I kutphah bulah ruh i tikehsawm tawh em? Hei hi "Chauffeur Fracture" a ni thei!

Aw ka! I kutphah a na em? I tlu emaw, thil i vuak emaw, kut i vuak nasat emaw hian a thleng mai thei em? Srain tenau tak angin lang mahse, a chang chuan he natna hi thil pawi zawk a ni thei. Vawiin hian kut zungtang ruh tliak chi khat bik kan sawi dawn a ni. Hei hi "Chauffeur Fracture" an ti a.

He "Chauffeur Fracture" hi eng nge ni?

A awlsam zawngin "Chauffeur Fracture" tih hi i kutphah bula ruh tliak a ni. Kan kut hmawr ah, elbow atanga wrist thlengin ruh sei ber pahnih a awm a, a dik em? Pakhat chu radius a ni a pakhat chu ulna a ni . "Chauffeur Fracture" kan ti a, chu chu kutphah chunga radius tawp (doctor-te’n radial styloid process an tih) pointed end chu a chhe vek a ni.

Hei hi a takah chuan fracture chi khat ``Distal Radius Fracture'' an tih a ni. Chu chu ``Radius'' ruh hnuai lam tawp, kutphah hnaih zawka ruh tliak tihna a ni. Thil danglam tak chu, he ``Shofer Fracture'' hi wrist joint chhungah a inzar pharh a ni . Doctor-te chuan hetiang joint kal tlanga fracture hi ``Intraarticular Fracture'' an ti a. I hrethiam em? Chumi awmzia chu, ruh chauh ni lovin, ruh (joint) pawh a ni.

He ‘Shofer fracture’ hi hming dang engemaw zatin an ko bawk. I hre tawh mai thei:

• Hei hi ``Radial Styloid Fracture'' an ti bawk.
• `(Hutchinson Fracture)` tia koh bawk, ​​.
• Hetiang dinhmun hi ``Backfire Fracture'' tia sawi theih a ni bawk.

He "Shofer fracture" hi tuin nge vei tam zawk?

Dik tak chuan tu pawhin hetiang hian fracture hi an nei thei a ni. Mahse, a tlangpuiin, ``Distal Radius Fracture`` chi ruh tliak, chu chu kutphah hmuna ``Radius`` ruh tliak tihna a ni a, chu chu thalai active tak takah, emaw, kum 65 chunglam zingah hmuh tur a ni ber a, a bik takin kum upa zawk ``Osteoporosis`` (ruh hloh natna) vei te tan chuan a sang hle. A chhan chu an ruhte hi a chak lo deuh a, awlsam takin a chhe thei a ni.

Hetiang chi ruh tliak, ``Distal Radius Fracture'' tia koh hi United States ang ram doctor-te enkawl tam ber a ni tih i hriat chuan mak i ti hle mai thei. Emergency room-a fracture hmuh zawng zawng zinga 17% a ni!

Engvangin nge hei hi "Chauffeur Fracture" an tih?

He hming hi a mak deuhin a ri a ni lawm ni? "Shofer" tih hian driver tihna a ni. Chuti a nih chuan engtin nge chu hming chu a neih? A hnungah hian thawnthu tlem a awm.

Tun hma chuan, chu chu kum zabi 20-na tir lamah khan tuna an awm ang hian car chu chabi herh tir a ni lo. Car hma lamah chuan crank-handle lian tak (kut hmanga tihher theih rod) a awm a. Engine chu chak taka darkar lam hawia (dinglamah) herh tir a ni.Khatih hunlaia driver (chauffeur) te hian hna engzat nge an thawh a ngai tih han ngaihtuah teh. Chuvangin, a chang chuan engine `start` rual hian `crank-handle` chu a kick back nghal thin. `backfire` ang maiin. Tichuan crank tihertu chuan a kutphah chu a rawn snap leh nghal a, chu `(Radius)` ruh kan sawi tawh kha a tip chu a tikehsawm ta a ni.

He thil thleng avang hian French orthopaedic surgeon Just Lucas-Championnière chuan he ruh tliak hi "Chauffeur's fracture" tiin a vuah a, chutih laia driver-te zingah a awm fo vang a ni mai thei.

"Shofer fracture" awm chhan hi engte nge ni?

