Kan ke ruh a inthlak lai hian Hill-Sachs Lesion a awm dan chiang takin i zir dawn nia!

Mi pakhatin an kekawrte a tikehsawm a, an kut an chawi thei lo va, natna nasa tak an tuar tih i hre tawh ngei ang, a dik em? Chu chu nangmah pawh a ni mai thei. Kan ke ruh a inthlak a, chu chu kan ke ruh ball ang maia a lo chhuah tihna a ni a, kan kekawr chhunga ruhte pawh a chhe thei bawk. Chu chu he `Hill-Sachs Lesion` (Hill-Sachs lesion tia koh bawk) hi a ni. Hemi chungchang hi awlsam tak leh chiang takin sawi ila.

He `Hill-Sachs Lesion` hi eng nge ni?

A awlsam zawngin, Hill-Sachs Lesion chu i kut chunglam ruh chunglam (i kut chunglam ruh sei tak, kekawrte nena inzawm - humerus) chunglam, a bik takin a ball ang chi (humeral lu)-a awm, bump emaw bruise te tak te a ni. I kekawr i thlak hian he ball ang chi hi i ke ruh inzawmna (glenoid socket) socket-ah nasa takin a rawn beng ang tih han ngaihtuah teh. Chutah chuan he ruh te tak te hi a hrual a, dent te tak te a siam ta a ni. Apple leia a tlak chuan hliam te tak te ang mai a ni.

He `Hill-Sachs Lesion` hi tuin nge vei tam zawk?

Dik tak chuan, an ke ruh tichhe thei apiang chu he `Hill-Sachs Lesion` hi an vei thei a ni. Hei hi a chhan chu accident emaw, tlu emaw avanga kekawrte a inthlak danglam emaw a nih vang a ni. Mahse, mi thenkhat tan chuan he risk hi a sang deuh hlek a ni.

• Infiammi tan: A bik takin contact sports khel thinte tan, entirnan rugby, football, boxing.
• Mipa tan: Hmeichhia aiin mipa hian a let hnih aia tam shoulder dislocation an nei tih an sawi.
• Kum 15 leh 30 inkar thalai tan: Hetiang kum lama mite hi an thawkrim em em avangin accident-ah an inhnamhnawih duh zawk.
• A hmaa an ke ruh lo chhuak tawhte tan: Vawikhat i kekawr i tihchhiat chuan i ke ruh chu a lo chhuak leh mai thei. Hei hian `Hill-Sachs Lesion` a thlen thei a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

American data-a a lan dan chuan kum tin mi sang za zinga mi 10 velin an ke ruh an tikehsawm ṭhin. Chu chu mi zawng zawngah a thleng lo tihna a ni. Mahse, i ke ruh i tihchhiat chuan `Hill-Sachs Lesion` i neih theihna a sang hle. Zirna thenkhatah chuan an kekawr bul atanga chhuak zinga 40% atanga 90% inkar chuan he hliam hi an nei dawn niin an sawi. Chumi awmzia chu i shoulder i dislocate chuan hei pawh hi i ngaihtuah a ngai tihna a ni.

He `Hill-Sachs Lesion` hian engtin nge i taksa a nghawng?

A tam zawkah chuan `Hill-Sachs Lesion` chauh hian nghawng lian tham a nei lo. Chu chu, kekawr bul atanga natna leh kut chet theih lohna te hi a lan chhuahna ber a ni tihna a ni. Mahse, he `Hill-Sachs Lesion` hi a awm chuan chutiang symptoms chu a na deuh deuh thei . A na chu a na zual thei a, kut chet harsat pawh a zual thei bawk.

Thil dang pakhat chu he `Hill-Sachs Lesion` hi i kekawrte a dam theih nan hun rei vak lo a la ngai thei bawk . Tin, lesion a lian poh leh nakin lawkah i shoulder i dislocate leh theihna a sang zawk bawk. Hun a kal zel a, chu shoulder joint-ah chuan arthritis a lo awm thei a ni.Shoulder arthritis vei theihna a awm bawk a, chu chu ruh chu a chhe tawh tihna a ni.

Hill-Sachs Lesion natna lan chhuah dan chu engte nge ni?

