Hetiang hian i kut a hliam tawh em? Boxer's Fracture chungchang hi i zir dawn teh ang!

Thinrim takin i kut chu bangah i lo vawm ngai em? A nih loh leh infiamna i khelh laiin nasa takin i lo vuak tawh ngai em? A chang chuan chutiang a nih chuan i kut ruh pakhat, a bik takin i ring finger sir lama ruh chu i tikehsawm thei a ni. Vawiin hian hetiang fracture chi hi kan sawi dawn a, doctor-te chuan ‘Boxer’s Fracture’ an ti a ni.

Boxer’s Fracture tih hi eng nge ni?

A awlsam zawngin boxer ruh tliak hi i kut a break a ni. Metacarpal fracture chi khat a ni.

I kut hnunglam hian ruh sei tak, knobby tak tak a nei a, chu chu i khawih pawhin i hre thei a, chu chu metacarpals kan tih chu a ni. Heng ruhte hi i kutpui leh i kut zungtang dang phalanges te chu i kutphah nena inzawm tirtu ruhte an ni .

Boxer ruh tliak hi i pinkie finger leh i kutphah inzawmtu metacarpal bone pangana a break a ni . A bik takin, chu ruh tawp, knuckle nena inzawm, ‘neck’ part chu a chhe ta a ni.

A tam zawkah chuan hetiang fracture enkawlnaah hian kut chu splint emaw cast emaw hmanga tihkhawtlai a ni. Mahse, a ruh a nasat chuan, a bik takin hliam dang a awm chuan operation tih a ngai mai thei.

Open leh Closed Boxer te Fracture a awm

Tunah chuan i doctor chuan he ruh tliak hi ‘open’ emaw ‘closed’ emaw tiin a classified ang.

Open fracture chu ruh tliak chuan i vun a rawn tichhia a, a rawn chhuak chhuak a ni. Hei hi a hlauhawm deuh a, a chhan chu hliam dam nan hun a duh rei zawk a, natna kai theihna a sang zawk bawk.

Closed fracture-ah chuan ruh a tliak a, vun erawh a chhe lo. A pawi hle bawk a, mahse open fracture aiin harsatna a thlen theihna a hniam zawk.

Displaced Boxer te chu a hliam

Doctor-te hman ṭhin thumal dang pahnih chu ‘displaced’ leh ‘nondisplaced’ te an ni.

Displaced fracture chu ruh chi hnih chu a chhe a, a hnung leh hnunglam, a hmuna awm lo, an inkarah gap lian tak a awm chuan a ni. A awlsam zawngin ruh chu a inzawm khawm a, a dinglam lo.

In a nondisplaced fracture , ruh chu a chhe a, mahse a piece te chu a kal hla lutuk lo a, roughly the same alignment ah an la awm. Displaced fracture-ah chuan operation a ngai tlangpui.

Boxer-te ruh tliak hi engtiang chiahin nge a awm?

He boxer-a fracture hi a takah chuan kut chhunga metacarpal fracture chi khat a ni ber. Dik tak chuan kut chhunga metacarpal fracture zawng zawng zinga hmun li a\anga hmun khat vel (25% vel) chu hetiang chi hi a ni.

Boxer-a ruh tliak hian eng symptoms nge a neih?

Okay, tunah chuan boxer fracture symptoms chu eng nge ni tih i en ang u.

• Natna nasa tak: 1.1.Hei hi a pawimawh ber a ni. Ka kut awmna hmunah chuan a na hle.
• Swelling: Kut hliam hi a hring nasa hle.
• Pinkie finger chu kut zungtang dang chungah a kal: I pinkie finger chu i ring finger chungah emaw, hnung lamah emaw kal angin a lang thei. Hei hi ‘rotational deformity’ an ti a ni. Kut zungtang chu a hrual tihna a ni.
• Tenderness: Hliamna hmun chu i khawih emaw, i hmet emaw chuan a na ang.
• Kut chet leh hman harsa: Kut hmanga hna thawh harsa, kut zungtang ben emaw, tihzauh emaw.
• Bluish discoloration: Hliam na hmuna vun chu blue emaw purple emaw a ni thei.