A chhan ber chu kutphah (wrist)-a nghawng na tak (trauma) chi khat a ni. Hei hi kawng hrang hrangin a thleng thei a ni:

• Kut phar chungin tlu: Kan tluk hian kan kut kan phar a, kan kut hmangin lei kan khawih a. Chutih lai chuan taksa pum rit zawng chu kutphah kaltlangin a kal a, chu chuan hetiang chi ruh tliak hi a thlen thei a ni. Slip leh fall tenau te pawhin hetiang hi a thlen thei a ni.
• Kut hnunglam (upper side)-a vuakna na tak: Hei hi thil rit tak a tlak emaw, khawi emaw laiah a rawn deng che a nih chuan a thleng thei.
• Car accident: Car accident-a steering wheel a tlak ang chi thil vang.
• Sports injuries: Hei hi a bik takin contact sports, rugby leh football khelh hunah a thleng thei. Skating emaw snowboarding emaw i tlak lai pawhin a thleng thei bawk.

"Schaufer fracture" tih hian eng symptoms nge a neih?

‘Shofer fracture’ i neih chuan i kutphah ah hian a hnuaia symptoms te hi i hmu thei ang:

• Bruises: Bruises blue emaw purple emaw a awm thei.
• Limited movement: Kut zungtang herh, chawi sang leh tihhniam harsa.
• Natna nasa tak: Kut chet emaw, thil khawih tum emaw hian a na zual hle.
• Swelling: Kut vel chu a hring nasa thei hle.
• Tenderness: Khawih emaw, hmet emaw chuan a na .
• Kutphah lan dan danglam tak: Kut chu a chhe thei a, a inzawm khawm thei a, a nih loh leh zung mak tak ang maiin a lang thei bawk.

Heng symptoms te hi i neih chuan doctor pan nghal tur a ni. Mahni indahdam suh.

Engtin nge "Shofer fracture" tih hi i hriat theih ang?

Doctor i pan hunah i natna lan chhuah dan leh a lo awm dan te an zawt hmasa ang che. Tichuan i kutphah leh i kut peng dangte chu hliam, hring, emaw, i pianzia danglam emaw a awm leh awm loh an enfiah ang. I kut leh kut zungtang a i nerve function te pawh an check bawk ang. Chu bakah, a hnuaia test te hi an ti thei bawk:

• X-ray: Hei hian ruh chu khawiah nge a tliak tih chiang takin a tarlang thei a, engzat nge a tliak tih a hriat theih. Doctor chuan i kut pahniha radius ruh sei zawng pawh a khaikhin thei bawk.
• CT scan emaw MRI emaw hmangin:Chûngte chuan ruh tliak chu a nemnghet lehzual thei a, a chhehvêla tendons, ligaments, emaw soft tissue-a chhiatna a awm leh awm loh chiang takin a târ lang thei bawk. Mi zawng zawng hian hengte hi an mamawh vek lo va, mahse heng test te hian thil harsa tak tak thenkhatah chuan a pui thei a ni.

"Shofer fracture" hi engtin nge enkawl a nih?

Doctor-te thil tum ber chu ruh tliak tawhte chu siam ṭhat leh a, a dam ṭhat hma loh chuan a hmunah dah reng a ni. ‘Schaufer fracture’ enkawl dan hi mi hrang hrangah a inang lo thei. Thil hrang hrangah a innghat a ni:

• Fracture nasat dan.
• Hliam hi i kut thunun thei takah a awm em?
• Ruh hnah te chu an awmna atang hian an sawn chhuak em?
• I activity level pangngai.
• i kum zat.
• Ke leh ke ruhteah hian hliam dang a awm em, he hliam hian hnathawh harsatna emaw, rit phurh emaw a ti harsa ang em?

‘Shofer fractures’ tih hi non-surgical leh surgical treatment a awm a. A tam zawkah chuan heng ruh tliak chi hrang hrangte hi a dam tha theih nan operation neih a ngai thin.

Surgery ni lo enkawlna: 1.1.

• Closed Reduction and Casting: Doctor chuan i vunah incision a siam ang a, ruh tliak chu a realign leh ang (natna tihziaawmna tlem nen pawh a ni mai thei). Chumi hnuah chuan ni engemaw zat chhung chu splint (hun eng emaw chen atana ṭanpuitu, che thei lo) an vuah ang. A hring a reh hnuah chuan lakchhuah a ni ang a, plaster cast dah a ni ang. Kar hnih atanga kar thum vel hnuah i enfiah leh ang a, a tul chuan cast pawh thlak danglam theih a ni. Cast hi kar ruk vel hnuah a chhuak vek ang.