`Hill-Sachs Lesion` symptoms hi a bul berah chuan shoulder dislocated symptoms nen a inang vek a ni. Mahse, ka sawi tawh ang khan he `lesion` hi i neih chuan a symptoms chu a na deuh deuh mai thei.

• Natna nasa tak neia hriat .
• Ka kut ah chak lohna ka nei.
• Ka kut chu ka che thei lo.
• The shoulder looks different , a awmna hmun awm lo (a rawn pop chhuak ang maiin).
• Swelling a awm thin.
• Vun rawng inthlak emaw, vun rawng inthlak emaw i hmu thei.
• Muscle a hring chhuak .
• I kut, i kutphah, a nih loh leh i kut zungtangte chu a rilru a buai emaw, a hrual emaw, a chak lo emaw a ni thei.

Pawimawh: I kekawrte chu a inthlak danglam nia i inhriat chuan, emaw, i kekawrteah accident na tak i tawk a nih chuan, damdawi in hnai ber emergency room-ah kal nghal rawh. Tikhawtlai suh, enkawl vat a pawimawh em em a ni.

Eng thilin nge he `Hill-Sachs Lesion` hi a thlen?

A chhan ber chu shoulder dislocation vang a ni .

Hetiang hian han ngaihtuah teh: kan shoulder joint hi `ball-and-socket joint` a ni. I kut chunglam ruh (`Humerus`) chunga ball ang chi chu a tlangpuiin i ke ruh (`Scapula`) chunga `socket` chhungah a awm thin.

Tunah chuan i kekawrte chu hmalam pan (chu chu i taksa hmalam atanga chhuak tihna a ni) a nih chuan, i kut chunglam ruh ball ang chi, socket chu socket-ah a tang thei a, a rub thei bawk. Chu pressure chuan ball ang chi chu a ti hliam a, `dent` a siam thin. Hei hi `Hill-Sachs Lesion` an ti a.

Shoulder shrug chhan ber chu:

• Sports injuries - Rugby khelh laiin tlu emaw, cricket khelh laiin diving emaw ngaihtuah rawh .
• Falls - Hei hi leia tlu emaw, stairs atanga tlak emaw chauhvin a thleng thei.
• Car accident - Hetiang chetsualna chi hrang hrang hian kekawrte hliam a thlen thei bawk.

Engtin nge doctor-te hian `Hill-Sachs Lesion` an hriat theih?

Doctor hnenah i ke ruh tliak i kal chuan an enfiah hunah Hill-Sachs Lesion a awm leh awm loh an enfiah ang.

A hmasa berin doctor chuan i kut leh ke taksa a enfiah ang . Natna hmun, hliam na hmun leh i kut i tihchet theih leh theih loh an zawng ang. Tichuan, a chhunga thil thleng dik tak hriat tumin imaging test engemaw zat an ti mai thei.

Anni chu:

• X-ray hmanga enfiah a ni(`X-rays`): Hei hian ruh awmna, ruh tliak, etc. te enfiah nan a pui thei a, `Hill-Sachs Lesion` pawh hi a chang chuan `X-ray` ah hmuh theih a ni.
• MRI (Magnetic Resonance Imaging) scan: Hei hian tissue nem tak tak, taksa ruh, ruh, ruh leh ruh te chu chiang takin a hmu thei a ni. Hill-Sachs Lesion lian tham leh thuk zawng dik tak hriat nan MRI hi a pawimawh hle.
• CT (Computed Tomography) scan: Hei hian ruh chungchang chipchiar tak tak a pe thei bawk. Surgery ruahman dawnin CT scan hi hman a ni fo.

Heng scan te hian ruh hliam awmna hmun leh a lian zawng chiang takin a hmu thei a, hei hi enkawl dan tur ruahmanna siamnaah a pui hle.

Hill-Sachs Lesion hi engtin nge enkawl a nih?

Enkawlna chi i mamawh chu Hill-Sachs Lesion zau zawngah a innghat a, chu chu ruh chhiatna a ni.

A tlangpuiin humeral lu 20% aia tlem a tliak chuan enkawlna bik a ngai lo. A ke ruh tliak (dislocated shoulder) enkawlna pangngai chu hman thin a ni.

