Yu tink se di insay pat pan yu ɛlb de at? Na (UCL) injuri? Lɛ wi tɔk bɔt dis!

Yu dɔn ɛva fil pen insay yu ɛlb we yu de bɔl, ple volibol, ɔ du ɛni ebi ebi es? Sɔntɛnde, yu kin gɛt dis shap pen we yu fɔdɔm ɛn nak yu an ɔ we yu nak yu ɛlb sɔmsay. bכku tεm, dis kin kכz fכ di damej pan di Ulnar Collateral Ligament (UCL) na yu εlbo. dis na rili wan strכng bכnd fכ tisu we de εp fכ kip yu εlbo jכint stebul εn stret. I tan lɛk rɔba band, bɔt i strɛch, bɔt i strɔng.

Wetin na dis `(UCL)` ɛksaktɔli? Aw i kin wok na di ɛlb?

Fɔ tɔk am simpul wan, di UCL na wan strɔng band ɔf tisu we de insay yu ɛlb, na yu bɔdi sayd. Fɔ tɔk di kɔrɛkt tin, na wan ligament. Ligament na wan strɔng band we de kɔnɛkt bon dɛn togɛda. Di men wok we i de du na fɔ mek yu ɛlbo jɔyn stebul we yu de trowe sɔntin ɔp, fɔ ɛgzampul, we yu de trowe kriket bɔl ɔ ple volibol. I de stɔp yu ɛlb bak fɔ mek i nɔ swing bak ɛn go bifo we yu nɔ nid.

Naw luk, wi ɛlbo jɔyn na tri bon dɛn. di big bon na yu כp an, wi kin kכl am di `(Humerus)`, εn di tu bon dεm na yu lכw an, dat na di pat dεn we de dכn di εlbo – di `(Ulna)` εn di `(Radius)`. dis `(UCL)` de insay di εlbo, dat na di sayd we yu sכm finga de. i gεt tri pat dεm bak – wan `(anterior band)`, wan `(posterior band)` εn wan `(transverse band)`. di wan we impɔtant pas ɔl pan dɛn tri ya na di anterior band . I de ɛp fɔ mek di ɛlb stebul mɔ.

Aw dɛn kin klas `(UCL)` injuri dɛm?

di injuri dεm na dis ``UCL'' ligament, כ ``sprains'' lεk aw wi kin kכl dεm, dεn kin mεnli kכl dεm insay tri digri dεm. Dɛn kin du dis klasification akɔdin to di kayn we aw di damej dɔn.

• Gret 1: Dis na strɛs pan di ligamɛnt, bɔt nɔto kray wata. Sɔm pen ɛn swel kin de.
• Gret 2: Di ligament dɔn strɛch, ɛn i kin bi se sɔm pat pan am dɔn rɔtin . Di pen kin tranga smɔl, ɛn di ɛlb kin fil lɛk se i nɔ stebul smɔl.
• Gret 3: Dis na di kes we kin rili bad. Na ya di ligament dɔn rɔtin kpatakpata . Sɔntɛnde, i kin ivin kɔmɔt na di bon.

Wetin na di sayn dɛm fɔ UCL injuri?

Di sayn dɛm bak kin difrɛn difrɛn wan fɔ di kayn sik wae de kam pan pɔrsin.

Di sayn dɛm fɔ wan smɔl ɔr mɔdaret disɔda:

• Pen na di insay pat pan di ɛlb ɛn fil fɔ fil pen we yu de rɔb yu an. Ɛspɛshali afta yu dɔn du sɔntin we gɛt fɔ du wit fɔ es yu an, lɛk afta yu dɔn ple kriket.
• Pen we yu de muv di an fɔ go bifo kwik kwik wan (e.g., we yu de trowe bɔl).
• Di ɛlb kin fil wik, i nɔ tay, ɛn i nɔ strɔng.
• Filin fɔ wik we yu ol sɔntin na yu an, lɛk se yu nɔ ebul fɔ ol am, ɔ lɛk se yu de drɔp di tin.
• Nɔ ebul fɔ trowe ɛnitin fast ɔ tranga wan lɛk aw i bin de bifo.

