I keah hian hetiang natna hi i nei em? Jones Fracture chungchang hi han sawi ila!

Infiamna i khelh laiin i ke i hrual nghal emaw, i ke pawn lamah "crack" ri i hre ngai em? Chutih lai chuan, "Eng thil nge thleng chauh? " tih hi i ngaihtuah mai thei, Jones fracture an tih dinhmun a ni thei a , chu chu vawiinah kan sawi dawn a ni. Lungngai suh, he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

Jones fracture tih hi eng nge ni? A awlsam zawngin...

A awlsam zawngin Jones fracture chu i ke ruh tliak a ni. I pinkie toe hian ruh sei tak a nei a, chu chu i ke dang nen a inzawm a ni lawm ni? Chu chu doctor-te chuan metatarsal bone pangana an tih chu a ni. Jones fracture hi he ruh hi a break a ni.

Hei hi i ke chu chhung lam hawia i hawi a, rang takin i ke pawn lamah chakna lian tak emaw, nawrna emaw a lo awm chuan a thleng tlangpui. Tlan laiin i ke chungah i tlu nghal mai thei dinhmun han mitthla teh.

• Ke hman tam lutuk : nilenga lei khauh chunga tlan, emaw, hun rei tak ding ngai hna thawh emaw ang chi.
• Sports injuries : Hengte hi a bik takin basketball leh volleyball ang chi jumping sports-ah te, football leh cricket ang chi direction thlak rang thei sport-ah te a thleng thei a ni.
• Tlu leh tlu : Hei hi stairs atanga tlu emaw, lei hnim hring chunga tlu leh leia tla nghal emaw ang chi thil atanga lo awm thei a ni.

A tam zawkah chuan he ruh hi uluk taka tihdam nan operation neih a ngai thin. A dam vek theih nan thla engemaw zat a ngai thei.

Jones fracture leh avulsion fracture hi eng nge an danglamna?

Heng hming pahnih hi a buaithlak deuhin a lang thei a, mahse an pahnih hian kan sawi tawh metatarsal bone pangana pakhatah hian an awm ve ve a ni. Mahse, heng fracture pahnih inkarah hian danglamna tlemte mahse pawimawh tak a awm.

I metatarsal ruh pangana chu thinghnah te tak te angin ngaihtuah rawh. Doctor-te chuan ruh chu hmun thum, a nih loh leh `zone`-ah an ṭhen a. Heng zone te hian doctor chu ruh tliakna hmun dik tak a hriatthiam theih nan a pui thin.

• Zone 1: Hei hi ruh peng hmasa ber a ni a, ke lairil hnaih a ni. Heta break hi avulsion fractures an ti a . Dancer fractures emaw pseudo-Jones fractures emaw an ti \hin. Heng fracture te hi operation a ngai lo fo thin. Boot emaw cast emaw hmangin thla hnih vel chhungin an dam tlangpui.

• Zone 2 (`Zone 2`) ah hian a awm a:Hei hi ruh chhunga zone hmasa ber hnu lawka awm, ruh lai takah a awm a ni. A dik tak chuan hei hi ruh "trunk" part a ni a, zone hmasa ber hnua lo awm a ni a, chu chu "lu " ang mai a ni. He second zone-a fracture hi `Jones fracture` kan tih hi a ni. Chungte chu zai a ngai tlangpui. Ke ruh tliak dang aiin harsatna an thlen tam zawk.

• Zone 3: Hei hi ruh sir lehlamah a ni a, chutah chuan kut zungtang ruh nen a inzawm a ni. He zone-a break hi stress fracture an ti fo a, chu chu pressure awm reng avanga lo awm a ni. Chungte chu dam nan hun a duh rei a, a chang chuan zai a ngai bawk.

Heng hmingte hi i tan chuan a buaithlak deuhin a lang mai thei. Mahse, lungngai suh. Khawi hmunah pawh i ke i tihchhiat chuan a hmasa ber pawimawh ber chu a rang thei ang bera doctor pan hi a ni. Doctor chuan eng chi fracture nge i neih tih leh eng nge i tih tur tih a hrilhfiah ang che.

Jones fracture hi engtiang chiahin nge a awm? Tuin nge anmahni tipung thei ber?

Jones fractures hi ke ruh tliak tam ber pakhat a ni. Infiammi, zai thiam leh nilengin ding leh kea kal ngai hna thawktute chu an hlauhawm zual hle.

• Infiammi (a bik takin tlan leh zuang sports khel thinte) .
• Dancer te an ni
• Hnathawh laiin rei tak ding leh kea kal thinte

A tlangpuiin mipa kum 30 vel leh hmeichhia kum 70 chunglam te hi kum dang aiin Jones fracture an nei tam zawk.