Surgery hmanga enkawlna ni lo

1. Closed tihtlem: 1.1 .

Hei hi a pawimawh ber a ni. I kekawrte chu a awmna hmunah, socket chhungah dah leh tihna a ni. Hei hi surgery a ni lo. Doctor chuan i kekawrte chu pawn lam a\angin a chelh ang a, kawng dik takah a hruai ang a, a chhungah a nawr leh ang a, chutianga i tih lai hian natna tihziaawmna turin local anesthetic (a hmun chauh tichhe thei damdawi) pek i ni thei a, a nih loh leh sedatives engemaw zat (i rilru hahdamna tur damdawi) pek i ni thei bawk.

2. Immobilization tih loh tur: 1.1.

I shoulder chu a hmuna dah leh hnuah, a hmuna awm reng turin splint emaw sling emaw i bun a ngai mai thei. Hei hi immobilization an ti a. Hei hian hliam tuar chu a chawlh tir a, a dam theih nan a pui bawk.

Doctor chuan ni khatah vawi tam tak ice hnawih turin a ti mai thei. I kekawrte chu a nghet lo emaw, a vawt (freezing) loh nan exercise engemaw zat ti turin a hrilh thei bawk. I doctor hnenah eng chen nge sling i bun tur tih leh engzat nge exercise i tih tur tih zawt rawh. Mi tam zawk chuan an kekawrte chu kar engemaw zat chhung chu an che thei lo.

3. Taksa lam enkawlna:

I kekawrte chu zawi zawiin a dam chhoh zel chuan a chakna chu nei leh la, a che tha thei ang.Physical therapy tan a ni ang. A hmasa berin i kekawrte chu a hlim loh nan leh a khauh loh nan stretch te te i ti ang. Tichuan, i doctor emaw physical therapist emaw chuan i taksa ruh leh ruh tichak turin chakna exercise a belhchhah ang. Hei hian nakin lawka dislocation awm theihna tur a tihtlem phah bawk ang. Mi tam tak chuan an dislocation hnuah thla engemaw zat chhung physical therapy an tih a ngai dawn a ni.

Hill-Sachs Lesion avanga operation tih a ni

`Hill-Sachs Lesion`, chu chu ruh hliam hian a kut chunglam ruh (`humerus head`) ball ang maia 20% aia tam a khuh a nih chuan, a hliam chu a lian tihna a ni a, siamthat nan operation neih a ngai mai thei.

Surgery tih dan tlangpui engemaw zat a awm a:

• Remplissage procedure: Hei hian Hill-Sachs lesion-in pit ang chi hmun a hnutchhiah chu a bula soft tissue-in a luah khat a ni. A tlangpuiin, hei hi shoulder injury bula capsule leh tendon te hi hman thin a ni.
• Bone grafting: Hetiang tih danah hian doctor chuan ruh tissue extra a la a, humerus chhiat hmunah a dah a, chu chu a siam tha leh thin. Hei hi ruh tihpun (bone augmentation) an ti \hin.
• Shoulder thlak: Shoulder, scapula (shoulder blade), leh shoulder chhunga tissue dangte chhiatna nasa tak a awm chuan shoulder thlak a ngai mai thei. Chutiang a nih chuan surgeon chuan a ke ruh chhia chu a la chhuak a, chu chu prosthetic piece hmangin a thlak leh thin.

Eng chen nge tihdam a ngaih?

Hill-Sachs Lesion atanga a dam leh theih nan thla engemaw zat a ngai tlangpui. I kekawrte chu kar engemaw zat chhung chu a che thei lo ang a, chumi hnuah thla tam tak chhung physical therapy pek a ngai ang.

I hliam a dam theih nan eng chen nge a rei tih hi thil engemaw zatah a innghat a ni:

• Hliam a thlen dan (tlu emaw, infiamna lama accident emaw ang chi).
• Hliam dang emaw, kekawr chhunga chhiatna emaw (ligament chhe emaw, labrum tihchhiat emaw ang chi) a awm emaw pawh nise.
• Eng ang enkawlna nge i mamawh, a nih loh leh operation i neih a ngai a nih chuan ?

I doctor emaw surgeon emaw chuan i hliam damna hun bituk a pe ang che a, chuvangin lungngai suh.

He `Hill-Sachs Lesion` hi ven theih a ni em?

shoulder dislocation tam zawk hi thil thleng nghal mai, tlu leh infiamna lama accident avanga lo awm a nih avangin he `Hill-Sachs Lesion` hi venna atana tih theih bik a awm tak tak lo.