Eng thilin nge boxer-te ruh tliak chhan?

Hei hi a chhan ber chu i kut chu bang emaw kawngkhar emaw i kutphah hmanga i vuak nasat vang a ni . Mi thenkhat chuan an thinrim lai hian hetiang hian an ti thin. Hei hi a thlen tam ber hun a ni. ‘Boxer’s fracture’ tih hming hi boxer-te’n he hliam hi an tuar fo thin vang a ni. Tin, i kut hnunglam na taka vuak hian hetiang chi ruh hi a thlen thei bawk.

Hemi atan hian tu nge hlauhawm zawk?

Tu pawhin ke ruh lian sir lama metacarpal ruh pangana chu a tikehsawm thei a ni. Mahse mi thenkhat chu risk sang deuhah an awm. Hei hi tu nge a nih hi han en teh:

• Kum 10 leh 40 inkar mite: Hetiang kum hi tlem a tam zawkin hmuh tur a awm.
• Infiammi: A bik takin an ke leh ke hmanga contact sport khel thin te, boxing leh martial arts te.
• Osteoporosis vei: Osteoporosis hi ruh a tikehsawm a, a chak lo hle. Hetiang natna vei te hian hliam tenau tuar pawhin an ruh an tikehsawm thei a ni.

Engtin nge boxer ruh tliak chu i hriat theih ang?

Doctor i pan hunah i kut an enfiah hmasa phawt ang. Doctor chuan a khawih mai mai emaw, a en mai mai emaw avanga boxer ruh tliak angah a ngai mai thei. I kut i hliam hmaa thil thleng leh a natna lan chhuah dan i hriat hmasak dan dik tak chu doctor hnenah i hrilh a ngai a ni.

Diagnostic test te hi engte nge ni?

Doctor chuan i kut X-ray a la ang. X-ray hian metacarpal ruh pangana chu khawiah nge a tliak tih leh a ruh tliak chu eng ang nge a nih tih chiang takin a tarlang ang.

A châng chuan, a bik takin operation neih a ngai a nih chuan CT scan (Computed Tomography - CT scan) pawh i nei thei bawk. CT scan hian i ruh leh a chhehvel tissue te chu three-dimensional (3D)-in a la thei a ni.

Boxer-te ruh tliak hi engtin nge an enkawl?

I doctor chuan i ruh dam theihna tura enkawlna tur a rawt ang che. Enkawlna i mamawh chi chu boxer ruh tliak i neih leh hliam dang i neih leh neih lohah a innghat ang. Enkawlna hman tlanglawn ber berte chu:

Immobilization tih a ni

Boxer-a ruh tliak hi a na lutuk lo tihna a ni a, chu chu ruh chi hrang hrang a inhlat lutuk tihna a ni (nondisplaced fracture) chuan i kut chu splint emaw cast emaw-ah chauh dah a ngai mai thei. Mi tam zawk chuan an kut chu kar thum atanga kar ruk chhung chu hetiang dinhmunah hian an dah a ngai dawn a ni . A inkar ah chuan ruh te chu a dam tha em tih enfiah nan X-ray an la ang.

Kut hmanga siamthat (Closed reduction) 1.1.

Boxer-a ruh tliak na zawk tan chuan ruh tliak tawhte chu a insiamrem leh theih nan ‘closed reduction’ tih procedure i neih a ngai mai thei. Hetiang tihnaah hian doctor chuan i kut hnunglam chu a hmet ang a, ruh tliak te chu a hmunah a rawn hruai leh ang. Chutianga i tih lai chuan natna engmah i nei lo vang a, a hnuaia mi pakhat hi i ti thei bawk ang:

• Local anesthetic: Hei hian hliam chhehvel chauh a ti na .
• Sedatives: Hei hian i rilru a hahdam ang.
• General anesthesia: Hei hian engmah i hre lovang, i muhil mai dawn tihna a ni.

Chutianga ruhte chu a inrem leh hnuah doctor chuan i kut chu splint emaw cast emaw hmangin a tikhawlo ang.

Boxer-a ruh tliak zai a ni

Mi tam zawk chuan boxer ruh tliak vangin operation an mamawh lo.

