Kan ke ruh natna kan neih hian kan nitin hna pawh kan thawk tha thei lo a ni lawm ni? A châng chuan kan kut kan phar thei lo va, thawmhnaw thlak a harsa a, thil kan chawi lai hian a na chu tuar theih loh a ni. Hetianga Doctor i hmuh hian i kekawr na chhan hriat tumin thil chi hrang hrang a test ang che. Chu chu a dik a, O’Brien test hi i kekawr iptea thil dik lo awm dik tak hriatthiamna atana test awlsam tak, mahse a pawimawh hle.
A awlsam zawngin, O’Brien Test hi eng nge ni?
O’Brien test hi i doctor-in i ke ruh na chhan hriat nan a taksa test awlsam tak a ni. X-ray emaw thisen test emaw a ni lo. Chu chu i doctor-in i kut chu hmun ṭhenkhatah a dah a, pressure tlem a pe a, i natna i hriat leh hriat loh a enfiah a ni. Hei hi ‘active compression test’ an ti bawk.
He test hian shoulder joint hmun bik pahnih, chungte chu:
1. Kan ke ruh (cartilage)-a tear, a bik takin labrum (labral tear) an tih hmuna tear.
2. Acromioclavicular (AC) joint , a kekawr chunglam a awm a buaina.
He test hi health professional hrang hrang ten an ti thei a ni. Entir nan:
- Orthopedist te pawh an awm
- Taksa lam thiamte
- Athletic lama zirtirtu te an ni
- I chhungkaw doctor (Primary care provider) te chuan .
Engvangin nge he test hi tih a nih? A kekawr bul engte nge enfiah thin?
Hei hi hrethiam tur chuan kan kekawrte chungchang tlem kan hriat hmasak a ngai a ni. Kan kekawrte hi machine complex tak, multi-directional machine angin han ngaihtuah teh. A then lian tak tak engemaw zat a awm. O’Brien test hian heng hmun pahnih hi a bik takin a ngaihtuah ber a ni.
1. AC ruh (Acromioclavicular ruh) .
Hei hi kan collarbone (clavicle) leh kan shoulder bone chunglam (scapula) inzawmna hmun a ni. A awlsam zawngin, hei hi ruh pahnih inzawmna hmun a ni a, chu chu i kut chu i kekawr chunglam i dah chuan i hre thei ang. O’Brien test hian cartilage hloh, ruh inthen, emaw he ruh chungchanga harsatna awm te hriatchhuah nan a pui a ni.
2. Labrum tih a ni
Kan shoulder joint hi ‘ball-and-socket’ joint a ni. Chu chu kan kutphah chunglam ruh (humerus) ball ang chi chu kan ke ruh (scapula) cup ang maia hmun khatah a in fit tihna a ni. Labrum hi rubber ang chi cartilage thuk tak a ni a, he cup hi a hual vel a ni. Bumper ang maiin a che a, ball a nghet reng theih nan a pui a, cup atanga pop out lo turin a pui bawk.
A châng chuan he labrum hi accident vang emaw, infiam lai emaw pawhin a chhe thei bawk. A bik takin a chunglam a hrual chuan SLAP tear an ti a.Tin, `(Superior Labrum, Anterior to Posterior)` an ti bawk. O’Brien test hian chutiang mittui chu a awm leh awm loh hriat theihna a pe thei bawk.
Heng thil pawimawh pahnih bakah hian he test hian shoulder lama harsatna dang, rotator cuff tear emaw shoulder impingement syndrome emaw te chu natna thlentu a nih loh nan a pui bawk.
He test hi engtin nge kan tih ang? Step khat hnu step khatin
He test hi a awlsam hle. Chumi atan chuan inbuatsaihna bik i mamawh lo. Doctor chuan thu emaw, ding emaw a, heng step te hi zawm turin a ti ang che. A ṭhen lian pahnih a awm a.
Step hmasa ber (thumb down) 1.1.
1. I kut kha han chawi sang rawh: I natna lam hawiin i kut chu i hmaah dinglam hawiin, lei nen parallel (90 degrees) in chawi sang rawh. I elbow chu a dinglam vek tur a ni.
2. I kut chu chhung lam hawiin rawn hruai rawh: Tunah chuan chu kut chawi sang chu i taksa lam hawiin tlem han hruai la (10-15 degree vel).
3. I kut chu herh leh rawh: A dawtah chuan i kut chu chhung lam hawiin, tui bottle atanga tui i leih ang maiin, i kutpui chu hnuai lam hawi la, i kut hnunglam chu i kut dang lam hawiin. Hei hi ``pronation'' an ti a.
