Yu na pɔsin we de ple kriket, we de trowe javlin, ɔ pɔsin we de ple tɛnis? Dɔn sɔntɛm yu nɔ nid fɔ wɔri bɔt pen na yu ɛlb, nɔto so? Sɔntɛnde di men tin we kin mek pɔsin fil dis pen na we wan strɔng ligamɛnt we de insay di ɛlbow kin te. Na da tɛm de di ‘Tommy John ɔpreshɔn’ we de chenj di fiuja fɔ bɔku atlet dɛn de kam na di spotlayt. Lɛ wi tɔk bɔt dis insay simpul wɔd dɛn, A to Z.
Fɔ tɔk am simpul wan, wetin na Tommy John ɔpreshɔn?
Tommy John ɔpreshɔn na ɔpreshɔn we dɛn kin du fɔ mek wan ligamɛnt we de insay yu ɛlb we dɛn kɔl Ulnar Collateral Ligament (UCL) . Dɛn kin kɔl am bak `UCL` ɔpreshɔn.
Tink bɔt di UCL as strɔng rɔba band we de ol di ɛlbo jɔyn togɛda. We wi de yuz wi ɛlb di sem we bak ɛn bak, mɔ we wi de bɔl fast ɔ we wi de trowe javlin, dis ligamɛnt kin pwɛl. Dis kכndyushכn dεn kin si am mכst pan:
- Besbol we dɛn kin yuz fɔ ple
- Sɔftbɔl we dɛn kɔl
- Javelin we dɛn kɔl
- Futbal (especially pleya dem we de trowe di bol)
- Fɔ di wan dɛn we de ple tɛnis ɛn ɔda kayn rɛkɛt spɔt dɛn.
If yu na atlet fɔ ɛnjɔy yusɛf, bɔku tɛm, dis injury kin wɛl if yu rɛst ɛn simpul tritmɛnt. Bɔt if yu na pɔshɔnal atlet, we min se yu wan ol wok de na dis spɔt, dis injuri kin bi di ɛnd fɔ yu ple wok. Na da tɛm de yu fɔ gɛt `UCL` ɔpreshɔn fɔ sev yu pley kariɛra.
Insay dis ɔpreshɔn, yu dɔktɔ kin tek wan wɛlbɔdi tɛndon frɔm ɔda pat na yu bɔdi (bɔku tɛm frɔm yu fɔs an ɔ biɛn yu ni) ɛn yuz am fɔ bil bak di ligamɛnt we dɔn pwɛl na yu ɛlb. di tεndon we dεn tek dis we dεn kכl am ‘graft’ . Sɔntɛnde, if i nɔ pɔsibul fɔ gɛt wan frɔm yu yon bɔdi, dɛn kin yuz tɛndon frɔm pɔsin we gi yu. dis nyu tεndon de atak di כp an bon (humerus) εn di lכw an bon (ulna) na yu εlbo, we de mek i akt lεk nyu `UCL` ligament.
Afta dis ɔpreshɔn:
- Yu ɛlb de stebul.
- Di pen de go dɔŋ.
- Di rεnj we di an de muv de kam bak.
sכm tεm dεm, insted fכ mek ful kכst, dεn kin put spεshal tin we dεn kכ l ‘intanεt bres’ insay di εlbo fכ mek di kכst strכng.
Wetin mek dɛn kɔl am ‘Tommy John’? Wetin na di stori biɛn am?
Dis na stori we rili intrestin. Dɛn gi dis ɔpreshɔn in nem to Tɔmi Jɔn, we na wan bigman na Amɛrika we bin de ple baysbɔl. I bin sabi fɔ ple bɔl. Insay 1974, in UCL ligamɛnt na in ɛlb bin rɔtin kpatakpata. Da tɛm de, dis kayn injuri bin min se in spɔt wok dɔn dɔn.
Bɔt, dɔktɔ dɛn bin tray fɔ du nyu ɔpreshɔn fɔ mek in ɛlb fayn. Afta di ɔpreshɔn, i nɔ bin mis di wan ol 1975 sizin. Bɔt ɔlman bin sɔprayz we i kam bak na di fil insay 1976 ɛn i bin ple bɛtɛ pas ɛni ɔda tɛm. Bikɔs ɔf in saksesful kam bak, dɛn dɔn kɔl di `UCL` ɔpreshɔn frɔm da tɛm de di `Tommy John ɔpreshɔn.'
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Yu ɔtpidik ɔspitul dɔktɔ go ɛksplen klia wan aw fɔ rɛdi fɔ ɔpreshɔn. Bɔku tɛm, yu go nid fɔ du dɛn tin ya:
- Wan kɔmplit ɛgzam fɔ yu bɔdi: Mek shɔ se yu gɛt wɛlbɔdi fɔ mek dɛn du ɔpreshɔn pan yu.