Surgery hmanga enkawl dan:

• External Fixation: Hetiang procedure ah hian doctor chuan i wrist joint kaltlangin metal pin hmangin stabilizer a dah lut thin. Hetiang tih dan hi cast chauhvin ruh chi hrang hrangte chu a hmunah a vawng thei lo a, emaw, hliam na tak tak tam tak a awm chuan hman thin a ni.
• Limited Open Reduction: Hetiang tih danah hian doctor chuan incision te tak te a siam a , ruh chi hrang hrangte chu a hmunah a sawn leh thin. Tichuan, pawn lam fixation device hmangin an awmna hmunah an vawn tlat a ni. Hetiang tih dan hi ruh chi hrang hrangte chu millimeter 2 aia tam a alignment loh chuan hman theih a ni.
• Open Reduction and Internal Fixation (ORIF): Hei hi Shofer ruh tliak avanga surgery neih tam ber a ni. Surgeon chuan i kutphah hmalam (pulse kan hriatna lam - volar part)-ah incision a siam a, ruh chhe tawhte chu a dah leh a, a hmunah chuan metal plate leh screw hmangin a vawn tlat a ni.Tunah chuan surgeon thenkhat chuan 3D printing technology hmangin ruh kaihhnawih model siamin, surgery dikna tihpun nan an hmang mek a ni.

Enkawlna hian harsatna emaw, side effect emaw a thlen thei em?

Enkawlna atanga harsatna awm thei hi mi hrang hrangah a inang lo thei. Complication awm tam ber chu ``malunion'' an tih hi a ni a, ruh chu a dam tirh lai aiin a dam dan danglam zawk a ni. Hei hian ruh chu tlem a ti tawi thei a, a hrual thei a, a tikehsawm thei bawk.

Harsatna dang hmuh theihte chu:

• Arthritis: Hei hian ruh natna (inflammation) tihna a ni. Hun a kal zel a, ruh natna leh ruh nghet lo a awm thei bawk.
• Nonunion: A chang chuan ruh chi hrang hrang hi a inzawm tha lo thei bawk.
• Compartment Syndrome: Hei hi kut ruh chhunga pressure tihpun hlauhawm tak a ni. Hei hi emergency a ni.
• Complex Regional Pain Syndrome (CRPS): Hei hian natna leh hliam nasa tak a thlen thin.
• Infection: Surgery na hmunah hian infection a awm theihna chance a tlem hle.
• Joint emaw tendon emaw hliam: Hengte hi ruh tliak rual hian a chhe thei bawk.
• Nerve disorders: Entirnan, carpal tunnel syndrome ang chi natna a awm thei.
• Natna awm reng, rilru hahna, emaw, a taka che thei lo.
• Ulnar kutphah na.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Dam leh hun chhung hi mi hrang hrangah a inang lo. I upa tawh a nih chuan, emaw, damdawi lam harsatna dang, ruh natna emaw, zunthlum emaw i neih chuan, a dam leh theih nan hun rei zawk a ngai thei. Dawhthei taka awm a, doctor thupek zawm a pawimawh.

Engtin nge "Schaufer fracture" hlauhawmna hi i tihziaawm theih ang?

Hetiang chi ruh tliak hlauhawmna hi tihbo vek theih ni lo mah se, tihziaawmna tur thil kan tih theih a awm a:

• Weight-bearing exercises ti rawh: kea kal, jogging, leh zai ang chi thil. Tin, resistance exercise pawh ti bawk ang che: rit phurh ang chi. Chungte chuan ruh a tichak a ni.
• Calcium leh vitamin D tamna ei leh in hrisel ei rawh.
• Osteoporosis (ruh hloh) ven emaw control emaw: ei leh in dik, exercise lak, leh a tul chuan doctor-in a tih angin damdawi ei.
• Meizial zu leh zuk leh hmuam hman hi bansan vek rawh. Meizial zuk hian ruh damna a tibuai a ni.
• Damdawi thenkhat i ei hian taksain calcium leh vitamin a lakluh dan a nghawng thei a ni.Chuvangin i damdawi ei tur chungchang hi i doctor nen inbia ang che.
• In lama tlu lo turin hma la rawh: stairs-a handrail dah leh bathroom-a grab bar dah ang chi thil.
• High-impact sports (football, rugby ang chi) i khelh chuan, in-line skating emaw snowboarding emaw ang chi thil i tih chuan wrist guard leh invenna thil dang i bun ngei ngei tur a ni.

