Hetiang hian i kutphah a tliak tawh em? Barton Fracture hlauhawm tak hi i zir dawn teh ang!

Aw, khawi emaw laiah i tlu a, i kutphah nasa takin i na em ni? A nih loh leh bike atanga tlak ang chi thila i tlu a, i kutphah a hliam ang chi thilah i tang mai thei em? Ngaihtuah teh, hetiang dinhmunah hian i kutphah ruh pakhat chu a chhe mai ni lovin, chutih rual chuan chu hmuna ruh pakhat chu a inthlak a, ruh chi hrang hrang chu hetah leh khawiah emaw a paih chhuak a ni. Chu chu Barton Fracture kan tih chu a ni a, a buaithlak deuh deuh a ni. Hei hi a pawi deuh thei a nih avangin chipchiar takin han sawi ila, okay?

Barton Fracture hi eng nge ni tak tak?

A awlsam zawngin sawi ila, Barton Fracture chu i kutphah thenkhat a chhe a, a hmun dang a awmna atanga a inthlak danglam chuan a ni. A dik tak chuan, kutphah hnaih ber ruh radius chu a chhe ber a ni . Wrist joint-ah pawh a inzawm bawk a, chuvangin he harsatna hi chu joint-ah chuan a thleng thin.

Hei hi i kut i ben a, chu chu i kutphah tihna a ni a, chu lam hawia i rit zawng nen i tlak chuan a thleng fo thin. Ngaihtuah teh, i tlan lai khan rang takin i tlu a, i kut chu leiah i vawm a, chutih lai chuan he fracture hi a thleng thei a ni. Dik tak chuan kan kuta ruh tliak tam ber chu radius bone hi a ni. A pum puiin, fracture dang zawng zawng zinga 20% chauh hi radius fracture an ni!

Barton Fracture chi hrang hrang a awm em?

Ni e, Barton fracture hi chi hnih lian tak a awm a, chu chu ruh tliak chu eng lam nge a inthlak tih a zirin a ni.

1. Dorsal Barton Fracture: Hei hi ruh tliak chu i kut hnung lamah a rawn chhuak a, chutah chuan nail a awm a ni. Hei hian i kut hnung lamah hliam tenau a siam thei a ni.

2. Volar Barton Fracture (Reverse Barton Fracture tia hriat bawk): Hei hi ruh tliak chu i kut chhungah a rawn chhuak chhuak thin. Mak tak maiin hengte hi reverse Barton fracture chi hrang hrang zingah chuan a tam ber a ni.

Tute nge Barton Fractures vei tam zawk?

Dik tak chuan tu pawhin hetiang hian fracture an nei thei. A chhan chu engtikah nge a thlen dawn tih tuin nge hria ang, a dik em? Mahse, survey-a a lan dan chuan heng Barton-a ruh tliak zinga 70% hi tlangval zingah a ni . Hei hi kut hnathawk emaw motor khalhtute zingah a tam hle. He hliam hi hnathawhna hmunah emaw, bike accident-ah emaw a thleng thei a ni.

Tin, ruh natna (osteoporosis) i nei bawk.Osteoporosis tih natna i neih chuan he ruh tliak hi i vei theihna a sang zawk. Osteoporosis hi ruh chak lo leh awlsam taka chhe thei natna mai a ni. Chuvangin, ruh a chak loh chuan tlu tlemte pawh hian chhiatna nasa tak a thlen thei a ni. He natna vei theihna hi kum 50 hnuah a sang zawk tlangpui.

Barton Fractures hi engtiang chiahin nge a awm?

Dik tak chuan Barton fracture hi fracture chi khat a ni lo . Kut ruh tliak chi dang, a tam zawk pawh a awm bawk. Chuvangin, wrist fracture zawng zawng hi Barton fracture a ni vek lo.

Hetianga inthen chhan berte chu engte nge ni?

A tam ber, chu chu, a tam zawkah chuan, hei hi tlu avanga lo awm a ni . Sawi tawh ang khan hei hi i tluk hian a thleng thin a, chutiang chuan i kut chuan lei a khawih thin. Hei bakah hian hetiang fracture hi accident na tak tak, car accident leh motor accident-ah te pawh a awm thei bawk.

Barton Fracture natna lan chhuah dan chu engte nge ni?