Mahse, open fracture emaw, displaced fracture emaw, comminuted fracture emaw i neih chuan i doctor chuan operation neih a rawt thei ang. Tin, ruh bakah a chhehvel tissue dangte pawh a chhiat chuan operation neih a ngai thei bawk. A bik takin, a ke ruh tliak avang hian i ke ruh lian chu ke ruh dang chungah a kal (malrotation) a nih chuan operation neih a ngai zawk.

Surgeon chuan i ruh chi hrang hrangte chu a hmunah a dah leh a, a siam ṭha leh a, chutiang chuan a inmil ṭha hle. Hei hi ‘internal fixation’ hmanga tih a ni tlangpui. Chumi awmzia chu surgeon chuan i ruh chhungah pin, screw emaw plate emaw a dah lut a, chu chuan a chi hrang hrangte chu a vawn khawm thei a ni. Ruh a dam hnuah chuan fixation lakchhuah nan operation dang i neih leh a ngai mai thei.

Surgery avanga harsatna awm thei

Boxer-a ruh tliak surgery hnua harsatna awm thei berte chu:

• Malunion: Hei hi ruh tliak te chu a dam chhoh zel chuan a inzawm tha lo a nih chuan a thleng thin. Hei hian kut pianzia a tidanglam thei a, kut hnathawh pawh a ti tlem thei bawk.
• Nonunion: A châng chuan ruh chi hrang hrangte chu a inzawm ṭha lo thei a, a inzawm khawm lo thei bawk.
• Ruh natna (Osteomyelitis): 1.1.Open fracture i neih chuan ruh chu vun a tichhia tihna a ni a nih chuan bacteria infection i vei theihna a sang zawk.
• Kut a khauh: Boxer-a ruh tliak tawhte chuan ruh tliak vel chu a nghet lo tih an hre tlangpui. He stiffness hi home exercise leh occupational therapy hmangin tihziaawm theih a ni .
• Acute Compartment Syndrome (ACS): Hei hi natna hlauhawm tak a ni. Kut ruh chhunga pressure a sang a, thisen kal pawh a tichhe thei a ni. Hei hian taksa ruh leh nerve te chu a tichhe vek thei a ni.

Engtiang chiahin nge enkawl hnuah ka dam leh ang?

I natna lan chhuah dan a reh theih nan kar engemaw zat a la ngai thei. Ni engemaw zat hnuah a natna chu a reh tan ang. Mahse i ruh chakna famkim a neih leh theih nan kar ruk vel a la ngai dawn a ni.

I enkawlna chi hrang hrang a zirin kar tlemte hnuah i kut chu i che thei a, i hmang leh thei bawk.

Mahse hre reng ang che, tuar theih loh khawpa natna i neih a, a reh loh chuan Doctor i pan nghal tur a ni.

Boxer-a ruh tliak i neih chuan eng nge i beisei theih ang?

Boxer ruh tliak atang hian i dam kim thei ngei ang.

I kut chakna leh chetna i neih leh theih nan occupational therapy i mamawh thei bawk.

Boxer ruh tliak hi a dam theih nan eng chen nge a mamawh?

Mi tam zawk chuan boxer ruh tliak atanga an dam theih nan thla khat emaw thla hnih emaw vel an hmang thin. I tan eng chen nge a rei tih chu i ruh tliak nasat dan leh i enkawl danah a innghat a ni.

Dik tak chuan taksa damna hun chhung hi mi tin a inang lo. I dinhmun a zirin i doctor emaw surgeon emaw hnenah eng chen nge a daih dawn tih zawt rawh.

Hemi avang hian hna/sikul ka kal thei lo ang em?

I kut a dam hma chuan hna emaw, sikul emaw i kal thei lo mai thei. Hei hi a harsa zual hle a, i kut thunun ber, i kut i hman tam ber, i kut i ziah emaw, hna dang i thawh emaw ang chi, i kut a tliak a nih chuan.

Mi tam zawk chuan kar riat vel hnuah taksa tihchakna (infiamna ang chi) an ti leh thei .

