I ke chunglam ah natna nasa tak i nei em? Lisfranc Injury a ni thei!

A châng chuan thil thleng tê tak tê anga lang pawh buaina lian takah a chang thei a ni lawm ni? I hlauthawng taka stairs pakhata i chhuk a, step khat i paltlang lai emaw, i ṭhiante nêna cricket i khelh laiin i tlu nghal a, i ke ruh i tikehsawm nghal mai ang tih han ngaihtuah teh. I ke chunglam, chu chu bridge atanga ke ruh thlenga kalna hmun chu a na hle a, a hring a, a sen pawh a ni mai thei a nih chuan Lisfranc Injury an tih natna i nei thei a ni. Hei hi fimkhur tur a ni a, a chhan chu uluk taka enkawl a nih loh chuan a hnuah harsatna a thlen thei a ni. Chuvangin he thu hi chipchiar zawkin han sawi ila, kan sawi dawn em ni?

Lisfranc Injury tih hi eng nge ni?

A awlsam zawngin, i ke chunglam, i ke ruh nena inzawm ruh sei tak (hengte hi ``metatarsal bones'' kan ti ) awmna hmunah chuan, chu ruhte chu i ke lai takah ruh te tak te dang (tarsal bones) nena inzawmtu ruh chu Lisfranc joint an ti a ni. Bridge te tak te ang mai a ni. He ruh chhiatna eng pawh – ruh tliak emaw, a inthlak emaw, ruh chhehvela ligament (ruh inzawmkhawmna band chak tak) te a te emaw, a hrual emaw pawh nise – Lisfranc Injury anga ngaih a ni.

Colombo panna kawngah Kandy kawngpui hi junction lian tak angin han ngaihtuah teh. Chu junction chu a buai a nih chuan traffic zawng zawng a buai vek ang, a dik em? Chutiang bawkin he Lisfranc joint hi kan ke hnathawh dan tur dik tak atan a pawimawh hle. He hmun te tak te hian hna a thawk tha lo a nih chuan kea kal, tlan, zuang mai ni lovin, ding mai mai pawh i harsat mai thei.

He natna hi chi hrang hrang a awm em?

Ni e, he Lisfranc joint hi a chhiat dan azirin chi hrang hrangah then theih a ni. Chu chu, he classification hi i joint hmun eng nge a chhiat tih leh engtin nge a chhiat tih a zirin a ni tihna a ni.

• Lisfranc dislocation: Hei hi ruh chhunga ruhte hmun khat atanga hmun danga inthlak danglamna a ni a, rel kawng set hnih inthlak danglam ang mai a ni.
• Lisfranc fracture: Hei hi ke ruh tliak chi khat bik a ni. Lisfranc joint-a ruh pakhat emaw a aia tam emaw a chhe thei. A châng chuan, a tê têah an inṭhen thei bawk.
• Lisfranc sprain / Ligament tear: Hei hi ruh chhehvel ligament te a inzawm lutuk, emaw, a then emaw, a pum emaw a inthlak emaw a ni. Rubber band i hrual nasat lutuk chuan a snap ang mai a ni.

A châng chuan heng chi khat emaw a aia tam emaw hi a awm dun thei bawk. Entirnan, fracture hi ligament tear nen a inzawm thei.

Hei hi eng symptoms nge ni? A lo thleng a nih chuan engtin nge a awm ang?

Lisfranc Injury i neih hian i ke chunglam, i pheikhawk hrui i khihna bulah a lang tlangpui. Heng zinga pakhat tal i neih leh neih loh enfiah rawh:

• Bruising leh discoloration: Ke chunglam chu blue emaw purple emaw a ni thei. A bîk takin, mi ṭhenkhat chuan ke ruhroah hliam an hmu thei bawk . Hei hi Lisfranc Injury mizia a ni.
• Ke na na tak: Natna hi tuar theih loh a ni thei a, a bik takin ding emaw, kal emaw, ke chet tum emaw hian a na thei. Mi thenkhat chuan ding mai mai pawhin hliam emaw, kang emaw an nei thei.
• Swelling: Ke chunglam, a chang chuan ke pum pui pawh a hring nasa thei hle a, balloon puak ang maiin a hring thei bawk.
• Kea rit dah harsa: I ke leia ding emaw, kal emaw chu a harsa hle thei. Mi thenkhat chuan leiah an ke an nghat thei lo tak zet a ni.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan thil awlsam tak angin hnawl mai suh, okay?

Engvangin nge hetiang hi a lo awm? Hei hi eng chhan nge ni?

Lisfranc hliam hi accident vang a ni fo. A awlsam zawngin, ke hmalam (toe side) chu leiah an nawr chuan, heel lam chu a inher emaw, a inher emaw chuan he Lisfranc joint hi a chhe thei a ni.