Mahse, accident hlauhawmna tihziaawmna turin heng general safety tips te hi zawm a tha ang:

• Lirthei a chuang dawnin seat belt vuah fo ang che.
• Eng thiltih leh infiamna pawh neih laiin himna atana hmanraw \ha tak tak bun tur a ni .(e.g. helmet, kekawr iptea dahna).
• I in leh hnathawhna hmun chu felfai takin vawng la, nangmah emaw, mi dangte emaw tlu thei thilte awm lohnaah dah rawh. Hmun hnim hring (slipery surface) te chu fimkhur rawh.
• Chunglam atanga thil i lak dawnin, chu thil atana siam bik hmanrua emaw, hmanrua emaw hmang fo ang che. Chair leh table-ah chuan lawn ngai suh.
• Kal harsatna i neih emaw, tlu hlauhawmna i neih emaw chuan tiang emaw, kea kalna emaw hmang ang che.

`Hill-Sachs Lesion` a awm chuan eng nge beisei tur?

Mi tam zawk chu hliam an tuar atanga an dam chhuak vek thin. Surgery i neih pawhin i ke ruh a dam veleh i thiltih pangngai leh infiamna pangngai tam zawkah i kir leh thei tur a ni.

Mahse, vawi khat i ke ruh i tihchhiat chuan i hliam leh theihna a sang hle. Zirna thenkhatah chuan kum 25 hnuai lam infiammi zinga 90% aia tam, contact sport-a an ke ruh a inthlak danglam chuan nakin lawkah chuan an ke ruh chu an hliam leh dawn tih an hmuchhuak.

Chuvangin, taksa tihchakna eng pawh i tan leh hmain – a bik takin contact sports – i doctor emaw, surgeon emaw nen inbia ang che. Eng nge beisei tur tih leh nakin lawka dislocations lo awm tur ven dan tur an sawifiah thei bawk. Physics therapy dik tak pawhin he hlauhawmna hi a tihziaawm thei bawk.

Ka dam hma chuan hna emaw, sikul emaw ka kal thei tawh lo ang em?

I kekawrte chu a che thei lo a, i kut i tihchet loh chuan i hna emaw, sikul hna emaw i thawk thei lo a nih chuan hna emaw, sikul emaw i kal thei lo mai thei. I doctor chuan i dam hma chuan eng movement leh position nge i pumpelh tur tih a hrilh ang che. Chu thupekte chu ngun takin zawm rawh.

Engtikah nge emergency room-ah ka kal ang?

Accident lian tak (trauma) i tawk tawh a nih chuan emergency room-ah kal nghal rawh.

I kekawrte chu a inthlak danglam nia i hriat chuan:

• Emergency room-ah kal la, 1990 ah call rawh.
• I kut chu sawn suh. I taksa hnaih takah dah la.
• Nangmah ngeiin i kekawrte chu reposition tum suh. Doctor tih loh chu midang tih tir suh. Specialist ni loin i kekawrte chu hmun dangah dah leh a tum chuan thisen kalna kawng, ruh, ligament leh nerve te i tichhe thei a ni.
• Hliam awmna hmunah chuan ice pack dah la. Hei hian a hring leh natna a tiziaawm ang.
• Natna tidamtu (e.g. paracetamol, emaw `NSAIDs` - Nonsteroidal anti-inflammatory drugs, i doctor-in a tih angin) hian natna leh natna lan chhuahna dangte a tihziaawm thei a ni. Mahse, a rawt aia tam ei loh tur a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Hetiang dinhmun i neih hian i doctor hnenah a hnuaia mite hi zawt la a tha ang:

• Hill-Sachs Lesion siamthat nan operation ka mamawh em? A nih chuan eng ang nge?
• Ka kut chu eng chen nge ka tih theih ang?
• Engtikah nge physical therapy hi ka tan ang? Eng chen nge a daih ang?
• Engtikah nge infiamna emaw, exercise emaw ka khelh leh theih ang? Eng ang thil nge ka tih hmasak theih ang?
• Ka kekawrte chu a popping leh loh nan eng nge ka tih theih ang?

`Hill-Sachs Lesion` leh `Reverse Hill-Sachs Lesion` hi eng nge an danglamna?