Tin, osteoporosis ( ruh tihthianghlimna natna) vei te chu Jones fracture an neih theihna a sang hle a, chutiang bawkin ruh tliak eng pawh an nei thei bawk.

Jones fracture natna lan chhuah dan chu engte nge ni?

Jones fracture i neih chuan hetiang hian symptoms i nei thei ang:

• Natna nasa tak: a bik takin ke pawn lamah.
• Vung.
• Tenderness (khawih emaw, press emaw a na).
• Kal pangngaia kal harsa.
• Vun hliam emaw, vun rawng danglam emaw.
• Keah hian lump danglam tak emaw, a pianzia danglam emaw hmuh tur a awm (`deformity or bump`).

Jones fracture "displaced" tih hi eng nge ni?

Doctor i pan chuan "displaced" emaw "non-displaced" emaw tih thumal i hre mai thei. A awlsam zawngin, "displaced fracture" tih chu ruh tliak pahnih chu an inthen a, a laiah gap lian tak a awm a ni. A "non-displaced fracture" tih a ni.Chumi awmzia chu ruh a tliak a, mahse a keh pahnih chu a che vak lo va, an dinhmun a inang lo tihna a ni. A tam zawkah chuan "displaced fractures" te hi operation a ngai thin. "Non-displaced" fractures ah chuan operation a ngai lo mai thei.

Jones ruh tliak chhan berte chu engte nge ni?

Kan sawi tawh ang khan Jones fracture hi i ke, a bik takin i kephah chawi sang leh flex a nih chuan a nghawng nghal a ni. A chhan lian ber tlemte a awm a:

• Hman tam lutuk: Kal chhunzawm zel, tlan chhunzawm zel, emaw, hmun khauh takah ding chhunzawm zel. Entîr nân, mi ṭhenkhat chuan nilengin ding tûr hna an nei a, an hlauhawmna a sang zâwk.
• Infiamna lama hliam: Hengte hi basketball leh volleyball ang chi infiamnaa zuang chho leh chhuk lai te, football, cricket leh netball ang chi infiamnaa ke hrual rang lutuk te hian a thleng thei a ni. Hetiang hliam hi kan khuaah volleyball khelh laiin a thleng thei bawk.
• Tlu leh tlu: In lama stairs atanga tlak, bathroom ang hmun hnim hringa tlu, leh rang taka i ke leia i tlak ang chi dinhmun.

Jones fracture hi engtin nge kan hriat theih ang? (`Diagnosis`) tih a ni.

I doctor chuan a enfiah hmasa ang che (`physical exam`). Tichuan, i ruh dinhmun enfiah nan special test (`imaging tests`) engemaw zat an order ang.

Heng test te hi engte nge ni?

• X-ray: X-ray hian Jones fracture emaw ruh tliak dang emaw i neih leh neih loh leh ruh chhiatna engzat nge a thlen tih chiang takin a tarlang thei a ni.
• MRI Scan (Magnetic Resonance Imaging - MRI): A chang chuan doctor chuan ruh leh a chhehvel tissue, muscle leh ligament te tihchhiatna zawng zawng a hmuh a ngai thin. Chutah chuan MRI scan an ti a.
• CT scan (`CT scan - Computed Tomography scan`): Operation neih a ngai a nih chuan surgeon chuan i ruh chhiatna chu chiang takin a hriat a ngai ang. CT scan hian X-ray aiin ruh leh a chhehvel tissue te chu chipchiar zawkin a en thei a ni.

Jones fracture hi engtin nge enkawl a nih?

Jones ruh tliak enkawlna chu a ruh tliak nasat danah a innghat a ni. Mahse, ruh tliak te chu dah khawm leh a, tihdam a ngai a ni. Doctor-te tanpui nan hian enkawlna hrang hrang a awm a.

1. Thil tih theih lohna (immobilization).

Fracture hi a na lutuk lo tihna a ni a, chu chu ruh chi hrang hrang a inhlat lutuk (non-displaced) tihna a nih chuan i keah cast emaw special boot emaw dah a ngai dawn a ni. Hei hi kar ruk atanga kar riat vel an ha ang. Hemi chhung hian ruh chu a dam tha em tih hriat nan X-ray lak a ngai bawk ang.

2. Closed tihtlem

Fracture na zawk (a bik takin an inthlak danglam chuan) tan chuan closed reduction an tih procedure hmangin ruh te chu an inrem leh thin. Hei hian non-surgical procedure a huam a, doctor chuan i taksa pawn lam atanga ruh tliak te chu a chelh a, a press a, a hmunah a hruai let leh thin. Hei hi natna engmah i hriat loh nan tih a ni a, hetiang hian:

• Local anesthetic pek a ni a, chu chu a ruh tliakna hmun chauh numb nan a ni.
• Sedatives hi taksa pum tih hahdam nan pek thin a ni.
• Hei hi general anesthesia hmanga tih theih a ni.