Di simptom dɛm we di ligament dɔn rɔtin:

• Wan pen we de insay di εlbo we de kam wantɛm wantɛm wit "pop" sawnd , lɛk se sɔntin dɔn bɔm.
• Pen we rili bad.
• Fɔ nɔ ebul fɔ trowe ɛnitin.
• Sɔntɛnde yu kin fil lɛk se yu nɔr de fil fayn ɔ yu nɔr kin fil fayn na yu smɔl finga ɔr yu ring finga. Dis min se yu ulnar nerve dɔn pwɛl ɔ pinch.

Wetin na di tin dɛn we kin mek pɔsin gɛt injury na UCL?

Tu men rizin de we mek dɛn `(UCL)` injuri ya kin apin. Wan na kɔntinyu strɛs na di ɛlb (wi kɔl am `(Overuse)`), ɛn di ɔda wan na aksidɛnt we kin apin wantɛm wantɛm `(Trauma)`.

Injury dɛn we pɔsin kin yuz pasmak

Bɔku tɛm dis na di rizin we mek UCL injuri kin apin. We yu de muv ɔp yu ed bɔku tɛm, lɛk we kriket pleya de bɔl ɔ we volibol pleya de spayk, dat kin mek dis ligamɛnt prɛshɔn. כva mכnt dεm, כ ivin ia, di UCL de strεch sכmtεm, i de inju, εn sכm sכm kray wata (maycrotears) de divεlכp. Afta sɔm tɛm, di ɛlbo jɔyn kin lɔs ɛn nɔ kin stebul. di ligament kin swel, pat pan am כ kכmplit wan, כ wan εnd pan di ligament kin kכmכt frכm di bon.

Injury dɛn we kin mek pɔsin fil bad

Dɛn tin ya nɔ kin apin bikɔs dɛn de yuz am fɔ lɔng tɛm. Dɛn kin kam bikɔs pɔsin blo wantɛm wantɛm na in ɛlb, lɛk we pɔsin fɔdɔm. Fɔ ɛgzampul, yu fɔdɔm ɛn es yu an ɛn ol di grɔn, tink se "fɔ stɔp di fɔdɔm." afta dat di εlbo kin ``dislocate'', we min se di joyn kin brok, כ di bon kin ``fracture''. Na tɛm lɛk dis, chans de fɔ mek di ``UCL'' sɛf pwɛl.

Yu tink se UCL injuri go mek yu nɔ ebul fɔ yuz yu an?

Bɔku tɛm, UCL injuri nɔ go gɛt big impak pan di tin dɛn we yu de du ɛvride, lɛk fɔ es bag ɔ fɔ es tin dɛn we nɔ gɛt fɔ du wit fɔ trowe. Bɔt yu nɔ go ebul fɔ tek pat pan spɔt fɔ trowe ɔ ɔda tin dɛn fɔ es ebi ebi tin dɛn we go mek yu nid fɔ ol yu an ɔp.

Aw yu kin no kɔrɛkt wan se yu gɛt UCL injuri?

We yu go to dɔktɔ, bɔku tɛm na ɔtpidik spɛshal ɔ spɔt mɛrɛsin, i go aks yu bɔt yu mɛdikal istri ɛn ɛni spɔt we yu de ple. Dɔn dɛn go du ɛgzam fɔ dɛn bɔdi.

Insay dis tɛst, .

• aw fa yu kin bεnd εn εksεnd yu εlbo dεn kכl am ``rεnj כf mכshכn''.
• Dɛn kin tɛst di ɛlbow trɛnk.
• Chek di stebiliti fɔ di ɛlb.
• Dɛn kin chɛk di kɔndishɔn fɔ di mɔsul dɛn na di an.
• Sɔntɛm dɛn go chɛk di sholda bak.
• Dɛn kin aks bak usay di pen rili de.

