn dɛm we de sho se di talus bon brok?

Naw, wetin na di sayn dɛm if yu gɛt talus fraktrɔs lɛk dis? Di men tin na bad bad anklɛ pen ɛn swel. Imajin, lɛ wi se yu fɔdɔm wantɛm wantɛm frɔm ayt, ɔ yu gɛt aksidɛnt wit baysikul. Dɔn yu kin gɛt pen we yu nɔ go ebul fɔ bia na di anklɛ eria, ɛn yu leg kin swel.

Wetin ɔda tin go apin?

• I kin at fɔ waka. Sɔntɛm yu nɔ go ivin ebul fɔ put yu fut na grɔn.
• A nɔ ebul fɔ put wet pan mi leg.
• Brus kin apin.
• We yu tɔch am wit yu an , yu kin fil sɔri.
• Sɔm pipul dɛn kin gɛt tin dɛn lɛk fraktrɔs blista . If yu si dɛn tin ya, nɔ fred, bɔt i bɛtɛ fɔ go to dɔktɔ wantɛm wantɛm.

De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ kwik kwik wan if yu gɛt dɛn sik ya.

Aw dɛn talus fraktrɔs ya kin apin?

Dɛn talus fraktrɔs ya kin apin frɔm injury dɛn we gɛt bɔku ɛnaji .

• Kar aksidɛnt, motoka aksidɛnt.
• Fɔdɔm frɔm impɔtant ayt dɛn. Tink bɔt am lɛk se pɔsin we de fɔdɔm frɔm tik, ɔ frɔm wan lɔng bildin.
• Dɛn tin ya kin apin bak we dɛn de du spɔt (spɔt injuri) . As wi bin dɔn tɔk, dis kin apin mɔ to pipul dɛn we de ple sno.
• Sɔntɛnde, jɔs de twist yu anklɛBɔt smɔl smɔl tin dɛn kin brok frɔm di ed dɛn na di talus. Bɔt bɔku tɛm, dɛn tin ya nɔ kin siriɔs lɛk di fraktrɔs we kin apin we big aksidɛnt apin.

Aw dɔktɔ dɛn kin no se pɔsin gɛt talus we brok?

We yu si dɔktɔ we gɛt injuri lɛk dis, dɛn go fɔs chɛk yu anklɛ ɛn yu fut fayn fayn wan. Dɛn go luk fɔ swel, brus, ɛn ɛni kɔt ɔ wund na di skin. Pantap dat:

• Dɛn go aks yu fɔ wiggle yu finga dɛn fɔ si if ɛni nerve damej de .
• Dɛn go chɛk yu puls ɛn mek shɔ se yu blɔd saplai gud .
• Dɛn go chɛk fɔ si if wata dɔn gɛda insay yu leg mɔsul dɛn. Dɛn kɔl dis kɔmpawtmɛnt sindrom . Dis na denja bikɔs i kin mek yu nɔr de fil fayn ɛn nɔr de woke fayn na yu leg.
• Dipen pan di kayn aksidɛnt, dɛn go chɛk ɔda injuri dɛn bak.

Dɔn, i go mɔs bi se di dɔktɔ go ɔda fɔ mek dɛn du imej tɛst dɛn lɛk dɛn wan ya:

• X-ray: Dis kin sho bɔku tin, lɛk if yu talus dɔn brok, if di bon pat dɛn de na di rayt ples, ɔmɔs pat dɛn de, ɛn usay di bon brok.
• CT Scan (Computed Tomography - CT scan): Sɔntɛnde, na ɛkstrem rayt nɔmɔ nɔ kin sho di ful pat we di fraktrɔs dɔn. CT skan kin tek ditayla kros-sekshɔn pikchɔ dɛn fɔ yu leg. Dis kin rili ɛp fɔ no di kayn bad bad injuri ɛn di kɔmplisiti we di fraktrɔs gɛt.

Aw dɛn kin trit pɔsin we gɛt talus we brok?