Closed reduction hnuah doctor chuan i keah cast emaw boot emaw a dah ang.

3. Jones ruh tliak zai a ni

Fracture na tak tak tan chuan operation neih a ngai thin. Surgeon chuan ruh tliak te chu a siam tha leh a, a dam hma loh chuan a che lo. Hei hi internal fixation an ti a . Chumi awmzia chu surgeon chuan i ruh chu a hmuna vawng reng turin metal implants a dah tihna a ni. Chumi atana hmanraw hmante chu:

• Rods: Ruh lai tak atanga a chung atanga a hnuai lam thlenga luhtir thin thir rod.
• Plate leh/ emaw screw: Ruh chhunga ruh chi hrang hrang inzawmkhawmna tura ruh chhunga dah thin metal plate leh nail te.
• Pin leh wire: Hengte hi fixation dang aiin ruh hnah te zawk awmna hmunah hman a ni. Rod emaw plate emaw hmanga dah an ni fo.

Mi thenkhat chuan heng metal implants te hi an taksaah an dam chhung zawng an nei thin. Midang tan chuan ruh a dam hnua lakchhuah nan operation an neih a ngai a ni.

4. Ruh grafting

I Jones fracture chu nasa taka a inthlak a nih chuan, emaw, ruh chu a dam tha lo a nih chuan, bone graft i neih a ngai mai thei . Hei hi surgeon chuan i ruh tliak chu a inzawm leh theih nan ruh tissue extra a dahna hmun a ni. Tichuan, ruh chu a lo seilian leh thlengin internal fixation device hmangin an fix leh thin. A hnuaia ruh graft te hi lak theih a ni:

• I taksa hmun dang atanga lo chhuak - a tam zawkah chuan i hip ruh chunglam atanga lo chhuak.
• Donor dang (`pawn lam donor`) hnen atangin.
• A thlakna tur artificial piece a ni.

Jones fracture surgery hi outpatient procedure angin an ti fo thin. Surgery neih ni vek hian in lamah i haw thei tawh ang.

Surgery hnuah i ke chu a immobilized ang. Boot emaw cast emaw i bun a ngai dawn a, chutah chuan rit i dah a, i hmang leh thei ang.

Jones fractures tan hian eng damdawi nge hman thin?

Painkiller thenkhat , aspirin emaw ibuprofen emaw te hi natna tihziaawmna atan pek thin a ni.Surgery hnuah thisen chhuah leh harsatna dang a awm thei. Chuvangin, i surgeon chuan operation hnua natna tihziaawmna tur damdawi i ei theih dan tur a hrilh ang che.

Jones fracture enkawlna hian eng harsatna nge a thlen?

Jones fracture surgery hnua harsatna awm thei te chu:

• Acute Compartment Syndrome (ACS): Muscle chhunga pressure a san a, tissue-a thisen kal a reh chuan permanent muscle leh nerve damage a awm thei.
• Malunion: Hei hi i ruh tliak chi hrang hrangte chu an dam chhoh zel angin a line tha lo va, chu ai chuan an che dun tan ta zawk a ni.
• Nonunion: Hei hi a hlauhawm ber a ni. Ruh chi hrang hrangte chu a inzawm khawm leh lo va, a nih loh leh a inzawm tha lo. Jones fracture-ah chuan fracture dang aiin nonunion a awm theihna a sang zawk. Mi pathum zinga pakhat velin he natna hi an nei dawn niin an sawi.
• Chhûng lam chhiatna dang: Ruh tliak chuan a chhehvêla ruh, nerve, thisen kalna kawng, tendon leh ligament-te a tichhe thei bawk.
• Refracture: Jones fracture hi fracture dang aiin a fracture leh duh zawk.

NSAID ang damdawi hian side effect thenkhat a thlen thei bawk: thisen chhuah, pum na, pum na, leh intestinal problem.

Engtiang chiahin nge enkawl hnuah ka dam leh ang?

I natna lan chhuah dan a reh theih nan leh i kal leh theih nan kar engemaw zat a la ngai thei. I surgery chi hrang hrang a zirin kar riat vel chu i keah rit i dah thei lo mai thei. Zawi zawiin hna i thawk thei tawh ang a, i kal leh thei tawh ang. Thla 3-4 chhungin i thil tih pangngai zawng zawng, infiamna telin i thawk leh thei tur a ni.

Amaherawhchu, tuar theih loh khawpa natna reh lo i tawk a nih chuan doctor pan nghal rawh.

