He i ke peng hi a na ve tho em? (5th Metatarsal Fracture) chungchang hi han sawi ila!

Aw, a chang chuan, tlu tlemte emaw, tlu emaw, kea inher tlem emaw pawh nise, kan ke ruh te tak te sir hi a na thei a ni lawm ni? Kea kal pawh theih loh khawpin a na thei a, a hring leh a sen pawh a hring thei bawk. Hei hi a chhan chu i ke ruh te tak te a tliak vang a ni thei. Vawiin hian hetiang dinhmun hi kan sawi dawn a, chu chu `(5th Metatarsal Fracture)` tih a ni a, mi tam tak chungah a thleng thei a ni.

He 5th Metatarsal Fracture hi eng nge ni?

A awlsam zawngin, i ke pawn lam kil khatah ruh sei tak a awm a, chu chu i ke ruh te tak te nen a inzawm a ni . I kut pawhin i hre thei. Damdawi lam hawi chuan he ruh hi `5th Metatarsal bone` kan ti a. Chuvangin, he ruh hi eng emaw vanga a chhe emaw, a inthen emaw chuan `5th Metatarsal Fracture` kan ti thin. Hei hi a takah chuan kan ngaihtuah aiin ke hliam tam zawk a ni.

Heng fracture chi hrang hrang hi a awm em?

Ni e, he `(5th Metatarsal Fracture)` hi ruh tliakna hmun a zirin chi thum ah then a ni. Doctor ten hengte hi a kaihhnawih zone a zirin an ko thin. Zone 1, Zone 2, leh Zone 3 kan ti a.

Zone 1: Avulsion Fracture atanga lo chhuak

Hei hi ruh tliak chi khat a ni ber. Ngaihtuah teh, zaa 93 vel chu ``Avulsion Fractures'' tia koh an ni. Heta thil thleng hi chu ruh nena inzawm tlat tendon emaw ligament emaw chu a rang lutuk a hrual a nih chuan chu tendon emaw ligament chu ruh atang chuan a tlem te nen a chhuak ta a ni. Kawr hlui button kan han hrual nasat lutuk chuan puan pakhat nen a rawn chhuak ve ang mai a ni.

Hei hi ke chu chhung lam hawia a inher (ankle sprain ang chi) hian a thleng fo thin. A châng chuan doctor-te chuan ankle sprain hi avulsion fracture tiin an ngai sual thei a, a chhan chu a natna leh a hring hi an pahnih hian a awm ve ve a ni.

Zone 2: Jones-a ruh tliak

Hetiang fracture chi hi ``Jones Fracture'' tia koh hi metatarsal ruh pangana hmun te tak te, bik takah a awm thin. Chu chu ruh dang aiin thisen supply a tlem deuh vang chauh a ni . I hria em, thisen supply a tlem chuan hliam eng pawh hi a dam rei zawk a, harsatna chi hrang hrang lo awm theihna chance pawh a sang zawk bawk. Chuvangin he ``Jones Fracture'' hi a dam rei deuh a, harsatna a thlen thei bawk.

Hei hi stress fracture a ni thei a, chu chu hun kal zelah ruh chunga stress zawi zawiin, a awm reng avanga hairline crack te tak te a ni. A nih loh leh accident nghal vanga acute break a ni thei bawk.A hnuaia kawng hrang hrangah pawh a thleng thei bawk. Ke hman tam lutuk (a bik takin infiammi tan), stress repetitive vang emaw, hliam rang lutuk vang emaw a ni fo thin. Hei hi a hmaa kan sawi tawh Avulsion Fracture aiin a tam lo hle a, tihdam a harsa deuh bawk.

Zone 3: Mid-shaft Fracture emaw Dancer’s Fracture emaw a awm thei

Hei hi ``Mid-shaft Fracture'' an ti bawk a, a then chuan ``Dancer's Fracture'' an ti bawk. A hming hi zai thiamte zingah a awm fo vang a ni mai thei, a bik takin zuang atanga tla thla hian a awm fo thin. Accident rang tak atanga lo awm a ni tlangpui a, chu chu ``trauma'' emaw ke ruh na tak atanga lo chhuak a ni. Ruh lai takah, ``lu'' leh ``kawng'' bulah ruh tliak hi a awm a.

Hetiang hian tuin nge fracture nei thei ang?