Di tritmɛnt fɔ talus frakshɔn kin difrɛn difrɛn wan bay di kayn fraktrɔs ɛn aw di injuri siriɔs.

Fɔs, dɛn go put splint (we de sɔpɔt fɔ sɔm tɛm) na yu leg ɛn yu anklɛ fɔ mek yu nɔ muv am.

Dɔn, if di bɔdi we brok nɔ chenj ɛn di bon pat dɛn de alaynɛd ​​fayn fayn wan, i nɔ go nid fɔ du ɔpreshɔn. If na so i bi, di dɔktɔ kin tɛl yu fɔ du dɛn tin ya:

• Kastin: Dɛn kin put kast pan yu leg ɛn anklɛ fɔ ol am togɛda te di bon dɛn wɛl. Dis kast kin wɛr fɔ lɛk 6-8 wiks . Insay dis tɛm, yu fɔ rili tek tɛm mek yu nɔ put bɔku wet pan yu leg.
• Rihabiliteshɔn: Afta dɛn dɔn pul di kɔst, dɛn go gi yu spɛshal ɛgzampul dɛn fɔ ɛp yu fɔ gɛt trɛnk bak ɛn fɔ wok na yu leg ɛn anklɛ. Dɛn go du dɛn tin ya ɔnda di sɔpɔtishɔn fɔ wan fisiotɛrapist.

Bɔt dɛn kin se dɛn fɔ du ɔpreshɔn fɔ bɔku pan di talus fraktrɔs.Bikɔs bɔku tɛm dɛn kin gɛt dɛn injury ya bikɔs ɔf di trauma we gɛt bɔku pawa, chans de fɔ mek di bon pat dɛn kɔmɔt na di say we dɛn de. If di bon pat dɛn nɔ de na di say we dɛn de, dɔktɔ we de du ɔpreshɔn pan di fut ɛn anklɛ go du ɔpreshɔn fɔ put dɛn bak na dɛn ples.

• Open Reduction and Internal Fixation (ORIF): If dɛn brok di bon to bɔku bɔku pat, di dɔktɔ kin du wan tin we dɛn kɔl ORIF. Insay dis prosidur, di ɔspitul kin kɔt di skin, muv di bon pat dɛn bak usay dɛn de, ɛn yuz mɛtal plet ɛn/ɔ skru fɔ ol di bon togɛda te i wɛl.
• External fixator: Sɔntɛnde, ORIF ɔpreshɔn nɔ kin pɔsibul wantɛm bikɔs i kin swel pasmak afta di injuri. If na so i bi, di dɔktɔ kin yuz wan tin we dɛn kin yuz fɔ fiks am na do. If na so i bi, di dɔktɔ kin put sɔm big big pin dɛn insay yu bon dɛn tru di skin ɛn kɔnɛkt dɛn wit spɛshal bar dɛn na do fɔ mek di bon pat dɛn na dɛn ples fɔ sɔm tɛm. Afta di swel dɔn go dɔŋ, di dɔktɔ kin tray fɔ du ORIF ɔpreshɔn bak.

Us prɔblɛm dɛn kin apin if dɛn nɔ trit am ɔ dɛn nɔ trit am fayn?

If dɛn nɔ trit di talus frakshɔn fayn fayn wan, ɔ if i nɔ wɛl fayn, kɔmplikeshɔn kin kam. Sɔntɛnde, dɛn tin ya kin bi prɔblɛm dɛn we kin de fɔ lɔng tɛm.