- Blɔd tɛst: Lan bɔt di bɛsis wok we di bɔdi de du ɛn di infɛkshɔn stetmɛnt.
- Imej tɛst: Dɛn kin ɔda fɔ mek dɛn tek ɛkstrem rayt , CT skan , ɔ MRI skan fɔ si di rayt tin we dɔn pwɛl yu ɛlb.
- E.C.G., ɛn ɔda pipul dɛn. (Electrocardiogram): Chɛk if yu at de wok fayn.
- Dɛnt chɛk-ap: Fɔ mek di ɔral infɛkshɔn nɔ skata tru di blɔd ɛn afɛkt di say we dɛn du di ɔpreshɔn afta dɛn dɔn du di ɔpreshɔn.
I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni mɛrɛsin, vaytamɛn, ɔ ɛbul mɛrɛsin we yu de tek. Sɔm mɛrɛsin dɛn (espɛshali di wan dɛn we de mek blɔd nɔ klɔt) kin nid fɔ stɔp sɔm dez bifo dɛn du di ɔpreshɔn.
Yu dɔktɔ go advays yu bɔt aw lɔng yu fɔ stɔp fɔ it ɛn drink di de bifo dɛn du di ɔpreshɔn. Bɔku tɛm, yu fɔ stɔp fɔ it ɛn drink 12 awa bifo dɛn du di ɔpreshɔn.
Wetin rili apin we dɛn de du di ɔpreshɔn?
Bifo di ɔpreshɔn bigin, di dɔktɔ we de mɛn yu go gi yu jenɛral anestezi . Dis min se yu go slip kpatakpata. So yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn.
Bɔku tɛm, di ɔpreshɔn kin fala dɛn tin ya:
1. Atroskopi: Sɔntɛnde di dɔktɔ go yuz smɔl kamɛra fɔ luk insay di ɛlbo jɔyn. Dɛn kɔl dis atrɔskɔpi . Dis kin ɛp fɔ no ɛn trit ɔda injury dɛn we de insay di bɔdi we dɛn de mek di ligamɛnt fayn.
2. Graft Harvesting: If yu nid fɔ graft, di dɔktɔ go tek 6-7 inch lɔng pat pan di tɛndon frɔm ɔda pat na yu bɔdi (bɔku tɛm frɔm di fɔs an ɔ biɛn di ni).
3. Fɔ pul di tisu we dɔn pwɛl: Dɛn kin klin di ligamɛnt dɛn we dɔn pwɛl ɛn we dɔn rɔtin ɛn ɔda tisu dɛn we nɔ nid fɔ de insay di ɛlb.
4. 4. .bon piercing: nεks, dεn de drכ tu ol dεm na di ulna bon εn tri ol dεm na di humerus bon we shep fכ "Y".
5. insay di nyu ligament: di tεndon (graft) we dεn bin dכn pul bifo dεn de pas tru dεn ol dεm ya εn fiks am lεk nyu ligament. Sɔntɛnde, dɛn kin tay am na di bon dɛn wit smɔl smɔl skru dɛn fɔ mek i strɔng.
6. Fɔ mek ɔda tin dɛn we dɔn pwɛl: If di nɛf dɛn we de na di ɛlb (ulnar nerve) dɔn pwɛl ɔ ɔda prɔblɛm dɛn de, dɛn kin mek dɛn bak we dɛn de du dis ɔpreshɔn.
7. Fɔ stich di say dɛn we dɛn kɔt: Fɔ dɔn, dɛn kin lɔk di say dɛn we dɛn kɔt na di skin wit stich. Dɔn dɛn kin kɔba dɛn wit klin dresin ɛn put wan had splint fɔ mek di an nɔ muv.
Dis ɔpreshɔn kin tek lɛk wan ɛn af awa so, bɔt dis tɛm kin difrɛn difrɛn wan bay aw di ligamɛnt dɔn pwɛl ɛn if ɔda prɔblɛm dɛn de.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni ɔpreshɔn, Tommy John ɔpreshɔn gɛt bɛnifit ɛn risk.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| Bɔku pleya dɛn kin ebul fɔ go bak na di gem fayn fayn wan. | Infekshɔn na di say we dɛn de du di ɔpreshɔn. |
| Di pen we yu de fil we yu de bɔl ɔ trowe kin dɔn ɛn i kin bia mɔ ɛn mɔ. | Nεv dεm dεm na di an כ εlbo, we kin mek yu sכmtεm sכmtεm. |
| Afta dɛn dɔn du ɔpreshɔn fayn fayn wan, di chans fɔ mek dɛn gɛt ɔpreshɔn pan di sem ligamɛnt bak kin rili smɔl. | Di blɔd vesel dɛn we dɔn pwɛl. |
| di sakses rεt de rili hכy (bitwin 80% - 95%). | di nyu tεndon (graft) we dεn implant de lכs כ west as tεm de go. |
Aw di tɛm we pɔsin kin wɛl kin tan lɛk afta dɛn dɔn du di ɔpreshɔn?