4. Pressure do rawh: Tunah chuan doctor chuan i kut dinglam atangin a chelh ang a, i kut chu a hmet thla ang. I tih tur chu pressure dodal a ni a, chu chu i kut chu hnuai lam pan ai chuan sang zawka nawr tum tihna a ni.
Hetih lai hian i kekawrteah natna i nei em tih doctor chuan a zawt a.
Step hnihna (thumb up) 1.1.
1. I kut dinhmun thlak rawh: Tunah chuan i kut chu a lehlamah her leh rawh. Mi pakhat hnenah thil i dil ang maiin i kutphah chu chunglam hawiin i kutpui chu pawn lam hawiin a awm bawk. He dinhmun hi `(supination)` an ti a. I kut chu lei nen parallel takin dah la, dinglam hawiin dah rawh.
2. Pressure do leh rawh: Doctor chuan a hma ang bawkin i kut chu a hmet leh ang. Pressure lakah i kut chu chawi sang turin i bei tur a ni.
Doctor chuan he hun lai hian engtin nge a na tih a zawt bawk.
‘Positive’ result tih awmzia chu eng nge ni?
Tunah hi a pawimawh ber a ni. He test hi heng condition pahnih hi a tlin phawt chuan ‘positive’ tia koh a ni:
- I position hmasa berah (i kutpui hnuai lam hawiin) i kekawrteah natna i nei tur a ni.
- Tin, position pahnihnaah (kutpui chu han hawi chungin) a hmaa natna hriat tawh chu nasa takin a tihtlem emaw, a bo vek emaw tur a ni.
He result hi chiang zawka hriat duh chuan a hnuaia table hi en la.
| Pain awmna hmun | Eng nge a awmzia (Possible Meaning) . |
|---|---|
| A shoulder joint chhunga natna thuk tak, hliam na tak | Hei hian labral tear a awm theih thu a tarlang fo thin . A chang chuan he natna hi ‘click’ ri nen a inzawm thin. |
| A kekawr chunglam atanga natna langsar tak | Hei hian AC joint a harsatna awm thei a tilang fo thin . |
He test hi 100% a dik em? Eng nge thleng leh ang?
Hei hi kan hriat vek a ngai a ni. O’Brien test hi hmanraw tangkai tak a ni a, shoulder problem chungchangah clue a pe thei che a ni . Mahse, 100% dik, chiang taka test a ni lo. A chang chuan kekawr hrisel nei chuan harsatna nei lo mahse he test hi a positive thei a ni.
Chuvangin, doctor chuan he test pakhat result chauh hi a ring ngai lo. Hei hi puzzle lian zawk pakhat ang mai a ni.
Doctor chuan he enfiahna result a ngaihtuah hnuah thutlukna hnuhnung ber a siam a, chubakah a hnuaia mite hi a ngaihtuah bawk a ni:
- The details you provide: Engtin nge natna a lo intan, engtik lai nge a nih, eng ang nge a nih, etc.
- Taksa test dang: Test dang, shoulder movement leh strength ang chi thil en thin.
A châng chuan, i doctor chuan i natna hriat chian lehzual nân test eng emaw zât dang neih belh leh tûrin a rawt thei bawk.
- X-ray, CT scan, emaw MRI: Chûngte chuan ke ruh chhûnga ruh, ruhro leh ruhte chu chiang takin a hmu thei a ni.
- Thisen test: Natna hi natna dang, gout emaw rheumatoid arthritis emaw avanga lo awm a nih leh nih loh enfiah thin ang che.
- Shoulder arthroscopy: Hei hi operation tenau tak a ni. Camera te tak te tak mai chu joint chhungah dahin a chhunga harsatna awm chu direct-in an hmu thei a ni.
Take-Home Thuchah a ni
- O’Brien test hi taksa enfiahna awlsam tak, natna nei lo, kekawrte na chhan hriat theihna tur a ni.
- Hei hian a bik takin shoulder-a cartilage (a bik takin labrum) a tear emaw, AC joint-a harsatna a awm emaw a tilang thei a ni.
- Test hi ‘positive’ a nih theih nan kutpui hnuai lam hawi chuan natna hriat tur a ni a, kutpui chunglam hawia a na chu a tlahniam tur a ni.
- He test ringawt pawh hian diagnosis siam nan a tawk lo. Doctor-in a tih tur evaluation kimchang tak pakhat chauh a ni.
- I shoulder pain reng reng i neih chuan ngaihthah suh, mahse doctor thiam tak hnenah enfiahna dik tak neih ngei ngei tur a ni.
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