Dik tak chuan he `(5th Metatarsal Fracture)` hi tu chungah pawh a thleng thei . Naupang tê aṭanga tar thlengin tu pawhin he natna hi an nei thei a ni. Mahse, medical report leh data kan en chuan mipa kum 30 vel leh hmeichhia kum 70 hnuai lam zingah a tam ber niin an sawi . Tin, a hmaa kan sawi tawh `(Avulsion Fracture)` leh `(Mid-shaft Fracture)` te hi mipa aiin hmeichhiaah a tam deuh niin an sawi bawk.

Eng thilin nge heng ruh tliak te hi a thlen?

A awlsam zawngin sawi ila, hei hi a chhan ber chu accident chi khat emaw, i kea stress rei tak (trauma emaw repetitive stress) a awm vang a ni. Hetiang thil hi han ngaihtuah teh:

• Kea vuak na tak, na tak: Ke chunga thil rit tak tla ang mai, emaw, thil pakhat nena inhnawh ang mai.
• Arches sang: Mi thenkhat chuan an ke hnuai lamah arch sang deuh deuh an nei a, chu chuan an ke hnunglam chu an kal laiin pressure a siam nasa zawk thei a ni.
• Repetitive overuse: Hetiang hlauhawmna hi infiammi, tlan chak leh hun rei tak ding chunga hnathawkte tan a sang hle.
• Inversion injury: Hei hi a chhan tam ber a ni. Kal laiin khur chhunga tlu emaw, stairs chhuk laiin i ke i hrual emaw ang chi thil vang pawh a ni thei .
• Accident emaw sports injury avanga ke twisting emaw twisting emaw: Hetiang fracture hi beisei loh taka ke twist emaw twisted emaw a nih chuan a awm thei.

Eng nge a lan chhuah dan?

`(5th Metatarsal Fracture)` i neih chuan i hriat hmasak ber tur chu kea kal harsatna hi a ni . I ke pawh i dah thei lo mai thei. Chu bâkah, i ke hnung lamah (i ke ruh tê têah) a hnuaia chhinchhiahnate hi i hmu thei bawk:

• Bruising leh Blueness : Ni khat emaw ni hnih emaw hnuah a hmun chu a sen tan thei.
• Natna emaw, nuam lo emaw: I kut i vuan pawhin a na a, i ding mai mai pawhin na a awm thei bawk.
• Swelling : A hmun chu a hring tan ang a, accident hnu lawkah emaw, a hnu rei vak lovah emaw a ni thei.
• Tenderness : A hmun chu khawih chuan a na hle.

Engtin nge hei hi i hriat chian tak?

Heng symptoms nei doctor i pan chuan zawhna tlemte a zawt hmasa ang che . Engtin nge a lo awm a, eng chen nge a natna chu a awm tawh a, engtikah nge a natna chu a zual zel? Tichuan doctor chuan i ke chu uluk takin a enfiah ang a, khawiah nge a na tih, engtiang chiahin nge a hring tih leh ruh chu a che vel ang maia a hriat leh hriat loh a en ang .

Tichuan, imaging test engemawzat tih theih a ni a, chu chu a dinhmun finfiah nan leh a ruh tliak dan dik tak hriat theih a ni:

• X-ray: Hei hi test tam ber a ni. X-ray hmangin i ruh tliakna hmun leh a tliak dan a hriat theih. Mahse, a hmaa kan sawi tawh Jones Fracture ang chi fracture thenkhat chu X-ray-ah hmuh tur a awm lo mai thei.
• CT scan (computed tomography scan) emaw MRI (magnetic resonance imaging): I doctor-in Jones Fracture a rinhlelh emaw, fracture chungchang chipchiar zawka hmuh a duh emaw chuan CT scan a order thei ang. Heng scan te hian ruh leh a chhehvel soft tissue te chu chipchiar takin a entir thei a ni.

Engtin nge enkawl a nih?

``5th Metatarsal Fracture'' enkawlna hi thil engemaw zatah a innghat a ni. Ngaihtuah tur ber chu ruh tliak te hi ``displaced`` nge ``aligned`` tih hi a ni. Chu bakah, i:

• Activity level: Infiammi i nih leh nih loh ang chi thil.
• Kum.
• Hriselna zawng zawng.

Heng zawng zawng hi a ngaihtuah hnuah i doctor chuan i tana enkawlna tha ber tur a rel ang. Enkawlna kawng hrang hrang pahnih a awm a, chungte chu:

1. Thil tih theih lohna (immobilization).

I ruh hnah te chu a che lo a, chu chu hmun khatah a la awm tihna a nih chuan i doctor chuan i ke chu a ding reng turin a hrilh mai thei che a ni. Hei hi immobilization an ti a .