• Posttraumatic arthritis: As wi bin dɔn tɔk, di talus bon kin kɔba mɔ wit katilej. we di talus inju, di katilej we de rawnd am de damej bak. we di say we dis katilej de nכ de ivin εn rכf, di jכint de bigin fכ wear εn te. As tɛm de go, dis kin mek yu gɛt at at, we kin mek yu kɔntinyu fɔ gɛt pen ɛn stif.
• Malunion: Dis min se di bon we brok nɔ wɛl, na say we nɔ fayn . If dis apin, i kin mek yu gɛt prɔblɛm fɔ lɔng tɛm lɛk we yu fut chenj, i nɔ kin izi fɔ waka, ɛn i kin fil pen.
• Nɔnunion: Dis min se di bon we brok nɔ wɛl fayn afta lɔng tɛm, pan ɔl we dɛn dɔn trit am . If dis apin, i kin nid fɔ du ɔda ɔpreshɔn.
• avaskul nεkrכsis כ כstionekrכsis: di bכdi we de gi di talus kin kכmplikt sכmtεm. We pɔsin brok, mɔ na di nɛk eria, dɛn blɔd vesel ya kin pwɛl ɛn di blɔd we de go na di bon kin ridyus ɔ kɔt am ɔl.If dis apin, di bon sεl dεm nכ go gεt כksijεn εn nyutriεnt dεm εn dεn go bigin day. Dɛn kɔl dis avaskular nɛkrɔsis. Dis kin mek di bon wik ɛn leta i kin fɔdɔm. Dis na tin bak we rili siriɔs.

Aw di we aw pɔsin kin wɛl kin bi? Wetin a fɔ ɛkspɛkt?

Afta dɛn dɔn du di ɔpreshɔn, yu go fil sɔm pen. Yu dɔktɔ go gi yu mɛrɛsin fɔ mek yu fil pen . Dɛn tin ya kin bi opioid, nɔ-stɛroyd anti-inflammatory drɔgs (NSAID), ɔ lokal anestetik.

Wae yu talus bon dɔn wɛl, yu dɔktɔ go rifer yu to rihabiliteshɔn ɔr fizik tɛrapi. Dis rili impɔtant. Dɛn ɛgzampul ya go ɛp yu fɔ ebul fɔ muv bak, fɔ tinap tranga wan, ɛn fɔ gɛt trɛnk na yu anklɛ.

We yu bigin fɔ waka bak, yu go nid fɔ wɛr spɛshal but ɔ yuz ken fɔs. Yu nɔ go ebul fɔ put ful wet pan yu leg wantɛm wantɛm. I kin tek sɔm mɔnt.

Di dɔktɔ go tek ɛkstrem rayt wan wan tɛm fɔ chɛk if di bon dɔn wɛl ɛn if di plet dɛn we dɛn tay de na dɛn ples.

Wetin na di lɔng tɛm prɔgnosis fɔ talus frakshɔn?

Ilɛksɛf dɛn du yu ɔpreshɔn ɔ dɛn nɔ du yu ɔpreshɔn, yu leg go de na kas ɔ splint. Insay da tɛm de, yu nɔ go ebul fɔ put wet pan am ɔ waka pan am. Dipen pan aw yu wund bad, yu kin gɛt fɔ wɛr di kɔst fɔ 8 to 12 wiks, ɔ ivin lɔng pas dat .

Di mɔ di injuri siriɔs, na di mɔ di kast go tek lɔng tɛm. Ivin afta di bon dɔn wɛl, sɔm pipul dɛn kin kɔntinyu fɔ gɛt pen, stif, ɛn swel na dɛn anklɛ . Bɔt wit di rayt tritmɛnt ɛn rihabiliteshɔn ɛgzampul, bɔku pipul dɛn kin go bak to dɛn nɔmal aktiviti wans dɛn dɔktɔ gi dɛn di okay.

Ustɛm a go ebul fɔ go bak na wokples?

Dis go difrɛn bak fɔ di kayn bad bad tin we yu wund ɛn di kayn wok we yu de du. Bɔku tɛm, yu nɔ go ebul fɔ go bak na wokples fɔ at le tu wiks . If yu wok wit yu fut ɔl di de (e.g., shɔp ɛstɛt, ticha), yu nɔ go ebul fɔ go bak na wokples ful wan fɔ te wan ia .

Yu kin waka pan talus bon we dɔn brok?