Jones fracture hlauhawmna tihziaawmna turin eng nge ka tih ang?

Chutiang accident laka inven nan heng himna atana thurawn awlsam tak takte hi zawm rawh:

• Eng thiltih emaw, infiamna emaw neih laiin himna hmanraw \ha tak tak bun tur a ni.
• I in leh hnathawhna hmun chu tifai takin vawng la, thil tul lo leh kawng tichhe thei thil awm lovin awm rawh.
• In chhunga thil sang tak i pan dawnin hmanraw remchang (ladder ang chi) hmang fo ang che. Thil neih theihna turin ṭhutphah emaw, dawhkan emaw-ah chuan chho ngai suh.
• I ruh hrisel taka awm theihna tura puitu diet leh exercise plan zawm rawh .
• Kum 50 aia tam i nih chuan, emaw, i chhûngkuaa mi tu emaw chuan ruh natna a vei a nih chuan, i doctor hnênah ruh density test chungchâng sawipui rawh .

Engtin nge Jones fracture hi i ven theih ang?

I ke hman tam lutuk hi a theih ang angin pumpelh rawh. Taksa tihchakna nasa tak hnuah i taksa chu chawlh hahdam leh hahdamna hun pe rawh. I kalna tura pui turin walker emaw, tiang emaw i hman chuan, anmahni tel lo chuan kal tum ngai suh. Lei inang lo, lungpui ang chi chunga kal hian fimkhur hle ang che.

Jones fracture ka neih chuan eng nge thleng ang?

Jones fracture i neih chuan a dam kim theih beisei theih a ni. Mahse, i ke chakna leh range of motion i neih leh theih nan physical therapy i mamawh dawn a ni.

Jones fracture hi a dam theih nan eng chen nge a mamawh?

Hei hi i ruh tliak nasat dan leh enkawlna i mamawh danah a innghat a ni. Mi tam zawk chuan Jones fracture atanga an dam theih nan thla thum atanga thla li vel an hmang thin.

Nonunion emaw refracture emaw ang chi complication i neih chuan i dam leh hun chhung chu a rei zawk thei. Tin, Jones fracture siamthat nan bone grafting i neih tawh chuan i taksa a dam theih nan hun a duh rei zawk ang.

Hna/sikul ka kal thei lo ang em?

I ke a kal theih loh laiin i hna i la thawk thei emaw, i zir thei a nih chuan hnathawh emaw, sikul kal emaw i chawlhsan a ngai tawh lo vang.

I dam leh hun chhunga taksa tihchakna engmah i thawh leh hmain i surgeon emaw doctor emaw nen inbiakna neihpui hmasa phawt ang che.

Jones fracture chungchanga thu hnuhnung ber pakhat...

Jones fracture awm theihna tur beiseina chu a tha hle. Surgery nei mah la, damna famkim i nei thei.

Engtikah nge emergency room-ah ka kal ang?

Jones fracture – emaw ruh tliak dang emaw i nei nia i hriat chuan a rang thei ang bera doctor i pan tur a ni. A hnuaia symptoms te hi i neih chuan emergency room-ah kal nghal rawh:

• Tuar theih loh khawpa hrehawmna.
• Taksa peng pakhat chu a tlangpuiin i che thei lo a nih chuan.
• I taksa peng pakhat chu a danglam bik anga lang emaw, a hmun atanga chhuak anga lang emaw a nih chuan.
• I vun hmanga ruh i hmuh theih chuan.
• A hring nasa hle.
• Heng symptom dangte nen hian hliam thar hmuh theih a nih chuan.

Accident lian tham (trauma) i tawk tawh a nih chuan damdawi in pan nghal rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

• Ka ruh eng ber nge tliak?
• Jones fracture ka nei em, a nih loh leh fifth metatarsal bone fracture chi dang ka nei em?
• Surgery ka mamawh dawn em?
• Eng chen nge a dam theih ang?
• Engtikah nge taksa tihchakna ka tan leh theih ang?

Jones fracture hian a ti buai deuh thei a, a bik takin i sport duh em em i khelh tawh a, thla tam tak chhung chu rang takin i khel thei lo a nih chuan. Mahse hre reng ang che, operation i neih pawhin Jones fracture hi enkawlna dawng tha tak a ni a, i dam kim thei a ni. I ruh chak leh hrisel taka i awm theih dan tur i doctor nen sawiho la, kum 50 aia tam i nih chuan emaw, i chhungte zinga mi pakhatin ruh natna a vei a nih chuan ruh density test neih fo bawk ang che.

` Jones ruh tliak, ke ruh tliak, metatarsal ruh, ruh tliak, ke na, infiamna lama hliam, ruh dam