• Zone 1 Avulsion Fracture kan sawi tawh tan chuan hei hi enkawlna awmchhun a ni fo thin.
• He ``(Immobilization)'' hi Zone 2 Jones Fracture tan pawh step hmasa ber atan tih theih a ni bawk.

Hei hian i ke chu cast emaw, special boot emaw, a nih loh leh kekawr hak (stiff-soled shoe)-a i ke chu a tichak lo tur a ni.. Hei hian ruh tliak chu a dam tha thei ang. Hemi chhung hian kekawrte pawh i hman a ngai dawn a, kea rit dah hi a tha lo. A tlangpuiin kar ruk atanga kar riat vel chu a che thei lo ang .

2. Surgery tih a ni

A then phei chuan zai a ngai thin. Chung zingah chuan:

• I ruh chi hrang hrangte chu millimeter 3 aia tam a kal tawh chuan (`displaced`) .
• Elite athlete i nih chuan ( dam thuai a, infiamna lama kir leh i duh vang a ni).
• Zone 2 Jones Fracture hian immobilization treatment beisei angin a chhang lo a nih chuan.
• Zone 3 (`Zone 3 Mid-shaft emaw Dancer’s Fracture`) tan chuan operation neih a tha fo thin.

He surgery-ah hian ke leh ke ruh surgeon (Foot and Ankle Surgeon) chuan ruh tliak chu a hmunah vawng tlat turin pin, screw, rod emaw plate te tak te chu ruh chhungah a dah a. Heng implant te hi ruh a dam hnuah pawh taksaah a awm reng tlangpui a, lakchhuah a ni lo tlangpui.

Thil buaithlak ṭhenkhatah chuan, ruh tliak chhehvêla ruh chhia chu lak chhuah a, ruh graft hmanga thlak a ngai mai thei . Hei hian ruh chhia chu i taksa peng dang emaw, hmun dang emaw atanga ruh chi khat hmanga thlak a huam a ni. Bone healing stimulator tih hmanrua pawh i hmang thei a, chu chuan ruh chu a dam thuai thei a ni.

Enkawlna hnuah harsatna a awm thei em?

Damdawi enkawlna dang ang bawkin `(5th Metatarsal Fracture)` enkawl hnuah harsatna thenkhat a awm thei bawk. Amaherawhchu, hengte hi mi zawng zawngah a thleng lo va, mi tin hi a danglam vek a ni. Harsatna awm fo thin thenkhat chu:

• Thisen zam : A bik takin operation hnuah ke chu a che thei lo.
• Thisen kalna kawng emaw, nerve emaw tihchhiat : Hei hi operation lai emaw, accident lai emaw a thleng thei.
• Thisen chhuah tam lutuk .
• Infection : A bik takin operation i neih chuan.
• Muscle atrophy : Hman loh avangin taksa ruh a chak lo thei.
• Nonunion emaw Malunion emaw : A chang chuan ruh tliak te hi a inzawm tha lo thei a, a inzawm khawm dik lo thei bawk.
• Natna awm reng (`Natna`) .

Pawimawh: Hetiang ang complication awm theihna tur tihtlem nan doctor thupek dik taka zawm a pawimawh hle.

Engtin nge ka dam leh hma loh chuan ka in enkawl ang? Engtin nge ka symptoms te hi ka enkawl theih ang?

I dam thuai theih nan leh natna tihziaawmna turin heng thilte hi i ti thei ang:

• I ke chu a theih ang anga chawi sang: I thut laiin i ke chu i thinlung level aia sang deuha awm turin pillow emaw chair emaw-ah dah la. Hei hian a hring (swelling) a ti tlem ang.
• I ke icing: Ice pack puan inkhuh chu hliamna hmunah minute 15-20 chhung ni khatah vawi tam tak hnawih la, hliam hnu darkar 24-48 hmasa berah leh a hnu lamah hnawih thin ang che. Hei hian natna leh hliam pawh a tiziaawm vek ang. Mahse ice hi vunah direct-in hnawih suh.
• Doctor-in a tih hma loh chuan i keah rit dah suh (`Keeping weight off your foot`): Kawngkhar i hman chuan uluk takin hmang ang che.
• Meizial i zuk chuan titawp rawh (`Quiting smoking`): Meizial zu leh zuk leh hmuam hman hian hliam damna a tikhawtlai. Chuvangin, he tih dan hi bansan chuan dam thuai turin nasa takin a pui ang.
• Natna damdawi ei: Doctor-in a tih angin natna tidamtu damdawi, ibuprofen emaw naproxen emaw ei tur a ni. Hengte hian a tir lamah natna control turin a pui thei a ni. Amaherawhchu, i tana damdawi dik tak chu i doctor nen sawipui a tha ber.