Apat frɔm dat, di dɔktɔ kin ɔda fɔ du tɛst dɛn lɛk:

• Valgus strɛs tɛst: .Dis na ɛgzam fɔ yu bɔdi. Di dɔktɔ go es yu fɔs an ɔp lɛk 30 digri, put in finga dɛn usay yu UCL de, ɛn prɛs di insay pat pan yu ɛlbo ɛn di ɔdasay na yu fɔs an. If yu fil pen wit wan looseness in di elbow joint, dis de mek yu saspek se yu UCL injuri.
• CT Scans (Computed Tomography - CT) ɛn X-ray: Dɛn imej tɛst ya kin luk di kɔndishɔn na di bon dɛn, lɛk strɛs fraktrɔs. Bɔt dɛn nɔ kin ebul fɔ si sɔft tisu dɛn lɛk di UCL dairekt wan.
• MRI skan (Magnetic Resonance Imaging - MRI): dis kin si klia wan se di sכft tisu dεm lεk di tεndon dεm εn di ligament dεm dεn dכn pwεl. I kin no bak smɔl smɔl bon dɛn we brok we yu nɔ go si pan ɛkstrem rayt.
• Arthrogram: Dis tan lɛk MRI skan, bɔt dɛn kin injekt spɛshal day na di ɛlbo jɔyn bifo di skan. Dis kin mek dɛn ebul fɔ pikchɔ klia wan bɔt ivin prɔblɛm dɛn we at fɔ fɛn.

Aw dɛn kin trit `(UCL)` injuri?

Di tritmɛnt dipen pan aw yu UCL injuri bad ɛn aw yu de op fɔ du ɔvahɛd wok ɔ trowe. If yu gɛt smɔl UCL tear, i go mɔs bi se i go wɛl fɔ insɛf. Tritmɛnt dɛn we nɔ gɛt ɔpreshɔn kin ɛp fɔ ridyus di pen.

Tritmɛnt dɛn we nɔto ɔpreshɔn:

• Rɛst: Dis na di tin we impɔtant pas ɔl. Yu nid fɔ blo smɔl frɔm di tin dɛn we yu de du we de mek yu ɛlbow strɛs fɔ sɔm tɛm.
• Nɔnsterɔyd anti-inflammatory drɔgs (NSAID): Ɛgzampul dɛn na ibuprofen (Advil®, Motrin®) ɛn naproxen (Aleve®). Dɛn tin ya kin mek pɔsin nɔ swel ɛn i kin mek i nɔ fil pen. If nid de, yu kin gɛt wan strɔng NSAID we yu dɔktɔ se.
• Ays: Put ays pan yu ɛlb fɔ 15-20 minit bɔku tɛm insay di de. Dis go mek di pen ɛn swel nɔ bɔku.
• Fizik tɛrapi: Dɛn nid spɛshal ɛksesaiz fɔ mek di mɔsul dɛn we de rawnd di ɛlb strɔng. Dis go mek di sɔpɔt we dɛn de gi di ɛlb bɔku.
• Platelet-Rich Plasma (PRP) Injection: Dis min se yu fɔ tek smɔl pan yu yon blɔd ɛn separet wan kayn sɛl we dɛn kɔl pletlet. afta dat dεn kin injεkt dεn pletlet dεm ya na di εria we di UCL we dεn dכn pwεl de. Dɛn pletlɛt ya gɛt tin dɛn we de mɛn pipul dɛn, so dɛn kin ɛp pipul dɛn we gɛt UCL we dɔn rɔtin.

Di tritmɛnt dɛn we dɛn kin du fɔ ɔpreshɔn:

• UCL dairekt ripa: If yu UCL ligament dɔn rɔtin frɔm di bon we aksidɛnt apin wantɛm wantɛm, i kin pɔsibul fɔ mek yu tay am bak to di bon.
• UCL rikostrɔkshɔn (Tommy John ɔpreshɔn) .;

insay dis prosidur, di sajin de tek wan tεndon frכm כda pat na yu bכdi (e.g., yu leg, an) כ wan tεndon frכm wan dכna εn atak am to di ulna εn humerus bon dεm na yu εlbo fכ mek nyu UCL. sכmtεm, dεn kin graft di rεst pat pan di ol UCL insay di nyu jכint fכ mek i strכng.

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di men gol dεm fכ כpεrayshכn na fכ mek di εlbo stebul εn rεnj fכ muv, inkrεs trεnk na di εlbo, εn fכ rεliv di pen.

Wetin mek dɛn kɔl dis `(UCL)` rikostrɔkshɔn ɔpreshɔn `(Tommy John Surgery)`?