• Tlu leh Tlu: Hei hi stairs atanga tlak, oil ang chi thila tlu, khur chhunga tlu, etc. atanga lo awm thei a ni a, a chang chuan curb atanga i ke pen laiin tlem i tlu a nih pawhin hetiang hi a thleng thei a ni.
• Infiamna lama hliam: He ruh hi a kalna tur a inthlak thut a, a zuang a, a dang nen a insu a, a bik takin football, rugby leh basketball ang chi infiamnaah te hian a hliam thei a ni. Player thenkhat chu an cleats leia a tlakbuak chuan an taksa chunglam a twisted tam zawk.
• Direct trauma: Thil rit tak kea tlak (e.g., brick, box rit tak), car accident-a ke a tlak, emaw, hmun sang atanga tlak (e.g., ladder atanga) te pawh hian he ruh hi nasa takin a tichhe thei a ni.

Ngaihtuah teh, Nilanthi Akka chu in lama stairs atanga a chhuk lai chuan a ke pen hnuhnung ber a paltlang hnuah a ke a tikehsawm a. A rilru a buai em em a, a rilru a buai em em bawk. Mahse ni hnih emaw ni thum emaw hnuah pawh a na leh a hring chu a reh lo. Doctor hnena a entir meuh chuan Lisfranc Injury a nih thu a hre ta a ni.

Tuin nge a neih duh zawk? Risk factors te chu engte nge ni?

Tu pawhin, kum eng pawh ni se, Lisfranc hliam hi an nei thei. Mahse, mi thenkhat chu an hlauhawmna a sang deuh hlek a ni.

• Ke tichhe thei emaw, kea sensation tihziaawm thei dinhmun nei te:Hetiang hlauhawmna hi zunthlum (`(Diabetes Mellitus)`) vei tan chuan a sang hle. A chhan chu zunthlum hian kea nerve a tichak lo thei (`(diabetes-related neuropathy)`). Tichuan kea hriatna chu a tlahniam ta a ni. Hliam te tak te pawh hi a hriat chian theih loh avangin a lo thang lian thei a, hetiang natnaah hian a lo thang lian thei a ni. Tin, zunthlum natna hian kea thisen a tihtlem phah thei bawk (`diabetes-related foot conditions`).
• Taksa lama harsatna nei hna thawktute: In sakna lama thawk, rit chawi, leh nilenga dingte chu hlauhawmah an awm a ni.
• Competitive emaw contact sports khel thinte: A hmaa kan sawi tawh ang khan hei hi football leh rugby player-te zingah hmuh tur a awm tlangpui.
• Mi thenkhat chu ke arch sang tak neia piang an nih chuan an hlauhawmna a sang deuh niin an sawi bawk.

Hei hi uluk taka enkawl a nih loh chuan eng nge thleng ang? Complication te hi a hlauhawm em?

Hei hi ngun taka kan ngaihven a ngai a ni. Lisfranc hliam hi uluk leh rang taka enkawl loh chuan a hnuah harsatna lian tak a thlen thei a ni. "A hliam mai mai a ni, a mah chauhin a dam ang" tih mai mai suh.

Hriat reng tur: Lisfranc Injury, a bik takin ruh tliak nei chuan a enkawl that loh chuan hun rei tak chhung ke na a ti na thei a, a hnathawh pawh a hloh thei bawk.

Harsatna lo awm thei ber chu:

• Arthritis: Arthritis tih hi a natna hmuna a natna hmun nêm tak, cartilage an tih chu a chhiat chuan hun kal zelah arthritis a lo awm thei a ni. A ruh chu a hring a, a nghet a, a na bawk.
• Natna rei tak: He natna hi "dam" nia ngaih ni mah se, mi thenkhat chuan natna an nei chhunzawm zel thei. He natna hi kea kal emaw, hnathawh lai emaw pawhin a awm thei.
• Arches chim leh ke deformities dangte: Lisfranc joint hian ke arch chu a vawng reng thei a ni. He joint hi a chhiat chuan hun kal zelah ke arch chu a tlakbuak thei a, ke chu a flat thei bawk. Ke pianzia pawh a danglam thei.
• Compartment Syndrome: Hei hi natna awm lo mahse na tak a ni. Ke tissue chhunga pressure a sang thei a, thisen supply a titawp thei bawk. Hei hian enkawl vat a ngai a ni.

Engtin nge doctor hian hei hi a hriat chian? Eng test nge an tih?

Ke na nei doctor hnena i kal dawnin a zawh hmasak ber tur che chu engtin nge a lo awm tih te, a na tan tirh khan eng nge i tih thin tih te, tuna i rilru put hmang te hi a ni. Thil thleng dik tak i hrilh a pawimawh hle.

