I khup a na reng em? Vawiin hian McMurray Test chungchang hi han sawi ila!

Khup na vangin i inher kual emaw, nitin hnathawhnaah emaw harsatna i nei em? Infiamna i khelh laiin i tlu a, accident i tawk a, i khup i hliam mai mai pawh a ni thei. Hetianga khup harsatna i neih hian doctor chuan i khup enfiah nan test awlsam tak, mahse pawimawh tak McMurray Test tih chu a ti ang. Vawiin hian he thu hi in hriatthiam theih nan chipchiar deuhin kan sawi dawn a ni.

McMurray Test hi eng nge ni tak tak?

A awlsam zawngin, hei hi taksa enfiahna a ni a, chutah chuan doctor-in i khup leh i ke chu hmun hrang hrangah a ben a, a tizau a, a tikehsawm a ni . A bik takin, he exam hi khup chhunga cartilage, ``meniscus'' an tih chu a chhe tawh em, a chhe tawh em, harsatna dang a nei em tih hriat nan an ti thin. Thil hmanraw mawi tak tak a mamawh lo. Doctor chuan a office-ah a ti thei a ni. Doctor chuan ngun takin a ngaithla ang che a, i natna, "click" ri, emaw, i rilru hahna dang emaw chu hriat a tum ang.

Engvangin nge he McMurray Test hi ka neih a ngai? / He test hi engtikah nge tih a nih tlangpui?

Doctor hnenah khup na, a hring, emaw, i khup ben emaw, dinglam emaw harsatna neia i kal a, meniscus i chhe thei nia an rin chuan McMurray Test an ti thei zawk a ni. Hei hi test hmasa ber atan tih a ni fo a, chu chu eng harsatna nge dik tak tih hriat theihna tura puitu atan a ni.

Tunah chuan, he `(Meniscus)` hi eng nge a nih i en ang u. Kan khup chhungah, ke ruh (`(Femur)`) leh ke ruh (`(Tibia)`) inkar, "C" ang chi, rubbery, a thuk deuh deuh cartilage pahnih ang mai a ni. Car chhunga shock absorber ang mai a ni a, kan khup ruh te chu a inhnek loh nan a veng a, khup chunga pressure awm chu a absorb a, ruh a venghim bawk. Tin, ruh (joint) a nghet reng theih nan a pui bawk.

Ngaihtuah teh, cricket emaw football emaw ang chi infiamna i khelh laiin car accident-ah i tlu nghal a, i tlu a, i inhnek nasa hle a nih chuan he `(Meniscus)` hi a chhe thei a, a chhe thei a, a hliam thei bawk. Hei hi infiammi zingah inhliam tam tak a ni. Tin, i tar deuh deuh chuan heng cartilage part te hi a chhe zauh zauh a, awlsam takin a chhe thei bawk.

Meniscus a hrual chuan a lan chhuah dan tlangpui chu:

• Khup atanga "click" ri: Mi thenkhat tan chuan he aw hi natna nasa tak nen a inzawm thei. I khup chhungah thil eng emaw a rawn chhiat tih i hriat thut chuan a hlauhawm zia chu han ngaihtuah teh.
• Thil nghet lo leh thunun theih loh anga inhria: Khup chu rit phur lovin "giving way" emaw "bending" emaw angin a inhria thei. Hei hian kea kal te, tlan te, stairs chhoh te chu a ti nuam lo hle a, a ti hlauhawm hle bawk.
• Na:Hei hi a pawimawh ber a ni. A châng chuan khup chunga ben, extend, emaw, rit dah emaw hian natna a nasa thei hle. Zana mut laiin a na thei bawk. Mi thenkhat chuan khup chhung lam emaw pawn lam emaw a na hi an hre thei.
• Khup khauh: Zingkar emaw, rei vak lo ding hnu emawa i thawh chuan i khup a khauh a, che harsa i ti thei.
• Swelling: Khup hi a hliam atanga darkar tlemte chhung emaw, ni khat emaw ni hnih emaw chhungin a hring tan thei.
• Khup chu a pangngaia ben leh tihzauh theih lohna: Khup chu a ben thei lo emaw, a dinglam vek thei lo emaw a ni thei. A chhungah thil pakhat a inkhung (`locking`) ang maiin a lang thei.

Chuvangin, khup hliam i neih a, heng symptoms te hi i neih chuan doctor chuan McMurray Test a ti ang a, meniscus chauh ni lovin, khup hmun pawimawh dang, ligaments te pawh a chhiatna a awm em tih rough idea a nei ang.

McMurray Test hi tuin nge ti thin?

Hei hi a awlsam hle. I chhungkaw doctor pawhin he test hi a ti thei bawk. Mahse, a tam zawkah chuan ruh lam doctor (`(Orthopedic Doctor)`) chuan he test hi a ti ang a, enkawl dan tur a rel ang. He test hi a clinic-ah, a office-ah tih a ni. Thil hmanraw bik emaw, hmun hran pan emaw a ngai lo.

McMurray Test hi engtin chiah nge an tih? Tlem han sawifiah teh ang.