Dis na stori we rili intrestin. Dɛn gi dis ɔpreshɔn in nem to di fɔs pɔsin we mek dɛn du am. Tommy John na wan big big Major League Baseball pleya we bin tear in (UCL) ligament insay 1974. I nɔ bin de ple fɔ lɛk wan ia so, bɔt na in na bin di fɔs pleya we dɛn du dis ɔpreshɔn ɛn i bin ebul fɔ go bak to besbɔl. So dɛn gi di ɔpreshɔn in nem to am fɔ ɔnɔ am.

Us tεndon dεm dεn kin yus mכst fכ UCL rεkכnstrכkshכn?

wan pan dεn tεndon dεm ya dεn kin yus fכ di graft:

• Wan tεndon we de na di bak pat pan di tεndon (Hamstring tεndon) .
• di tεndon na yu lכw an we dεn kכl di ``Palmaris longus tεndon'' (dis nכ de apin to כlman)
• tεndon we de εp fכ es di big tכd כp (Big toe extensor tεndon) .

Wetin na di kɔmplikɛshɔn dɛn we de apin we dɛn du ɔpreshɔn pan UCL rikostrɔkshɔn?

Jɔs lɛk ɛni ɔpreshɔn, risk kin de fɔ mek pɔsin gɛt infɛkshɔn ɛn prɔblɛm dɛn de wit anestezi.

Apat frɔm dat, kɔmplikeshɔn dɛn de we spɛshal fɔ UCL rikostrɔkshɔn:

• Di nyu graft we dɛn dɔn put kin pul ɔ te bak. If dis apin, dɛn go nid fɔ du sɛkɔn ɔpreshɔn fɔ put nyu graft insay.
• Ulnar nerve de damej. Bikɔs dis nɛv de pas na di ɛlbo jɔyn, di dɔktɔ we de du di ɔpreshɔn kin nid fɔ muv di nɛv to di fɔs pat pan di ɛlbo jɔyn fɔ mek i nɔ pwɛl mɔ.

Aw fɔ ridyus di risk fɔ gɛt UCL injuri?

Fɔ pripia fayn fayn wan, fɔ lan di rayt we fɔ yuz yu ɛlb, ɛn fɔ rɛst we yu fil pen ɔ nɔ fil fayn na yu ɛlb kin ɛp fɔ mek yu nɔ gɛt UCL injury.

Ɛspɛshali atlet dɛn we:

• Gɛt di rayt trenin: Lan aw fɔ trowe kɔrɛkt wan ɛn aw fɔ yuz yu an.
• Pitch count limit: Nɔ trowe bɔku pitch dɛn wan tɛm.
• Gɛt fayn rɛst: Gi yu mɔsul ɛn ligamɛnt dɛn tɛm fɔ wɛl.
• Du strɛch ɛn trɛnk trenin: Dɛn tin ya de mek di mɔsul dɛn we de rawnd di ɛlb strɔng.
• Nɔ trowe sayd-am: Dis kin put mɔ prɛshɔn pan di ɛlbow.

Aw lɔŋ i kin tek fɔ wɛl frɔm UCL injuri?

Dis kin difrɛn bak fɔ di kayn sik ɛn aw fɔ trit am.

If dɛn nɔ du ɔpreshɔn pan dɛn:

If yu gɛt UCL tear, i kin tek ɛnisay frɔm sɔm wiks to sɔm mɔnt fɔ wɛl. Dis tɛm dipen pan aw bɔku muvmɛnt yu want fɔ gɛt bak na yu ɛlb.

Afta `(UCL)` rikostrɔkshɔn ɔpreshɔn:

I kin tek 9 mɔnt to wan ia, ɔ ivin lɔng pas dat, fɔ mek i wɛl. Yu kin nid fɔ wɛr spɛshal bres fɔ ɛp fɔ mek yu ɛlbow ebul fɔ muv mɔ ɛn mɔ. If yu plan fɔ go bak to spɔt dɛn we gɛt bɔku prɔblɛm dɛn, yu go nid fɔ du fizik tɛrapi ɛn pen mɛnejɛmɛnt program we dɛn mek fɔ yu. Dis go ɛp fɔ mek yu ɛlbo strɔng ɛn mek yu ebul fɔ muv ɛn wok fayn fayn wan.