Barton fracture symptoms hi kan sawi tawh ang khan distal radius-a fracture dang nen a inang hle. Hetiang hi i tawng thei a ni:

• Kut zungtang vel a hliam leh hliam: Tlu hnuah a hmun chu a sen a, a hliam thei bawk.
• Kut hmuna hring emaw, bump emaw: Ruh chi hrang hrang a inher chuan a hring thei a, bump ang maiin a lang thei bawk.
• Natna tel lova kutphah che thei lo: Natna hi a na lutuk thei a, i kut pawh i che thei lo.
• Kut zungtang hrual emaw, tingling emaw: A chang chuan, nerve-ah pressure tlem a awm chuan kut zungtang chu a hlim thei hle.
• Swelling: Kut chu a hring nasa thei hle.
• Kut na tak: Hei hi a lan chhuah dan ber a ni. A natna chu tuar theih loh a ni thei.

Ngaihtuah teh, cricket i khelh laiin i tlu a, hetiang hian i kut i hliam a nih chuan i nitin hna i thawk thei lo ang. Chuvangin, hetiang symptoms i neih chuan doctor lam pan vat a pawimawh hle.

Engtin nge doctor te hian Barton Fracture hi an hriat theih?

Doctor i pan dawn chuan i natna lan chhuah dan te, a nasat dan te, hliam a lo awm dan te a zawt hmasa ang che. Tichuan, doctor chuan X-ray a order ang a, ruh tliak i nei em tih leh eng chi fracture nge a nih tih a en ang. X-ray hian doctor chu hetiang hian a hmu thei a ni:

• Ruh tliak dang a awm em?
• Ruh chhe tawhte hi eng chen nge an inhlat?
• Ruh tliak chunglam chu a hring emaw, a hring emaw pawh nise.

A châng chuan, i tendon, muscle leh ligament-te chu a chhiat leh chhiat loh enfiah ṭhin ang che.CT scan emaw MRI emaw pawh tih theih a ni.

Doctor-in a zawh theih zawhnate

• "Engti nge hrehawm i tih?"
• "I symptoms te hi engtiang chiahin nge a nasat?"
• "I kut chu i wiggle thei ang em?"
• "Engtin nge he kutphah hi i hliam?"
• "He hliam hi engtik lai khan nge a lo awm?"

Hetiang zawhna i chhanna atang hian doctor chuan thil awmdan dik takin a hrethiam thei ang.

Hetiang hian fracture hi engtin nge i enkawl ang?

I doctor chuan i kutphah chu a che lo turin splint a dah hmasa ang. Tichuan, orthopaedic surgeon hnenah a refer ang che. Orthopaedic surgeon te hian ruh, ruh, ruh leh ruh (ligament) te hliam te chu an enkawl thin.

A tam zawkah chuan Open Reduction and Internal Fixation (ORIF) tih operation i neih a ngai dawn a ni. Hei hi hming buaithlak tak angin a lang thei a, mahse a awlsam zawngin hetiang hian a thawk a ni:

1. Open Reduction: Surgeon chuan vunah hian incision te tak te a siam a, ruh tliak te chu a zawng a, a awmna hmasaah a dah leh thin.

2. Internal Fixation: Tichuan, ruh chi hrang hrang, hmun dik taka rawn luhtir tawhte chu wire (pin), rod, plate, screw, etc. te te hmangin an vawn khawm a, a chang chuan heng zinga engemaw zat hi hman dun theih a ni.

He operation hnua natna tihziaawmna tur hian i doctor chuan natna tidamtu damdawi acetaminophen (e.g. Tylenol®) leh ibuprofen (e.g. Advil®, Motrin®) te ei turin a rawt thei ang.

Barton Fracture hi a dam theih nan eng chen nge a mamawh?

Hei hi mi tin a inang lo thei. Mahse a tlangpuiin, .

• Surgery i neih loh chuan (a then phei chuan a tul lo mai thei, mahse Barton fracture tan chuan operation hi a ngai fo thin) i kutphah ah kar ruk vel cast i bun a ngai dawn a ni.
• Operation hnuah pawh plaster cast emaw splint emaw hun engemaw chen i bun a ngai mai thei.
• Chumi hnuah chuan physical therapy , i neih a ngai ang a, chutah chuan zawi zawiin i kutphah chu i che leh chakna i nei leh ang.

Thla engemaw zat hnuah i rilru a hahdam tan ang. Mahse, i kut chu a dam kim theih nan leh a chakna a neih leh theih nan kum khat vel a la ngai thei. Chuvang chuan dawhthei taka awm a, inenkawlnaah tel ve a pawimawh. Engtikah nge exercise i tan leh theih ang tih leh engtikah nge football leh hockey ang chi contact sports i khelh theih ang tih te hi i doctor zawt ngei ang che.

Engtin nge he hlauhawmna hi tihziaawm theih ang?