Tichuan doctor in i ke chu uluk takin a enfiah ang.

• A hring leh a hliam a awm leh awm loh enfiah thin ang che.
• Ke hmun hrang hrang an khawih a, a natna awmna hmun dik tak hriat tumin an bei thin.
• Ke stability a enfiah thin. A chang chuan doctor chuan i ke chu zawi zawiin a khawih ang a, ruhte chu a che em tih emaw, chetna pangngai lo a awm em tih emaw a en ang.

Taksa enfiah hnuah eng nge dik lo tih chiang taka finfiah nan heng ang chi imaging test pakhat emaw a aia tam emaw tih theih a ni:

• Ke X-ray: Hei hi zawn hmasak ber tur a ni. Ruh tliak, ruh inzawm lo, ruh inkar hlat zawng inthlak danglam emaw a enfiah thei. A châng chuan, i doctor chuan i keah rit phur chungin ding turin a ti thei che (weight-bearing X-ray). Lisfranc hliam thenkhat chu kea rit awm lovin X-ray-ah hmuh tur a awm lo.
• MRI (Magnetic Resonance Imaging) scan: Hei hian chiang takin ligament, cartilage leh soft tissue te chhiatna a hmu thei. X-ray-a hmuh theih loh ruh tliak te te a hmuchhuak thei bawk.
• CT (Computed Tomography) scan: Hei hian ruh chhiatna te, leh ruh te a chhe dan te (a bik takin a chi hrang hranga a then a nih chuan), chiang zawka, three-dimensional (3D) view-a hmuh theih nan a pui a ni. Hei hi operation hmaa tih a ni fo.

Engtin nge enkawl a nih? Eng nge tih theih ang?

Lisfranc hliam hi enkawlna hrang hrang a awm a. I doctor chuan i hliam nasat dan te, ruhte chu eng chen nge a inthlak danglam tawh tih te, leh ruh (ligaments) a chhiat dan te a zirin eng enkawlna nge i tan a tha tih a rel ang.

• Ice leh elevate leg (RICE - Rest, Ice, Compression, Elevation): Hei hi tih hmasak ber tur a ni.
• Chawlh hahdam: I ke kha chawlh tir rawh. A theih ang anga kal leh ding chu tihtlem rawh.
• Ice: I ke chu i thinlung aia sang thei ang bera dah tum ang che. Pillow hmangin elevated takin i dah thei bawk. Ice pack pakhat chu puan te tak te in khuh la, a hliamna hmunah minute 15-20 vel hnawih rawh. Ni khatah vawi tam tak hetiang hian ti thin ang che. Ice hi vunah direct-in hnawih suh, vun a kang thei a ni.
• Compression: Doctor chuan swelling control nan elastic bandage hnawih a rawt mai thei.
• Elevation: I ke chu i thinlung level aia sangin pillow hmangin dah la. Hei hian a hring (swelling) a ti tlem ang.

• Ke ruh (immobilization) a awm theih nan:
• Hliam a na lutuk lo a, chu chu ruh chu a hmun atanga hla lutuk lo tihna a nih chuan i doctor chuan i keah boot emaw cast emaw a dah thei a ni. Hei hian kar 6 atanga kar 8 vel a daih ang. Hetih hun chhung hian kea rit engmah dah hi a tha lo. Kal tur chuan kekawrte i hman a ngai dawn a ni. Hei hian i ke a rit lutuk chu a tihziaawm ang a, a ruh chu a hmunah a awm reng ang a, i keah rit lutuk i dah loh nan a pui bawk ang.

• Lisfranc surgery neih dan tur chu:
• Lisfranc hliam tam tak, a bik takin ruh a inthlak emaw, ruh a nghet lo emaw chuan operation a ngai a ni. Surgeon chuan i Lisfranc joint chu a siam tha ang a, ruhte chu a hmunah a sawn leh ang a, i ke chhungah plate leh screw ang chi hmanrua a dah lut ang a, chu chu a hmunah a vawng tlat ang.
• Operation hnuah thla khat emaw thla hnih emaw vel chu non-weight-bearing i nih a ngai dawn a ni. Chumi hnuah chuan thla engemaw zat chu boot emaw cast emaw i ha a ngai mai thei.
• A ruh chu a dam tha tawh a, a tlangpuiin thla 4-6 hnuah doctor chuan operation tenau dang a ti leh thei a, pin leh hardware a dah tawhte chu a la chhuak thei bawk. Mi zawng zawng hian hengte hi an paih vek lo va, doctor-in a rel tur a ni.

