Hetiang hian i kut ah hian fracture i nei em? Monteggia Fracture chungchang hi i zir dawn teh ang!

I kut hmanga accident i tawk a, doctor-in ‘Monteggia Fracture’ i nei tih a hrilh che a, chu chu ruh tliak tihna a ni em? A nih loh leh he term hi khawi emaw laiah i hre tawh em? Hei hi a takah chuan fracture chi khat, a buaithlak zawk deuh a ni. I kut ruh tliak mai a ni lo. Chuvangin, vawiin hian he dinhmun ‘Monteggia Fracture’ an tih hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni. Hlauh tur a awm lo, engkim i sawifiah vek ang u.

Monteggia Fracture tih hi eng nge ni?

Awle, tunah chuan ‘Monteggia Fracture’ tih hi eng nge a nih kan en ang u. A awlsam zawngin i kut hmawr a tliak a ni. Forearm hi i kut atanga i kutphah atanga i kutphah thlenga kal a ni. Fracture hi elbow joint-ah a awm thin.

I hria em, kan hmaiah hian ruh lian pahnih a awm a.

• Pakhat chu ulna ruh a ni . Hei hi kut hmawr chhungah, i kutpui awmna sir lamah a awm a (a nihna takah chuan, i kutphah hnuai lam hawia i kut i en chuan ulna chu i kut zungtang te tak te sir lamah a awm a ni. Hei hi doctor-te chuan kut zungtang anatomical position an tih chu a ni).
• A dang chu radius bone a ni . Hei hi kut hmawr pawn lam, ke ruh lian lam hawiin (kut en hian, a hmaa kan sawi tawh ang khan) a awm a.

Tunah chuan chakna chak tak engemaw zat nen i ulna ruh chu elbow joint bulah a chhe ta a ni. Thil thleng chu a ruh chu a nghet lo ta a ni. Chuvangin, radius bone chunglam tawp, elbow joint nena inzawm chu a awmna tur hmun atang chuan a kal leh zel a. Damdawi lam hawi chuan hei hi ``dislocation'' an ti a, chu chu ``Monteggia Fracture'' kan tih chu a ni.

Hei hi ruh tliak mai ni lovin a buaithlak zawk tih hi doctor-te tan chuan hriatthiam a pawimawh hle. Elbow joint a tihchhiat avangin a dam tha tur chuan enkawlna bik a mamawh a ni. A theih chuan doctor-te chuan ruhte chu kut hmangin an dah leh ang. Mahse chu chu a theih loh chuan, emaw, i ruh chhunga ligament, thisen kalna kawng emaw, nerve emaw a chhiatna nasa tak a awm chuan operation i mamawh mai thei.

Monteggia leh Galeazzi fracture te hi eng nge an danglamna?

‘Galeazzi fracture’ tih pawh i hre tawh mai thei. Hêng pahnih hi inang deuhin lang mah se, inthlauhna a awm. An pahnih hi a inthlau thei hle.

• Monteggia fracture -ah chuan i ulna ruh chu elbow joint bulah a chhe a, chu chuan radius ruh chunglam tawp chu joint atanga a chhuah tir thin.
• Galeazzi fracture -ah chuan i radius ruh chu wrist joint bulah a chhe a, ulna ruh hnuai lam chu chu joint atang chuan a chhuak ta a ni.

Hei hi hriat reng tur tip tlem kan rawn tarlang e. Mizo tawngin FROG tih a ni. Fractured Radius Of Galeazzi tihna a ni. Tichuan Galeazzi-ah chuan radius chu a chhe tawh tih i hre reng thei ang. Tichuan, Monteggia-ah chuan ulna a chhe tawh tih hriat reng a awl khawp mai, a dik em?

Monteggia fracture natna lan chhuah dan chu engte nge ni?

Monteggia Fracture vei chuan a elbow ah natna a nei tlangpui . I kut hmawr hmun thuma ṭhena hmun khat chunglam chu a tliak tih i hre ang. A hmun chu a hring thei. A châng chuan ruhte chu a kal leh haw lai i hmu thei a, a châng chuan i hmu thei lo. Radius ruh pawh a na hle.

Chutiang thilte pawh i hre thei bawk:

• I elbow (limited range of motion) bend emaw straight emaw harsa ang maiin a lang.
• A châng chuan, radius ruh hring (dislocated radius bone) chu a takin a awmna hmunah a kir leh ṭhin.