Heng hlauhawmte hi engtikah nge a lo awm ang a, engtin nge a lo awm ang tih kan sawi lawk thei lo. Mahse, tlem kan fimkhur thei ang:

• Infiamna i khelh lai te, kut hnathawh i tih lai te, motor khalh lai te, emaw, ladder ang chi hmun sang tak i lawn dawnin fimkhur zual rawh .
• Osteoporosis vei hlauhawmna i neih chuan (a bik takin kum 50 aia upa i nih chuan) i in chhunga tripping hazards te chu paih bo rawh.
• Cane emaw walker emaw i hman chuan hman fo theihnghilh suh.

Barton Fracture a awm hnuah eng nge a hmalam hun? (Outlook/Prognosis) tih a ni.

Thu lawmawm tak chu mi tam zawk chu Barton fracture hnuah an nitin hnathawh dan pangngaiah an kir leh thei a ni. Mahse, hun a ngai a, enkawlna mumal tak leh taksa enkawlna mumal a ngai a ni.

Operation hnua harsatna awm thei te chu engte nge ni?

A châng chuan, operation hnuah pawh harsatna a awm thei bawk. Barton-a ruh tliak avanga operation hnuah heng thilte hi a thlen theihna chance tlemte a awm:

• Acute Compartment Syndrome (ACS): Hei hi taksa peng pawimawh tak takah thisen kal chu tihtawp a nih chuan a ni. Hei hian nerve leh muscle te a tichhe thei a ni. Hei hi emergency a ni.
• Osteomyelitis: Open fracture i neih chuan – ruh chu vun a tikehsawm tihna a ni – infection i vei theihna a sang zawk.
• Carpal Tunnel Syndrome: Hetiang dinhmun hi kutphah tliak a dam tha lo a nih chuan a awm thei. Natna, chak lohna leh rilru hahna a thlen thei. Mahse hei hi enkawl dan tur a awm.
• Complex Regional Pain Syndrome (CRPS): Hei hi natna khirh tak a ni. Hliam tuar hnua nerve te a overstimulated a, a thawk tha lo a nih chuan a thleng thin.
• Malunion: Hei hian i ruh tliak te a dam chuan a inmil tawk lo va, a inmil lo tihna a ni.
• A chhehvel tissue tihchhiatna dangte: Ruh tliak hian a chhehvel thau, thisen kalna kawng, nerve, ligament leh tendon te pawh a tichhe thei bawk.

Heng harsatna chungchangah hian i lungkham emaw, i ngaihtuah emaw a nih chuan i doctor nen inbiakna neihpui ngei ngei tur a ni. Thil thenkhatah chuan enkawlna tha tak tak a awm a.

Doctor hmuh hun tha ber berte chu engte nge ni?

• Kum 50 aia upa i nih a, ruh i tliak tawh a nih chuan i primary healthcare provider chuan osteoporosis a awm leh awm loh a enfiah duh mai thei. Ruh tihchhiat hian i ruh a chak lo thei tihna a ni.

Engtikah nge Emergency Department-ah i kal a ngaih?

I kutphah i tliak mai thei nia i ngaih chuan emergency room hnai ber pan nghal mai a tha ber . A bik takin:

• I natna hi a na hle a nih chuan.
• I kutphah chu mak tak maia lang (a deformed ang maia) a nih chuan.
• A kut chu a numb a nih chuan.
• I kut zungtangte chu a rawng a inthlak a nih chuan (blue, white, pale ang chi).

I doctor zawh tur zawhna pawimawh

Doctor i hmuh hunah heng zawhnate hi zawh loh theihnghilh suh:

• "Surgery ka mamawh tak tak em?"
• "Eng ang fracture nge ka neih?"
• "Engtikah nge ka plaster hi ka phelh theih ang?"
• "Engtikah nge ka thil tih pangngaiah ka kir leh theih ang?"

Hriat reng tur pawimawh ber (Take-Home Message) .

I kutphah ben chungin i tlu a nih chuan a then a chhe thei a, a then pawh a inthlak danglam thei tih hre reng ang che. Hei hian Barton Fracture i nei thei tihna a ni. Joint chu a hmuna awm lo ang maia a lan chuan Barton Fracture a ni thei. X-ray hian doctor-te chu eng ang fracture nge a nih tih chiang takin a hriat theih nan a pui thei a ni. A tam zawkah chuan surgery hi enkawlna tha ber a ni.

Barton Fracture symptom i neih chuan emergency room hnai ber pan nghal rawh . Heng ruh tliak te hi enkawl theih a ni a, rang taka enkawl a nih chuan natna a tihziaawm thei a, a dam thuai tan thei bawk. Dam leh thuai turin duhsakna kan hlan e!

` Barton ruh tliak, kut ruh tliak, kut ruh tliak, kutphah na, ruh zai, ORIF surgery, ruh tihdam