Dis dipen pan di kayn talus fraktrɔs we yu gɛt. Bɔku tɛm, we di talus brok, na siriɔs injury. i kin mek di ankכl εn fut jכint dεm nכ de muv εn fכ wok bכku bכku wan. Dis kin afɛkt yu ebul fɔ waka ɛn yu ebul fɔ bia wet na yu fut. So, nɔ ɛva tray fɔ waka pan yu leg we brok if yu nɔ gɛt dɔktɔ advays.

Aw lɔng i kin tek fɔ mek di talus fraktrɛshɔn wɛl?

Dipen pan aw di aksidɛnt kɔmpleks, yu kin gɛt tri mɔnt ɔ ivin lɔng pas dat.Yu kin nid fɔ wɛr kast. Pen, swel, ɛn stif kin kɔntinyu ivin afta dɛn dɔn pul di kɔst. I kin tek lɔng tɛm fɔ mek i wɛl ful wan ɛn kam bak to in nɔmal.

Aw di pen we pɔsin kin fil we i gɛt talus frakt?

Talus fraktrɛshɔn na injuri we gɛt ay impak. Di wan dɛn we dɔn ɛkspiriɛns am se i kin mek pɔsin fil pen bad bad wan .

Aw yu kin fiks talus bon we dɔn brok?

Sɔm smɔl smɔl talus fraktrɔs dɛn kin trit wit kɔst ɛn afta dat dɛn kin trit rihabiliteshɔn ɛgzampul. Bɔt bɔku pan di talus fraktrɔs dɛn kin nid ɔpreshɔn fɔ mek di bon pat dɛn alaynɛd ​​bak.

Talus fraktrɔs na wan pen we kin apin bikɔs ɔf sɔntin we gɛt bɔku impak, lɛk motoka aksidɛnt ɔ we pɔsin fɔdɔm frɔm ayt. If yu gɛt talus fraktrɔs, yu fɔ go to dɔktɔ wantɛm wantɛm. Bɔku tɛm, dis kin nid fɔ gɛt ɔpreshɔn. Dipen pan aw di injuri bad, yu kin nid fɔ wɛr kas fɔ ɛnisay frɔm tu wiks (fɔ smɔl frakshɔn) to 12 wik ɔ mɔ. Pan ɔl we di talus frakt kin mek yu fil pen, di rayt tritmɛnt kin ɛp fɔ mek yu wɛl ɛn mek yu kam bak to yu nɔmal layf kwik kwik wan.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so, frɔm wetin wi dɔn tɔk bɔt, na dɛn men tin ya yu nid fɔ mɛmba:

• Wan talus fraktrɔs kin bi siriɔs injury , so if yu gɛt sɔm sayn dɛn , go to dɔktɔ wantɛm wantɛm.
• Bɔku tɛm, dis kin nid fɔ du ɔpreshɔn.
• Di tɛm fɔ wɛl kin tek sɔm mɔnt , ɛn yu fɔ tek tɛm mek yu nɔ put wet pan di leg insay da tɛm de.
• Rihabiliteshɔn ɛgzampul na impɔtant pat pan di hiling prɔses. Na if dɛn du dɛn kɔrɛkt wan nɔmɔ yu go ebul fɔ gɛt ful wok bak na yu leg.
• If dɛn nɔ trit am, siriɔs prɔblɛm dɛn lɛk at at sik, malunion, ɔ avascular necrosis kin apin.
• Pan ɔl we dis kin bi tin we nɔ izi ɛn we kin mek pɔsin fil pen, if dɛn gɛt di rayt mɛrɛsin ɛn mek dɛn gɛt wɛlbɔdi, bɔku pipul dɛn kin wɛl fayn fayn wan. So, i impɔtant fɔ mek wi kɔntinyu fɔ gɛt trɛnk.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ aks yu dɔktɔ. Stay wit wɛlbɔdi!

` Talus, fraktrɔs, anklɛ, fut, pen, swɛlin, ɔpreshɔn, plasta, rihabiliteshɔn