Kawngkhar natna atana O'Brien Test chungchang hi awlsam takin i zir dawn teh ang!

I kekawrte chu a na deuh em? Thil i tih hian, i kut i han phar hian chutiang hrehawmna chu i hre mai thei em? Chutiang taka i ke ruh natna i neih chuan test awlsam tak O’Brien test tih a awm a, chu chu doctor-te chuan a chhan an zawng chhuak thin. Vawiin hian he thu hi chipchiar deuhin han sawi ila, a tha em?

O’Brien test chu eng nge ni?

A awlsam zawngin sawi ila, O’Brien test hi doctor-te’n i ke ruh natna chhan hriat theihna tura an hman thin test awlsam tak a ni. Kut test awlsam tak ang mai a ni. A bul berah chuan i shoulder-a cartilage tear emaw chhiatna emaw, a bik takin labrum , emaw i AC joint (acromioclavicular joint)-a harsatna awm emaw a zawng thin. I kut i chawi sang a, chakna i hman avangin ‘active compression test’ an ti bawk.

Engtikah nge O’Brien test hi tih a nih?

Tunah chuan, ‘He AC joint hi eng nge ni? He labrum hi eng nge ni?' Kan kekawrte hi a complex hle a ni lawm ni? Part tam tak a nei a. He O’Brien test hian a bik takin thil pahnih a ngaihtuah a, chungte chu: i AC joint leh i labrum .

AC Joint chu eng nge ni?

AC joint hi i shoulder-a joint pali zinga pakhat a ni. Hei hi i shoulder blade chunglam ( acromion kan ti a, chu chu shoulder blade chunglam, pawn lam kil a ni) chu i collarbone chunglam ( the clavicle ) nen a inzawmna hmun a ni. I kekawr chunglam a ruh te tak te angin ngaihtuah rawh. O’Brien test hian AC joint-a harsatna awm thei, chuta cartilage-a inthen emaw, a tear emaw te chu a hmu thei a ni.

Labrum tih hi eng nge ni?

Labrum hi cartilage chi khat, bumper ang maia siam a ni. I shoulder-a main joint vel ( glenoid an tih) vel a awm a ni. I shoulder-a ball-and-socket joint chu a nghet reng theih nan a pui thin. He joint hi i shoulder bone socket (the glenoid) leh i upper arm bone ( the humerus ) ball-and-socket atanga siam a ni. O'Brien test hian he labrum chunglam ah hian tear a awm leh awm loh a enfiah thei a ni . Hei hi SLAP tear an ti bawk . SLAP hi Superior Labrum tih tawi a ni a, Anterior atanga Posterior thleng a ni. Hei hian labrum chunglam, hmalam atanga hnunglam thlengin a tear tihna a ni.

Tin, he O’Brien test hian a chang chuan shoulder problem dang a hmuchhuak thei bawk a, entirnan:

• Rotator Cuff tear a ni
• Shoulder Impingement Syndrome a awm a, a rilru a hah hle
• Acromioclavicular joint arthritis emaw AC ruh inthen emaw a awm thei

Hei hi chutiang thil a ni lo tih nemnghet turin a pui bawk.

He O’Brien hian tu nge a test?

He O’Brien test hi healthcare provider te chuan an ti tlangpui a, chungte chu:

• Athletic trainers , a bik takin infiammi te hliam an neih chuan.
• Orthopedist te hi doctor te an ni a, i ruh leh ruh chungchangah specialized knowledge nei an ni .
• Physical therapist te hi exercise zirtirtu leh damna tura puitu an ni.
• Primary care provider te hi damdawi lam dinhmun atana i hmuh hmasak ber doctor te an ni .

O’Brien test hi engtin nge a thawh?

Okay, tunah chuan he O’Brien test hi engtin nge dik takin kan tih ang tih kan en ang. A awlsam khawp mai. Thut emaw, ding emaw pawhin i ti thei.

Doctor chuan hetiang hian a ti ang che:

1. A hmasa berin i kut pahnih chu i kekawr ipte nena 90 degree angle-in hmalam hawiin, lei nen parallel-in han phar rawh . I elbow te chu a dinglam vek tur a ni.

2. A dawtah chuan i kut chu a sir lamah tlem tal hruai la, chu chu i taksa lairil (10 atanga 15 degree vel) hnaih zawkah dah la .

3. Tunah hi a pawimawh ber a ni. I kut chu chhung lam hawiin han hawi rawh . I kut hnunglam chu a inhmachhawn ang a, i kutpui chu hnuai lam hawiin . I elbow te chu i taksa atanga hlaah a inher chhuak ang. Hei hi damdawi lam tawng chuan pronation an ti a.

Ngaihtuah teh, i kutah tui bottle i keng a, a kawr chu i tikehsawm a, i tikhauh ang maiin.

Hetianga i kut i vawn lai hian doctor chu i hmaah emaw, i hnungah emaw a thu ang a, i kut chu a chung atanga a hnuai thlengin a hmet ang . Chu pressure lakah chuan i kut chu han nawr chho turin a hrilh ang che . Chumi awmzia chu i kut i thlak loh tur a ni.