• Painkillers: I doctor chuan natna leh hliam tihziaawmna turin painkillers a pe thei ang. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) (e.g., ibuprofen, diclofenac) emaw acetaminophen (e.g., acetaminophen) emaw i hmang thei bawk. Mahse, hengte hi ni 10 aia rei i ei hmain doctor hnenah zawt hmasa phawt ang che. I doctor pawhin natna tidamtu chak zawk a pe thei bawk. I doctor chuan engzat nge i ei tur tih leh engzat nge i ei tur tih a hrilh ang che.

A dam leh theih nan eng chen nge hun a duh?

Lisfranc hliam a dam kim theih nan leh thil tih dan pangngai leh infiamna pangngaia i kir leh theih nan thla engemaw zat, kum khat pawh a ngai thei. Hei hi mi hrang hrangah a inang lo tak zet a ni. Thil tam takah a innghat a, chu chu eng ang hliam nge i neih, engtiang chiahin nge a nasat tih, operation i neih leh neih loh, i kum leh i hriselna tlangpui te a ni.

A pawimawh ber chu, mi tin taksa hi a dam dan a inang lo. Chuvangin i enkawl dan tur leh i dam leh dan tur chu i doctor nen sawiho rawh. Chawlh la, i damdawi ei la, i doctor-in a tih angin exercise la.

• Nonsurgical treatments: Ke hi kar 6 atanga kar 8 vel chhung (boot/cast-ah) a awm tlangpui ang. Chumi hnuah chuan physical therapy (PT) engemaw zat i tih a ngai ang . Physics therapist chuan zawi zawiin i ke ruhte chu range of motion, chakna leh balance neih leh theih nan a pui ang che.
• Lisfranc surgery: Operation hnu thla 3 atanga thla 4 vel chu boot emaw cast emaw i bun a ngai ang. I surgeon chuan engtikah nge i keah rit i dah tan theih ang tih leh engtikah nge physical therapy (PT) i tan theih ang tih a hrilh ang che. Hemi atan hian PT hi a pawimawh hle.

Lisfranc Injury neiin i kal thei ang em?

Lisfranc hliam i neih lai hian tlem i kal thei mai thei a, a bik takin hliam a na lutuk loh chuan. Amaherawhchu, natna emaw, chhinchhiahna dang emaw i neih chuan chak takin i ke chu hmang suh.Chutianga i ke i hman chhunzawm chuan hliam tenau tak pawh a nasat avangin operation a ngai mai thei. A dam ṭhat hma chu dawhtheih a pawimawh.

Boot emaw cast emaw i bun lai hian i doctor-in a tih angin i kal thei mai thei (krutch nen pawh a ni thei). Mahse, taksa chakna hahthlak tak tak, tlan, zuang, leh rit phurh te chu pumpelh tur a ni. I doctor emaw physical therapist emaw hnenah eng thiltih nge i pumpelh tur tih leh i dam hma chuan eng nge i tih theih tih zawt rawh.

Engtikah nge Doctor ka hmuh ang?

Lisfranc hliam symptoms (a chunga kan sawi tak natna leh hliam ang chi) i neih a, ni engemaw zat chawlh leh ice i hman hnua a lo tha lo a nih chuan a rang thei ang bera doctor i pan ngei ngei tur a ni. A bik takin:

• I ke rit takin i ding thei lo a nih chuan.
• I kal tha thei lo a nih chuan.
• Ke pianzia a danglam tawh ang tih a nih chuan.
• Ke ruhroah hliam a awm chuan.

Immobilization emaw surgery emaw hnua symptoms a lo lang leh emaw, a na zual emaw a nih chuan, khawsik i neih chuan, emaw, hliam atanga pus lo chhuak a nih chuan doctor hnenah hrilh nghal rawh.

In lama hruai tur thuchah pawimawh ber!

Ngaihtuah teh, stairs atanga i ke i roll thla mai mai pawh a ni thei, a nih loh leh car accident ang maia accident lian takah i hliam a ni mai thei. Eng pawh ni se, i keah natna danglam tak, hring dup emaw, hliam emaw i neih chuan, "a hliam mai mai" tia hnawl ai chuan doctor pan vat a tha zawk.

Lisfranc Injury, a bik takin Lisfranc fracture nei hian harsatna lian tak (chronic pain leh arthritis ang chi) a thlen thei a, chu chu enkawl vat loh chuan a hnuah i nun a nghawng thei a ni.

Chuvangin, i kea harsatna i neih chuan enkawl tha rawh. Damdawi lam thurawn lak nghal chuan i dam thuai ang a, nakin lawka harsatna i tawh tur pawh i veng thei ang. I ke hi i tan a pawimawh em em a, chuvangin enkawl tha rawh!

` Lisfranc Hliam, ke na, ke natna, ruh natna, ruh tliak, ke hring