Doctor-in a enfiah che chuan nerve hliam chhinchhiahna an zawng bawk ang. Chutiang hunah chuan hetiang thil hi a thleng thei a ni:

• Kut chhunga tingling sensation emaw, rulhut rawn tlan kual vel ang maia hriatna (paresthesia).
• Forearm emaw kut emaw a chak lohna hriat.
• Ruh tliak awmna hmun atanga rawn chhuak natna.

Monteggia fracture hian eng nerve nge a tihchhiat theih?

Monteggia fracture hian i radial nerve emaw i median nerve emaw a tichhia thei a ni . Hliam tam ber chu posterior interosseous nerve (PIN) a ni a, hei hi radial nerve branch pakhat a ni. He nerve hi a chhiat chuan i kut zungtang leh kutpui i phar harsa thei.

Thu lawmawm tak chu a tam zawkah chuan Monteggia Fracture avanga nerve chhiatna hi a tlem hle (`neurapraxia`). Chumi awmzia chu nerve chu hun eng emaw chen a pinch tihna a ni. Hei hi thla engemaw zat chhungin a mah chauhin a dam tlangpui. A nih loh chuan surgery hmangin siamthat theih a ni.

Eng thilin nge Monteggia fracture hi a thlen?

Hei hi a tlangpuiin traumatic injury vang a ni . A chhan langsar zualte chu:

• I kut phar chungin i tlu a . Tlan laiin i tlu a, i kut chu leiah a tlakbuak ang tih han ngaihtuah teh.
• Elbow leia a tlak theih nan sang tak atanga tla .
• A hard blow chu a elbow hnunglam ah direct a ni .

Engtin nge doctor-te hian hei hi chiang taka an chhui chhuah?

I kut hmanga accident i neih chuan doctor chuan taksa a enfiah hmasa ang . Tichuan X-ray an la ang.Test te chu tihfel a ni. Taksa enfiahna atang hian doctor chuan X-ray-a thil zawn tur chu a hre thei ta a ni.

Monteggia Fracture dik taka hriat theih nan i kut hmawr leh i kutphah pahnih X-ray i lak a ngai dawn a ni. Forearm X- ray-ah chuan ulna ruh a tliak tih hmuhchhuah a ni ang. Elbow X-ray-ah chuan radial head dislocation a awm ang.

Mahse, ulna fracture leh radius fracture pahnih hi a chang chuan a fiah lo hle thei . Chuvangin awlsam takin an tlachham thei a ni. Heng dinhmunte hi hriat harsa tak a ni thei a , a bik takin naupang tê tête tan chuan . A châng chuan a ruh chu a te lutuk a, hriat theih pawh a ni lo va, a nih loh leh ruh chu a hrual deuh mai thei bawk. Hun dangah chuan fractured radius chu doctor i hmuh hmain a mah chauhin a hmunah a awm leh ang. Chuvangin, ‘Monteggia Fracture’ a ni em tih chiang taka hriat tur chuan uluk takin i enfiah a ngai a, a hmaa fracture a awm tih finfiahna a awm em tih i enfiah a ngai a ni.

Monteggia fracture hi engtin nge enkawl a nih?

Monteggia fracture enkawl dan hi ruh tliak awlsam tak enkawlna nen chuan a danglam deuh hlek a ni. Hei hi a chhan chu ruh (joint dislocation) a awm vang a ni. Ruh a inthlak chuan a hmuna a vawn tlat thin tissue te chu a inzawm khawm emaw, a chhe emaw a ni. Ruh chu a hmuna dah leh a nih hnuah pawh heng tissue te hi a dam theih nan hun a duh a ni. Joint chu a la nghet lo hle. Chuvangin tissue te chu a chhiat leh theihna chance a awm a, a nih loh leh ruh chu a dislocate leh theihna chance a awm.

‘Monteggia Fracture’ hlawhtling taka enkawl tur chuan a hnuaia mi hi a thleng tur a ni:

• Ulna ruh chu a awmna tur dik takah dah leh a ngai a ni .
• Radius bone chu a awmna tur dik takah dah leh a ngai a ni .
• Heng ruh pahnih hi an dam hma loh chuan junction-ah hian a nghet taka dah a ngai a ni.

Chutiang ti tur chuan doctor-te chuan conservative treatment method an lo enchhin hmasa ber thin. An hlawhchham chuan chauh operation an hmang thin. Dik tak chuan naupang tê tê tam zâwkte chuan zai an ngai lo va, puitling erawh chuan an ngai fo ṭhîn. A chhan chu naupang ruh leh tissue te hi a la thang lian zel a, chuvangin siamthat leh dam thuai a awlsam zawk. Puitling ruh ruhte hi tanpuina tel lova mahni chauha damna a tlem a, hmun dik takah pawh an awm tlem hle bawk.