Aw wi go ɛp fɔ protɛkt skul atlet dɛn frɔm injury we dɛn kin gɛt we dɛn yuz dɛn fɔ lɔng tɛm lɛk dis?

Na sɔm tin dɛn we yu kin du fɔ protɛkt yɔŋ atlet dɛn frɔm injury dɛn we dɛn kin yuz pasmak:

• Gɛt mɛdikal chɛk-ap bifo di spɔt sizin: Dis kin ɛp fɔ no di wɛlbɔdi prɔblɛm dɛn kwik kwik wan we kin mek yu wund fɔ lɔng tɛm.
• Lan di kɔrɛkt we fɔ trowe: I impɔtant fɔ lan am fayn fayn wan frɔm kɔch.
• Kip wan limit pan di nɔmba fɔ di bɔl dɛn we dɛn kin trowe insay wan mats.
• Ɛnjɔy fɔ du fitnɛs program ɔlsay na di ia: Dis fɔ gɛt fɔ du wit ɛksesaiz fɔ strɛch ɛn fɔ mek yu gɛt trɛnk.
• Mek shɔ se yu du ɛksashɔn fɔ wam-ap ɛn kol-dɔwn bifo ɛn afta spɔt.
• Nɔ ɛva ple ɔ tren if yu wund ɔ yu de fil pen.
• Nɔ ple di sem spɔt ɔlsay na di ia: Ɛnkɔrej yɔŋ atlet dɛn fɔ blo wan wan tɛm. dis go gi di mכsul grup dεm, di tεndon dεm, εn di ligament dεm we dεn de yuz di sem we fכ rεst.

Wetin na `(Little Leaguer's Elbow)`?

Dis na wan sik we kin afɛkt di ɛlbow fɔ yɔŋ pikin dɛn, mɔ di pikin dɛn we de go skul. Na tru tru wan dizayd we di plet dɛn we de gro kin gɛt. di plet dεm we de gro na di pat dεm na di bon dεm we de mek di εlbo jכint. Bikɔs yɔŋ pikin dɛn bon dɛn stil de gro, dɛn plet dɛn ya we de gro kin wik pas ɔda pat dɛn na di bon, di ligamɛnt dɛn, ɛn di tɛndon dɛn. di prεshכn we pas כl we dεn de trowe de kam to dis wikest pכynt, di growth plet. Dis prɛshɔn, we dɛn trowe am ɔltɛm, i kin pwɛl di tisu ɛn bon dɛn fɔ yɔŋ atlet dɛn. If yu yɔŋ atlet de kɔmplen se in ɛlb de pen, mek shɔ se yu mek dɔktɔ, ɔtpidik ɔspitul ɔ spɛshal pɔsin we sabi bɔt spɔt mɛrɛsin chɛk am.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Ulnar Collateral Ligament (UCL) injuri na injuri we de insay di εlbo. Na bikɔs dɛn de yuz am pasmak fɔ lɔng tɛm. Pan ɔl we dɛn kin si am mɔ pan di wan dɛn we de ple baysbɔl, i kin apin to ɛnibɔdi we de es ebi ebi tin dɛn we dɛn es in an ɔp. Di men sayn dɛm na di pen na di ɛlb ɛn i kin tan lɛk we dɛn tɔch di an. Sɔm pipul kin gɛt wan sɔd, "klik" pen na di insay pat pan di ɛlb.

If yu nɔto atlet ɔ yu nɔ de du ebi ebi liftin, yu ɛlb kin wɛl wit simpul tritmɛnt dɛn lɛk rɛst, ays, mɛrɛsin, ɛn fizik tritmɛnt. Bɔt, di wan dɛn we gɛt mɔ bad bad injury ɛn atlet dɛn kin nid ɔpreshɔn, lɛk Tommy John Surgery. Yu ɛn yu dɔktɔ kin disayd di bɛst tritmɛnt we yu want fɔ du, i go dipen pan aw yu wund bad ɛn aw yu want fɔ du ɔvahɛd wok. So, if yu gɛt ɛlb pen, i impɔtant fɔ go to dɔktɔ ɛn nɔ pe atɛnshɔn to am.

` Ɛlbo pen, UCL injuri, Tommy John ɔpreshɔn, spɔt injuri, ligament tear, ɛlbo ɔpreshɔn, fizik tɛrapi