Inkhelh lai te, tlan lai te, a nih loh leh stairs atanga i chhuk laiin khup na nghal i nei tawh em? I chhungril atang chuan ‘click’ ri i hre a, i khup chu a pe chhuak dawn niin i hria em? Chutiang huna Doctor hnena i kal chuan i khup enfiahna atana a hman dan pakhat chu `Anterior Drawer Test` tih a ni. Eng nge a nih, engtin nge a tih a, hlauh tur a awm em tih i en ang u.
Anterior Drawer Test hi eng nge ni?
A awlsam zawngin sawi ila, Anterior Drawer Test hi doctor-in i khup chu a kut hmanga a enfiahna tur special procedure a ni. Hei hian i khup chhunga anterior cruciate ligament (ACL) a chhiat leh chhiat loh a enfiah ber a, chu chu a chhe tawh tihna a ni.
Ngaihtuah teh, kan khup chhungah hian thigh bone (Femur) leh shin bone (Tibia) inzawmkhawmtu band chak tak tak a awm a. Heng ligament te hi `(Ligaments) kan ti a.` Hengte hian khup a ti nghet a, a tul lova a zuang kual thei lo. `ACL` hi chutiang ligament zinga pakhat a ni. A dik tak chuan he `ACL` hian i shin bone chu thigh bone nena inzawm hian a tul lo taka hmalam pan turin a titawp a ni .
Anterior Drawer Test-ah chuan i doctor chuan i khup chu vawi tam tak hmalam a hruai ang. I ACL a chhiat chuan khup chu a tlangpui aia tam a rawn chhuak ang. Hei hi kawngkhar khar a chhiat huna awlsam taka hawn theih dan nen a inang a ni. Hei hi office-a tih theih test awlsam tak a ni a, hmanraw bik a ngai lo.
Doctor hian he test hi engtik lai nge a tih thin?
Khup hliam i neih a, a hnuaia symptoms te hi i neih chuan i doctor chuan i ACL a chhiat a ringhlel thei. He test hi tih theih a ni.
| ACL hliam natna lan chhuah dan tlangpui | Hrilhfiahna |
|---|---|
| Khup natna | Hliam hnu lawka emaw, a hnu lawka emaw natna nasa tak. |
| Khup chu "going out of control" ang maia inhriatna. | Ding emaw, kal emaw hian khup chu a beng nghal a, thunun theih loh ang maiin a awm thin. |
| Vung | Khup hi a hliam hnu minute emaw darkar 4-6 chhungin a hring thei. |
| Inkalpawhna khap | Khup chu a pum puia tihzauh emaw, ben emaw theih lohna. |
| Kal harsat | Kal laiin natna emaw, dinhmun nghet lo emaw hriat. |
Anterior Drawer Test hi engtin nge dik taka kan tih ang?
Hei hi procedure awlsam tak a ni a, i hrehawm vak lo ang. Exam dawhkan chungah hmai lam hawia i mu ang maiin han mitthla teh.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| 1. Posture siamrem dan | I hnungzang chunga i mut hnuah doctor chuan i kekawrte chu degree 45 velin a ti sang ang. |
| 2. Khup ben | A dawtah chuan i khup chu degree 90, chu chu angle dik takah ben la, i ke chu khumah dah rawh. |
| 3. Ke nghet taka siam | Doctor chuan a rit tlem nen i ke chungah a thu ang a, khumah a stabilise ang. |
| 4. Hma lam pan | Tunah chuan doctor chuan i khup chunglam, khup hnuai lam chiah, kut pahnih hmangin a chelh ang a, zawi zawiin a chelh angAn lam hawiin, chu chu hmalam pan tihna a ni. |
A tam zawkah chuan doctor chuan he test hi i khup hrisel takah a ti hmasa ang a, chu chu a nghawng lo . Hei hi i khup normal range of motion chu eng ang nge a nih tih hriat theihna tur a ni. Tichuan, khup natna chu enfiah a ni ang. Tichuan, an pahnih inthlauhna chu chiang takin i hmu thei ang.
Test neih chhung leh test zawhah eng nge thleng?
He test chhung hian a theih ang anga i ngawih reng a pawimawh. I doctor chuan i ke ruh, a bik takin hamstrings te chu a relaxed turin a hrilh ang che. Eng chen lai pawha natna i hriat chuan doctor hnenah hrilh rawh.