McMurray Test-ah hian i doctor chuan i ke leh khup chu a chet dan hrang hrangin a ti che a. Hei hi i khup a symptoms awm leh awm loh leh i khup i ben leh dinglam theih dan (`range of motion`) te enfiah nan a ni. A awlsam hle mai:

1. A hmasa berin exam bed-ah, hmai lam hawiin i mu ang .

2. Tichuan, doctor chuan i ke enfiahna khup chu 90 degree-ah a ben ang a, chair-a thu ang maiin a ben ang. I khup chu a kut pakhatin a chelh ang a, i kekawrte chu a kut pakhatin a chelh ang.

3. A dawtah chuan i khup chu zawi zawiin chhung lam (i taksa lam hawiin - `(internal rotation)`) leh pawn lam (i taksa atanga hla takah - `(external rotation)`) ah her kual la.

4. Hetianga i inher lai hian doctor chuan zawi zawiin i ke chu a tidik a.

5. He step hi vawi tam tak tih theih a ni a, angle hrang hrang atanga tih theih a ni.

Hetianga i khup hma leh hnung i sawn hian i `(Meniscus)` chungah pressure engemaw zat a awm thin. Chu chu, kan nitin nunah hna kan thawh lai te, kan kal lai te, kan khup kan ben lai te hian kan khup chunga pressure kan neih nen a inang tihna a ni.

Hetianga i ke leh khup a tihchak lai hian doctor chuan natna i neih leh neih loh a zawt ang che. Hei hi doctor chuan fimkhur takin a ti ang a, a tul lovah a ti na lo ang che.I khup atanga "click" ri lo chhuak emaw, i kut atanga hriatna mak tak, tight tak tak emaw a awm chuan ngun takin a ngaithla bawk ang. Hei hian doctor hnenah i meniscus awmna leh a chhiatna engzat nge a thlen theih tih a hriat theih ang. Thil hrehawmna i neih chuan hrilh nghal hlau suh, okay?

McMurray Test hma hian eng emaw inbuatsaih a ngai em?

Ni lo, McMurray Test atana inbuatsaih nan thil danglam bik tih a ngai lo. A pawimawh ber chu khup hliam i neih emaw, symptom thar i neih emaw chuan a rang thei ang bera doctor pan hi a ni. Chutiang chuan buaina a lo zual hmain chinfelna i zawng thei ang.

Test neih chhung hian engtin nge ka awm ang? Eng nge ka beisei ang?

Doctor-in McMurray Test a tih hian i ke leh khup a che laiin a theih ang anga rilru hahdam leh nuam taka awm tum ang che. I taksa ruh i tense chuan test dik taka tih a harsa thei a, result dik lo a pe thei bawk.

Hei hi taksa enfiahna a nih avangin a pawimawh ber chu doctor hnenah i hriat zawng zawng, eng ang pawhin tenau pawh ni se, hrilh vek hi a ni. A bik takin, eng chetna pawh i tih laiin natna emaw, nuam lo emaw i neih chuan hrilh ngei ang che.

McMurray Test neih chhunga i natna, i rilru hahna emaw, i natna lan chhuah dan dang ("clicking" sound ang chi) hian i doctor chu i meniscus hliamna hmun dik tak, emaw, hliam chi dang i neih theih dan tur a hriat theih nan a pui ang. Chuvangin engkim hrilh hlau suh.

Test zawhah eng nge thleng? Eng nge i tih leh ang?

McMurray test hi i khup harsatna enkawlna atana hmalakna hmasa ber chauh a ni tlangpui. I doctor chuan i khup chhungah thil danglam tak (e.g., natna, "click") a hriat emaw, test laiin thawm a hriat emaw chuan, i natna lan chhuah dan tihziaawmna turin test dang neih belh emaw, enkawl tan emaw a rawt thei bawk.

McMurray test zawhah chuan imaging test dang pakhat emaw a aia tam emaw i neih a ngai mai thei. Heng test te hian i khup chhung lam thlalak an la a, chhiatna a awm leh awm loh leh engzat nge chhiatna a awm tih an en thin. Imaging test hman tlanglawn ber berte chu:

• X-ray: Hengte hian ruh chhiatna, ruh tliak ang chite a zawng thei. Meniscus hi direct-a hmuh theih ni lo mah se, harsatna dang a awm leh awm loh hriat nan an pui thei a ni.
• MRI (Magnetic Resonance Imaging - MRI): Hei hi soft tissue chhiatna, meniscus tear leh ligament injury te enfiahna atana test tha ber a ni.
• Ultrasound: Hei hi a chang chuan soft tissue en nan an hmang thin.

I doctor chuan eng test nge i neih a ngai tih leh eng ang hliam nge an zawn tih a hrilhfiah ang che.

I khup chhunga thil awm dik tak en tur leh siamthat theih nan khup arthroscopy i neih a ngai mai thei. Hei hi minimally invasive procedure a ni a, incision te tak te tak siamin camera te tak te dahin i khup chhung lam en theih a ni. A tam zawkah chuan he khup arthroscopy hi outpatient procedure anga tih a ni a, chu chu damdawi ina awm ngai lovin ni khatah i haw thei tihna a ni.