A enkawl dan tur chu hetiang hi a ni:

• Closed tihtlem:‘Reduction’ tih awmzia chu ruh sawn tawh chu a hmuna dah leh tihna a ni. ‘Closed reduction’ tih awmzia chu operation nei lova kut hmanga ruh siamrem tihna a ni. A theih phawt chuan Doctor ten hetiang hi tih hmasak an tum ang. Hei hi anesthesia hnuaia i awm laiin tih a ni. Chumi hnuah chuan ruh chu a dam hma loh chuan a hmunah vawn tlat turin cast emaw splint emaw i bun a ngai dawn a ni.
• Open reduction leh internal fixation (ORIF): Closed reduction tih theih loh chuan a dawt leh tur chu surgery (open reduction) a ni. Internal fixation-ah chuan ruh zawng zawng chu a hmuna dah leh a, a hmuna vawn tlat a ni. A châng chuan, surgeon chuan radius chu a hmuna a dah leh hmain ulna ruh chu a inzawm leh a ngai ang. Tissue dang chhia pawh enkawl emaw, lakchhuah emaw a ngai thei bawk.

Monteggia fracture atanga dam nan eng chen nge a ngaih?

Mi tam zawk chu enkawl an nih atanga kar 8 atanga kar 12 chhungin an hnathawh dan pangngaiah an kir leh thei a ni. Infiammi leh taksa lama harsatna nei hna neitute chuan hun rei zawk an la ngai thei.

Closed reduction i neih chuan kar 6 atanga kar 8 vel cast i bun a ngai mai thei. Surgery i neih chuan kar 3 vel cast i vuah a ngai mai thei. Chumi hnuah chuan i kut a flexibility leh range of motion i neih leh theih nan kar tlemte chhung occupational therapy emaw physical therapy emaw i tih a ngai mai thei.

Monteggia fracture enkawl hnuah engtin nge a awm?

A hun taka hmuhchhuah leh enkawl dan dik a nih chuan mi tam zawk chu harsatna lian tham awm lovin an dam leh thin. Mahse, hei hi hliam na tak a nih avangin enkawl hnuah elbow stiffness, persistent pain, leh chak lohna neih hi thil mak a ni lo. Mi 10% vel chuan hun eng emaw chen chu nerve chhiatna an nei a, thla engemaw zat chhung a daih thei.

A pawimawh ber chu Monteggia Fracture hi hriatchhuah loh a, kar engemaw zat enkawl loha awm a nih chuan hlawhtling taka enkawl a harsa hle. Hun rei tak chhung chhiatna a thlen thei bawk.

I kut chu joint bulah a tliak chuan, joint ngei pawh a chhiat theih dan tur ngaihtuah a pawimawh. Hmun khata hliam pahnih i neih lai, joint khat bulah i neih lai hian hriat a harsa hle. Mahse, i natna lan chhuah danin enkawl hnuah pawh a tibuai chhunzawm zel che a nih chuan ngaihthah mai mai suh. Doctor hmu leh rawh. Monteggia fracture enkawlna dik tak tihkhawtlai loh nan an fimkhur ang a, pumpelh ai chuan.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

• Monteggia fracture chu kut hmawr ulna ruh chu elbow-ah a tliak a, chu chuan radius ruh chu ruh atanga a chhuah tir a ni.
• Hei hi ruh tliak mai ni lovin a buaithlak zawk a, a chhan chu elbow joint chu a nghet lo ta a ni.
• Hei hi tlu leh elbow-a direct-a vuak ang chi thil vang a ni thei.
• A lan chhuah dan ber chu elbow na, swelling, leh kut tha taka che thei lo te hi a ni. Tin, nerve tihchhiat theihna chance tlemte a awm bawk.
• A dik taka hriat theih nan i hmai leh i elbow X-ray lak a ngai a ni.
• Naupang tê tête chu zai ngai lovin siam ṭhat theih an ni fo a, puitling erawh chuan zai a ngai mai thei.
• Natna hi hriat hmasak a, uluk taka enkawl a nih chuan damna tha tak a awm thei a ni. A tlai chuan harsatna a awm thei.
• Enkawlna hnua natna emaw, lungawi lohna emaw i neih chhunzawm chuan Doctor pan ngei ngei tur a ni.

He thu hi i tangkaipui ngei ka beisei. Zawhna i neih chuan doctor zawh hreh suh. Hrisel takin awm rawh!

` Monteggia ruh tliak, elbow hliam, ruh tliak, ulna, radius, kut ruh tliak, surgery