A pawimawh ber chu he test hian i khup a tichhe belh dawn lo tih hi a ni. ACL a hrual a nih pawhin a na vak lovang. Chuvangin hlau suh.
Anterior Drawer Test zawhah ACL tear nia rinhlelh a nih chuan doctor chuan test eng emaw zat tih belh leh turin a rawt thei bawk.
- MRI (Magnetic Resonance Imaging) Scan: Hei hian soft tissue te, ligament leh meniscus (cushion ang chi parts) te chhiatna chu chiang takin a hmu thei a ni.
- X-ray: Hei hi ruh chhia, ruh tliak ang chite enfiah nan hman a ni.
- Ultrasound scan: Hei hi a then phei chuan hman a ni bawk.
Khup chhunga chhiatna en emaw, siamthat emaw nan knee arthroscopy tih hming pu operation tenau tak i neih a ngai thei bawk. Hei hian khup chhungah camera te tak te dah a huam a ni. Hei hi ni khata tih a ni tlangpui.
Test result hi engtin nge kan chhiar ang?
Chumi rah chhuah chu math problem chhanna ang number a ni lo. ‘Ni’ emaw ‘ni lo’ emaw tih ang deuh a ni.
- Positive Result: Doctor-in i khup hmalam a han hrual hian khup hrisel aiin hmalam a rawn pan zawk a nih chuan ACL a chhe thei tihna a ni.
- Negative Result: Khup chetna pangngai lo a awm loh chuan a result chu negative a ni.
Mahse hre reng ang che, result negative pawh nise, ACL hi 100% a chhiatna a awm lo tihna a ni lo. Khup ligament dang emaw, khup hmun dang emaw a chhiat pawh a awm thei. Chuvangin Anterior Drawer Test hi testing process kimchang tak pakhat chauh a ni.
Engtikah nge Doctor ka hmuh ang?
Khup hliam leh na i neih chuan Doctor pan vat tur a ni. Mahse, a hnuaia mi hi i neih chuan:Damdawi in pakhata Emergency Treatment Unit (ETU)-ah kal nghal rawh.
| Damdawi Inah I Kal nghal Turin Red Flags | |
|---|---|
| Natna nasa tak a nei | A na chu tuar theih loh khawpin a na. |
| A hring zual zel | Khup a hring chu zawi zawiin a pung zel a nih chuan. |
| A rawng thlak danglam | Khup vel vun chu a sen emaw, a sen emaw a nih chuan. |
| Che thei lo | I khup i che thei lo tak tak a nih chuan. |
Joint dang tan pawh hetiang test hi a awm em?
Ni e, Anterior Drawer Test ang chiah hian ke ruh leh ke ruh hliam test nan pawh hman a ni. Test position hi joint tin awmna hmun azirin a danglam deuh hlek a ni.
Anterior Drawer Test leh Lachman Test hi eng nge an danglamna?
`Lachman Test` hi `ACL` mittui test nan hmanraw lar tak dang a ni. An pahnih inthlauhna ber chu test laiin khup a flexion zat hi a ni.
- Anterior Drawer Test: Khup chu degree 90-a ben a, test a ni.
- Lachman Test: Khup hi a ben tlem a, degree 20-30 vel a ni.
Doctor-te chuan ACL hliam an rinhlelh hunah heng test zinga pakhat emaw, pahnih emaw hi an hmang thei a ni.
Take-Home Thuchah a ni
- `Anterior Drawer Test` hi doctor-in khup chhunga `ACL` ligament a chhiat leh chhiat loh enfiah nan a tih awlsam, rang, kut hmanga test a ni.
- He fiahna hi hlauh a ngai lo. I khup natna lian tham emaw, tihchhiat belh emaw a thlen lo vang.
- Hei hi diagnostic process pumpuiah step khat chauh a ni. Vawi tam tak chu MRI scan ang chi thil tih hian natna hi a nemnghet thin.
- I khup hliam na tak, natna nasa tak, hring, emaw, i ke che thei lo emaw i neih chuan doctor pan nghal emaw, damdawi in Emergency Department (ETU)-ah emaw kal nghal rawh.
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