"Shofer fracture" i neih chuan eng nge i beisei theih ang?

‘Shofer fracture’ avanga surgery i neih chuan surgeon chuan kar hnih vel i kutphahah splint a dah ang. Tichuan, doctor hmu tura i kir leh hunah chuan kar li vel dang i bun theih nan removable splint a pe ang che.

‘Shofer fracture’ hian ni engemaw zat atanga kar engemaw zat chhung natna a thlen thei. A natna tihziaawm nan i doctor chuan natna tidamtu damdawi `(Ibuprofen)` emaw `(Acetaminophen)` emaw a pe thei ang. A natna a nasat chuan damdawi chak zawk pek theih a ni.

I doctor chuan exercise awlsam tak tak a zirtir bawk ang che , chu chuan i kut leh ke chu zawi zawiin i tihchet theih nan a pui ang che . I kutphah chakna leh chetna i neih leh theih nan physical therapy an rawt thei bawk. Hei hi a pawimawh hle.

Hei hian hun rei tak chhung nghawng a nei thei ang em?

Kum hnih chhung zet chu kutphah ah a khauh leh na a awm thei . Physical therapy hian kutphah thlenga maximum range of motion a siam that theih nan a pui thei a ni.

A tlangpuiin, cast lakchhuah hnuah emaw, operation hnuah emaw thla khat emaw thla hnih emaw chhungin tui chawi ang chi thil tenawm tak tak i thawk leh thei a ni. Rugby leh snowboarding ang chi thil hahthlak zawk thawh leh theih nan thla thum atanga thla ruk vel a ngai a ni.

A dam kim theih nan kum khat tal a ngai thei. Mi thenkhat tan chuan, a bik takin:

• Hliam a na hle a nih chuan, .
• Kum 50 aia upa i nih chuan .
• Osteoarthritis (joint disease) i neih chuan, .

Tin, kutphah ah natna awm reng emaw, a nghet lo emaw pawh a awm thei bawk.

Engtikah nge Doctor ka hmuh ang?

Cast hnu emaw, surgery emaw hnuah pawh darkar 24 chhunga i kut zungtang i hliam emaw, natna emaw avanga i che thei lo a nih chuan doctor pan nghal tur a ni. I kut zungtangte chu a rang thei ang bera full range of motion neih leh tum tur a ni. Tin, i enkawl chhung hian i doctor-in a tih angin i zawm ngei ngei tur a ni. Hei hian i dam leh hunah harsatna lo awm thei zawng zawng hriatchhuahna kawngah a pui ang.

Take-Home Thuchah a ni

Okay, chuti a nih chuan tunah chuan vawiin a kan sawi "Chauffeur Fracture" hi kutphah bula radius ruh tliak a ni tih i hrethiam ta. Hei hi tlu, accident, etc. atanga lo thleng thei a ni.

A pawimawh ber chu hetiang hliam i neih hian hlauthawng lo la, damdawi lam thurawn la vat hi a ni. Doctor-te chuan heng ‘Shofer fractures’ te hi plaster hnawih emaw, pawn lam hmanrua bun emaw, surgery tih emaw hmangin hlawhtling takin an enkawl thei a ni.

Enkawlna hnua harsatna i neih chuan i doctor nen sawiho la, a tul angin damdawi emaw physical therapy emaw la rawh. Hun engemaw chen a la ngai thei a, mahse mi tam zawk chuan thla engemaw zat chhungin an thil tih dan pangngai chu an thawk leh thei a ni. Chuvangin, dawhthei taka enkawl a pawimawh a, enkawl lai hian doctor thupek zawm a pawimawh! Dam leh thuai turin duhsakna kan hlan e!

` Chauffeur Fracture, Radial Styloid Fracture, Kut Fracture, Ruh Fracture, Kut Na, Kut Na, Radius Fracture