Mahse, eng thil pawh i tan leh hmain doctor emaw surgeon emaw rawn hmasa phawt tur a ni. A bik takin infiamna i khelh lai emaw, thil chiang tak i tih laiin i ruh a tliak a nih chuan, i tan leh hmain thurawn la hmasa phawt ang che.

Engtin nge hetiang accident hi kan tihziaawm theih ang?

Hetiang hliam hi a tlem theih nan heng himna atana tips awlsam tak takte hi zawm tur a ni:

• I thinrim emaw, i lungawi loh emaw chuan bang te, lei emaw, thil khauh tak dang emaw chu vawm ngai suh. Hei hi a pawimawh ber a ni.
• Lirthei a chuang dawnin seatbelt vuah fo ang che.
• Thiltih leh infiamna tinrengah invenna hmanraw \ha tak tak ha rawh.
• I ruh hriselna vawng reng thei tur diet leh exercise plan zawm rawh.
• Kum 50 aia upa i nih chuan, emaw, i chhûngkaw zînga mi tu emaw chuan ruh natna a vei a nih chuan, i doctor nêna inbia la, ruh density test neih chu ngaihtuah rawh .

Engtikah nge damdawi in pan vat a ngaih?

Boxer ruh tliak (or ruh tliak dang eng pawh) nei nia i hriat chuan a rang thei ang bera doctor pan tur a ni. A hnuaia symptoms te hi i neih chuan emergency room-ah kal nghal rawh:

• Tuar theih loh khawpa hrehawmna.
• I kut emaw i kut zungtang emaw pangngai taka i che thei lo a nih chuan.
• I kut hmel a danglam nasa hle a nih chuan.
• I ruh chu i vun kaltlangin a rawn chhuak a nih chuan.
• Vung.
• Heng symptom dangte nen hian blueness thar i nei tan tawh a nih chuan.

Doctor hnenah eng nge ka zawh ang?

Doctor i hmuh hunah heng zawhnate hi zawh a tha ang:

• Eng ang fracture nge ka neih?
• Surgery ka mamawh dawn em?
• Eng chen nge splint emaw cast emaw ka hak ang?
• Engtikah nge infiamna ang chi taksa tihchak leh hi a him ang?

Boxer ruh tliak chu a mah chauhin a dam ang em?

Ni lo, boxer ruh tliak chu a mah chauhin a dam ngai lovang. Fracture eng pawh hi uluk taka enfiah a, doctor-in a enkawl tur a ni. Boxer ruh tliak chu enkawl loha i dah chuan malunion ang chi harsatna i neih theihna a sang zawk hle.

‘malunion’ chu ruh tliak chu a inzawm khawm a, mahse a awmna tur dik takah, a alignment dik takah a inmil lo. A in fit vek a ni. Chutiang a nih chuan a hnuah i kutpui hman i harsat phah thei a, nakin lawkah chu ruh ang chiah kha i tikehsawm leh mai thei bawk.

I kut i hliam a, boxer ruh tliak chhinchhiahna i hmuh chuan emergency room-ah kal nghal rawh. I ruh a tliak lo a nih pawhin doctor chuan i hliam chu a enfiah ngei ngei tur a ni.

A tawp berah chuan hriat reng tur tlemte

Boxer ruh tliak chu i kut ruh tliak a ni. A hming hi a awm dan tlangpui atanga lak a ni – i kut chu i kut zungtang hmanga thil khauh tak i vuak hian a ni. Hei hi infiamna huna hliam awm fo a nih laiin, thinrim taka bang emaw thil khauh dang emaw i tihchhiat pawhin a thleng thei bawk.

Kar tlemte chhung training, inelna, thil dang tih loh chu a lungchhiatthlak hle. Mahse boxer ruh tliak atang hian full recovery i siam thei. Kut na leh hliam ang chi symptoms te hi ngaihthah suh, a bik takin hliam hnuah.Diagnosis hriat theih nan doctor pan nghal rawh. Doctor-in boxer ruh tliak a hriat thuai poh leh i metacarpal ruh tliak chu a dam chak tan ang.

` Boxer ruh tliak, kut ruh tliak, metacarpal tliak, kut na, kut hring, sports inhliam, ruh enkawl