Dis na di pat we at pas ɔl ɛn we impɔtant pas ɔl pan di waka. I kin tek pas wan ia fɔ mek i wɛl gud gud wan frɔm di ɔpreshɔn we dɛn du to Tɔmi Jɔn ɛn fɔ go bak to kɔmpitishɔn spɔt dɛn. Dis na waka we wi nid fɔ peshɛnt. Yu nid fɔ fala di instrɔkshɔn dɛn we yu dɔktɔ ɛn fisiotɛrapist gi yu di rayt we.
Yu schedule fɔ wɛl kin tan lɛk dis:
| Tɛm | Wetin de apin ɛn wetin nid fɔ du |
|---|---|
| Di fɔs wik dɛn | Yu fɔ wɛr wan had splint fɔ mek yu an nɔ go muv. Yu nɔ go ebul fɔ muv yu ɛlb atɔl. |
| Bitwin 1-2 mɔnt | di rigid sכpכt dεn de pul am εn dεn de put wan hinged splint fכ alaw limited εlbo flekshכn. Fyzikal tritmɛnt tritmɛnt kin bigin dis tɛm. |
| Bitwin 3-4 mɔnt | Di dɔktɔ go wach aw yu de wɛl ɛn if ɔltin de go fayn, dɛn kin alaw yu fɔ bigin fɔ du tin dɛn we rili layt, lɛk fɔ trowe bɔl. Bɔt na di dɔktɔ in advays nɔmɔ. |
| Bitwin 6-9 mɔnt | Yu go ebul fɔ tek pat pan smɔl trenin, bɔt yu go stil gɛt fɔ avɔyd sɔm ɛgzampul dɛn ɛn sɔm we dɛn fɔ tren. |
| Bitwin 12-18 mɔnt | If di prɔses fɔ wɛl dɔn dɔn witout ɛni kɔmplikeshɔn, yu dɔktɔ go alaw yu fɔ go bak to ful-taym kɔmpitishɔn. Dis tɛm kin difrɛn difrɛn wan bay aw yu bɔdi de wɛl ɛn di spɔt. |
Mɛmba se fɔ peshɛnt na di men tin fɔ dis waka. Fɔ rɔsh, nɔ fala di instrɔkshɔn dɛn fayn, ɛn nɔ fala di instrɔkshɔn dɛn fayn fayn wan kin mek yu wund mɔ, yu go du mɔ ɔpreshɔn, ɛn i kin mek yu nɔ de du spɔt fɔ lɔng tɛm.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
If yu gɛt ɛni wan pan dɛn tin ya afta yu dɔn go na os afta dɛn dɔn ɔpreshɔn yu, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) .
- Chɛst de pen
- I nɔ kin izi fɔ yu fɔ blo
- Fiva (we pas 102 Farenheit/39 Sɛlshiɔs) .
- Blɔd we de kɔmɔt pasmak frɔm di say we dɛn du di ɔpreshɔn
- Sayn dεm fכ infεkshכn na di say we dεn du di כpεrayshכn (e.g., pus, swεla pasmak, smel, rεd, כ fכ fil fכ wam)
- Nyu ɔr de wɔs pen na yu ɛlb, an, ɔ finga
- Yu gɛt siriɔs pen wae yu nɔr kin ebul fɔ kɔntrol ivin wit di pen killer dɛm wae dɛn dɔn gi yu.
Tommy John opareishon na wan amazing opareishon we de gi profeshonal atlet dem sekon chans. Bɔt in sakrifays de 90% dipen pan aw yu peshɛnt ɛn dediket to di rihabiliteshɔn prɔses afta di ɔpreshɔn.
Mɛsej we dɛn kin kɛr go na os
- Tommy John ɔpreshɔn na ɔpreshɔn we kin rili wok fayn, mɔ fɔ atlet dɛn, we dɔn pwɛl di UCL ligament na di insay pat pan di ɛlbo.
- I kin tek pas wan ia fɔ mek i wɛl afta dɛn du dis ɔpreshɔn, ɛn i impɔtant fɔ trit di pɔsin in bɔdi insay da tɛm de.
- Tɛl yu dɔktɔ wantɛm wantɛm bɔt ɛni ɔda kayn sayn we nɔ kɔmɔn (big pen, fiva, swɛlin) we kin apin afta dɛn du di ɔpreshɔn.
- If bɔku pipul dɛn fala di dɔktɔ ɛn di dɔktɔ we de mɛn di bɔdi in instrɔkshɔn dɛn gud gud wan, dɛn kin ebul fɔ go bak na di fil fayn fayn wan.
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