Hetiang chi ruh tliak hi a tlahniam thei ang em?

A ven kim thei lo nain, i hlauhawmna tihtlem nan thil engemaw zat i tih theih a awm a:

• Taksa rihna hrisel tak vawng reng rawh: Thau lutuk hian i keah pressure a siam belh zel a ni.
• Zunthlum i neih chuan control tha rawh: Zunthlum vei te hian ruh tliak leh a kaihhnawih harsatna te an nei tam zawk. Thau lutuk nei te pawh hi an hlauhawmna a sang zawk.
• Kekawr in fit tha tak ha rawh: I ke tanpui tha thei tur pheikhawk bun la, a bik takin infiamna emaw hnathawh lai emaw hian.
• Exercise hman dan dik tak zawm rawh: Vawi khatah exercise khauh lutuk tan suh la, zawi zawiin a chakna chu tipung rawh.
• Environment ngaihtuah rawh: In leh hnathawhna hmuna lei hnim hringte ngaihtuah la , kawngpuiah khur awmte ngaihtuah bawk ang che.

Hetiang hian fracture ka neih chuan eng nge ka beisei theih ang?

I ruh tliak chu immobilization method (plaster) hmanga enkawl a nih chuan, kar ruk atanga kar riat vel chhungin a dam leh mai thei tih i beisei tlangpui .

Surgery i neih tawh chuan a dam theih nan kar sarih vel emaw, a aia rei tlem emaw a la ngai thei. Mahse, eng enkawlna pawh ni se, kar ruk tal chu i keah rit i dah loh a ngai ang .

Dam vek hnuah, chu chu a tlangpuiinThla thum atanga thla li hnuah chuan i tih dan pangngai leh infiamna pangngaiah i kir leh thei tawh ang. Mahse chu pawh chu Doctor remtihnain tih tur a ni. Doctor chuan i ke chakna leh chakna neih leh theih nan physical therapy a rawt thei ang. Heng exercise te hi dik taka tih hi dam thuai nan a pawimawh hle.

Engtikah nge doctor ka hmuh leh a ngaih?

Enkawlna atanga i haw hnuah khawsik i neih emaw, i keah heng chhinchhiahna pakhat emaw a aia tam emaw i neih chuan doctor i pan nghal tur a ni :

• Natna chu tuar theih loh a nih chuan (`Natna tihpun`) .
• A hring a pung a nih chuan (`Increased swelling`) .
• I keah a hring emaw a hring emaw i hriat chuan .
• I ke vun chu purple a lo ni ta a nih chuan , emaw, a tlangpui aia vawt zawka i hriat chuan.
• Hliam atanga zun chhuak a awm chuan, emaw, rimchhia a awm chuan (sugery i neih tawh chuan).

Hetiang symptoms hian harsatna a awm thei tihna a ni. Chuvangin damdawi lam thurawn lak vat a pawimawh.

Chuti a nih chuan, kan hriat reng tur thilte chu engte nge ni? (In lama hruai tur thuchah)

Okay, chuvangin tunah chuan vawiin a kan sawi tawh 5th Metatarsal Fracture hi in hriatthiam ka beisei.

Hei hi i ngaihtuah aiin natna tlanglawn zawk ni mah se, natna dik tak i hmuh a, enkawlna dik tak i dawn a, i doctor thupek dik taka i zawm a, chawlh tam tak i neih chuan a dam thuai thei a ni.

A pawimawh ber chu i ke ruh te tak te a na a, a hring a, a kal harsa a nih chuan doctor pan nghal mai tur a ni. Chutiang chuan buaina chu eng nge ni tih i hre thuai thei a, a tul chuan X-ray i la thei a, enkawlna dik tak i tan thei bawk. Chutiang chuan i thiltih pangngaiah i kir leh thuai thei ang!

` Ke ruh tliak, Ke natna, Metatarsal, Jones ruh tliak, Avulsion ruh tliak, Ke natna, Ke ruh tliak