`Hill-Sachs Lesion` leh `Reverse Hill-Sachs Lesion` hi hliam chi khat a ni. A danglamna chu i kut chunglam ruh (`Humerus`) ball ang maia khawi lam nge a nih tih hi a ni .

• `Hill-Sachs Lesion` chu `anterior side` atanga hmalam pan a nih chuan a hnunglam (medical term-ah chuan `posterolateral aspect`) a bump a ni.
• `Reverse Hill-Sachs Lesion` chu `posterior side` atanga ball ang maia thlak a nih chuan a hmalam (medical term-ah chuan `anteromedial aspect`) a bump a ni.

An pahnih hian an natna hmuhchhuah leh enkawl dan chu a inang tlang hle.

`Hill-Sachs Lesion` leh `Bankart Lesion` hi eng nge an danglamna?

`Hill-Sachs Lesion` leh `Bankart Lesion` te hi hliam chi hnih, shoulder dislocation nena inzawm a ni. Amaherawhchu, an danglam a ni.

• `Hill-Sachs Lesion` hi ruh spur a ni a, i kekawrte chu a sir lehlamah hmalam a pan (anterior glenohumeral dislocation) a ni a, chu chuan upper arm bone (`humerus`) lu chu a compress a, shoulder socket-ah lump a siam a ni. Hei hian ruh chhiatna a ni tihna a ni.
• `Bankart Lesion` chu shoulder joint vel a protective cartilage ring (`Labrum` an tih) a hliam a ni. He `Labrum`-ah hian `Bankart Lesion` a awm a. Hei hi dislocation emaw, a chetna tlem (`subluxation`) atanga lo awm thei a ni. Vawikhat shoulder a dislocated chuan a thleng leh mai thei. A kekawrte chu a inthlak chhunzawm zel emaw, a `subluxate` emaw a nih chuan `Labrum` chu a chhe zual thei (`SLAP tear` ang chi).

A ke ruh (dislocated shoulder) hi thil hrehawm tak leh hlauhawm tak a ni thei. Vawikhatmah i kut i che thei lo, i kekawrte chu a hmaa a awm tawhna hmunah a awm tawh lo ang maia i hriat chu thil mak tak a ni. I kekawrte chu "tock" tum ngai suh la, dah khawm leh tum suh. Emergency room-ah kal nghal la, a rang thei ang bera damdawi lam pan rawh.

>

Hill-Sachs Lesion i neih emaw nei lo emaw pawh nise, i kekawr bul vawi khat i dislocated a nih chuan nakin lawkah i hliam leh theihna a sang zawk. Chuvangin, i dam chhung hian i doctor nen inbia ang che. Chutiang chuan i beisei tur leh i kekawrte venhim dan tur chu i hre chiang thei ang.

Take-Home Thuchah a ni

Okay, chuvangin he `Hill-Sachs Lesion`-a kan sawi tawh pawimawh ber berte kha han sawi nawn leh ila:

• Hei hi shoulder a dislocated , leh upper arm bone ball ang chi (the `humerus`) chuan shoulder blade socket a rawn deng a, chu chuan ruh chungah dent ang chi bruise te tak te a siam a ni.
• A ke ruh hring (dislocated shoulder) ang bawkin a symptoms a nei a, chu chu natna nasa tak, kut che thei lo, leh swelling , mahse a na zawk deuh thei.
• A tam zâwk chuan, a ke ruh chu a hmun dangah dah leh theih a ni a, a che thei lo va, operation tel lovin physical therapy hmangin enkawl theih a ni .
• Hliam a lian (ruh 20% aia tam) a nih chuan zai a ngai mai thei.
• A pawimawh ber chu i kekawrte i tihchhiat chuan damdawi lam thurawn lak nghal hi a ni. Nangmah ngeiin siam that tum suh.
• I shoulder vawi khat i dislocate chuan i dislocate leh theihna a sang zawk. Chuvangin damdawi lam thurawn zawm a, i kekawrte nghet taka vawn reng a pawimawh hle.

Hemi chungchanga zawhna dang i neih chuan i doctor emaw midwife emaw zawh hreh suh. Hrisel takin awm rawh!

` Shoulder dislocation, Hill-Sachs Lesion, Hill-Sachs lesion, kekawr na, ruh na, kekawr enkawlna, taksa lam enkawlna