He McMurray Test hian risk a nei em?

Ni lo, he McMurray Test hi doctor-in a tihsak a nih chuan i khup tan hlauhawmna lian tak a awm lo. Hei hi test him tak a ni.

Test neih chhung hian natna emaw, nuam lo emaw i nei thei a, a bik takin meniscus i tihchhiat chuan. Mahse, i meniscus chu a chhe tawh a nih pawhin doctor-in i khup leh ke a tihchet hian natna lian tham, tuar theih loh i nei tur a ni lo, a chhan chu doctor-te hian zawi zawiin an ti thin a ni.

Zirna thenkhatah chuan McMurray Test chauh hian meniscus i tihchhiat leh tliak loh hriat theihna kawngah 100% a dik lo thei tih hmuhchhuah a ni. Chumi awmzia chu a chang chuan test hian meniscus-ah mittui a hmu lo thei (a false negative), a nih loh leh mittui tlak lo ang maiin a lang thei (a false positive). Mahse, hei hi a tlangpuiin i doctor-in i hliam a hriat theihna tura a hmalakna hmasa ber chauh a ni. Imaging test (a bik takin MRI) hi a chiang zawk. Hei vang hian McMurray Test zawhah imaging test vawi khat tal neih belh a ngai mai thei.

Eng result nge ka hmuh thin? Eng nge a sawi?

McMurray Test result hi a hmaa test thenkhat i neih tawh ang (thisen test ang chi) ang a ni lo. Chu chu value bik emaw, range emaw a pe lo tihna a ni. Chu ai chuan McMurray Test hian doctor hnenah i khup-ah eng ang hliam nge i neih theih tih clinical idea tha tak a pe a ni.

Hei hi chhanna chiang tak pe thei test a ni lo va, "yes" emaw "no" emaw zawhna a ni zawk. Doctor chuan natna, "click" ri emaw, i meniscus a hrual tih chhinchhiahna dang emaw a hmuh chuan test chu "positive" anga ngaih a ni. "Negative" result tih awmzia chu doctor chuan test neih chhungin thil danglam tak a hre lo va, a hre lo tihna a ni.

Mahse, "negative" result chuan test dang i mamawh tawh dawn lo tihna erawh a ni lo. A châng chuan meniscus-ah hian mittui tê tê a awm a nih pawhin McMurray test hmangin a lang lo thei bawk. A nih loh leh khup chhungah harsatna dang a awm thei a, entirnan, ligament-a hliam tenau a awm thei bawk. Chuvangin doctor chuan i symptoms te chu a en ang a, a tul chuan test dang neih belh turin a ti ang. "Positive" result i hmuh chuan meniscus-ah tear i neih theihna chance a sang hle tihna a ni.Chumi hnuah chuan doctor chuan a natna hriat chian nan MRI ang chi test a ti mai thei a, chutah chuan eng damdawi nge hman tur tih a rel ang. Damdawi hmanga enkawl, physiotherapy emaw, operation tenau (arthroscopy) emaw pawh ni thei.

Engtikah nge Doctor ka hmuh ang? Engtikah nge damdawi lam pan nghal tur?

In lama enkawlna awlsam tak (chawlhna leh ice ang chi) hmanga ni engemaw zat hnuah pawh khup na emaw, a hring emaw i neih chuan , a na zual deuh niin a lang a nih chuan, doctor i pan ngei tur a ni.

Tin, a hnuaia symptoms te hi i neih chuan damdawi in emergency room-ah kal nghal rawh:

• Natna nasa tak, tuar theih loh.
• A hring chu a pung chak hle.
• Khup emaw ke emaw rawng inthlak danglam (e.g., dark blue, purple, pale-a inthlak).
• I khup i che thei lo tak tak a nih chuan, a nih loh leh i keah i rit phurh pawh i ding thei lo a nih chuan.
• Hliam na hmuna rilru hahna emaw, ke hnuai lam hriatna hloh emaw.
• Khawsik nei.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

McMurray Test hi test awlsam, awlsam leh him tak a ni a, doctor-in meniscus i chhe emaw, harsatna dang emaw i neih leh neih loh a hriat hmasak ber tur a ni. Khup hliam hnua doctor i hmuh hian tih a ni tlangpui.

A pawimawh ber chu i khup a na a, a hring a, a pangngaia i hman theih loh chuan ngaihthah suh la, a rang thei ang bera Doctor nen inbia ang che. Chumi hnuah chauh chuan eng nge dik lo tih chiang takin i hre thei ang a, a tul anga enkawlna chu i tan nghal thei ang a, i khup chu kawng dik takah i dah leh thei ang. Hrethiam e? Dam leh thuai turin duhsakna ka hlan e!

` McMurray test, khup na, meniscus tear, cartilage tear, khup natna, infiamna lama hliam, khup enfiah, khup enfiah, meniscus hliam