Tichuan, doctor chuan i kut chu a lehlamah hawitir turin a hrilh ang che. Chu chu, i kutphah chu chunglam hawiin, ceiling lam hawiin . Tichuan i elbow te chu lei lam hawiin a inher ang. Hei hi supination an ti a . I kut i phar a, mi pakhat hnenah thil i dil ang mai a ni.

Hetah pawh hian doctor-in i kut chu a chung atanga a hnuai thlenga a nawr hniam lai chuan i kut chu a chungah i nawr chho tur a ni.

O'Brien test "positive" tih hian eng nge a awmzia?

Awle, tunah chuan he test hi tihfel a ni tawh a, engtin nge doctor chuan ‘positive’ nge ‘negative’ a tih?

O’Brien test ‘positive’ chu hetiang anga ngaih a ni:

• I kut chhung lam i hawi laiin (i.e., i kut zungtang hnuai lam hawia position hmasa berah) doctor-in i kut a rawn hmet chuan i kekawrteah natna i nei thin .
• Mahse, i kut chu pawn lam hawiin (i.e., second position-ah i kutphah chunglam hawiin) doctor-in i kut a hmet a, .Chu natna chu a tlahniam ang a, a bo pawh a ni ang.

O’Brien test ‘positive’ a nih theih nan he position pahnihnaah hian natna hi a tlahniam ngei ang .

Tunah chuan doctor chuan a natna awmna hmun a zirin ngaihtuahna engemaw zat a nei thei tawh ang.

• Natna chu kekawr chhung thuk takah a awm chuan labral tear a nih a rinawm zawk . A chang chuan labral tear a awm chuan he test hi an tih hian i kekawrteah ‘click’ ri i hre thei.
• Natna chu i kekawr chunglam, vun hnaihah a awm a nih chuan , AC joint issue chhinchhiahna a ni thei .

He test atan hian engtin nge ka inbuatsaih ang?

O’Brien test, emaw active compression test tih tur hian inbuatsaihna bik i neih a ngai lo . Hei hi test awlsam tak a ni a, a tlangpuiin doctor office-ah tih thin a ni.

O’Brien test hnuah eng nge thleng?

Test zawh hnuah i doctor chuan result chungchang a sawipui ang che. Chu chu, test chu ‘positive’ nge ‘negative’ a nih leh nih loh, engvangin nge chutiang a nih, eng nge a awmzia, etc. Tichuan, test dang i mamawh chuan a hrilh ang che.

O’Brien test hi engtiang chiahin nge rintlak a nih?

Tunah chuan, 'He O'Brien test hi 100% a dik em?' Dik tak chuan, a châng chuan ke ruh hrisel nei pawhin ‘positive’ active compression test an nei thei a ni . Chumi awmzia chu hrehawmna nei lo pawhin chu chetna hmasa berah chuan natna a nei thei tihna a ni.

Chuvangin, O’Brien test hi doctor-in a ke ruh natna a tehna atana a hmanraw pakhat chauh a ni . Hemi ringawt pawh hian eng natna nge a nih tih chiang taka sawi a har hle. A tlangpuiin, he test hi test dang nen a inzawm a , chu chu a dik leh dik loh hriat theihna tur a ni .

O’Brien test result hmuh nan hian eng chen nge hun a duh?

O’Brien test result chu i hre nghal thei a, a chhan chu doctor in a tihsak che a ni. Natna i neih leh neih loh leh engtikah nge a lo intan tih pawh a hrilh nghal thei che a ni.

Mahse, ka sawi tawh ang khan hei hi i kekawr natna tehna atana step khat chauh a ni. I doctor chuan test dang pawh a rawt thei bawk a, chungte chu:

• X-ray, CT scan, emaw MRI scan : Hengte hian i kekawr chhung lam thlalak a la thei a, ruh, ruhro leh soft tissue te dinhmun a hmu thei a ni.
• Thisen test : A châng chuan i thisena chemical ṭhenkhat level en hian gout emaw rheumatoid arthritis ang chi natna i nei em tih i hre thei a ni.
• Shoulder arthroscopy hmanga enfiah a ni: Hei hi surgery tenau tak a ni. Camera chu incision te tak te tak hmangin dahin, shoulder joint chhung lam chu enfiah a ni. Hei hi a chang chuan diagnosis bakah enkawlna atan pawh hman a ni.

Home message chu la rawh

Okay, chuvangin tunah chuan vawiin a kan sawi tawh O’Brien test kha in hriatthiam ka beisei.

A awlsam zawngin sawi ila, O’Brien test hi doctor-in a tih theih, a ke ruh na chhan hriat theihna tura a tih theih test awlsam tak a ni. Labral tear emaw AC joint problem emaw enfiah nan hman a ni tlangpui.

Hei chauh hian thutlukna chiang tak siam thei lo mah se, i doctor-in i dinhmun a hriat theih nân a ṭanpui thei a ni. I kephah na pawh i nei a nih chuan Doctor pan a, ngaihthah lovin a tul anga test leh enkawlna lak a tha ber. Tichuan i dam thuai thei ang.

` Kawngkhar na, O’Brien test, active compression test, labrum tear, AC joint disorder, kekawrte enfiah, SLAP tear