Hei hi i ke ruh hnunglam natna thlentu a ni em? (Os Trigonum Syndrome) chungchang hi i zir dawn teh ang!

I ke ruh hnung lamah natna mak tak mai emaw, tightness emaw i nei ngai em? He natna hi a zual niin a lang em, a bik takin i ke ruh chunga ding i tum hian emaw, i tlan emaw, i zuang emaw hian? Chutiang a nih chuan vawiina kan sawi tur thupui hi i tan a pawimawh hle ang. Hetiang dinhmun hi `(Os Trigonum Syndrome)` kan ti a. A hming hi a mak deuh a, mahse hei hi mi thenkhatah chuan a awm thei a ni.

`(Os Trigonum Syndrome)` tih hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin `(Os Trigonum Syndrome)` hi i ke ruh hnunglam, chu chu ke ruh ruh (ankle joint)-a natna a ni. Hei hi a chhan ber chu ke ruh (`(talus bone)`) hnung lama ruh te tak te, extra, te tak te a awm a ni. He ruh dang hi `(os trigonum)` an ti a. Chuvangin, he ruh avanga symptoms set hi `(Os Trigonum Syndrome)` kan tih hi a ni. A awlsam hle mai, a dik em?

Hei hi thil dang an ti a, i hre tawh mai thei:

• `(Posterior ankle impingement syndrome)`: Chumi awmzia chu ke ruh hnung lamah pinching emaw impingement emaw a awm tihna a ni. `(Posterior)` chu hnunglam tihna a ni a, `(impingement)` tih awmzia chu impingement tihna a ni.
• Hindfoot impingement syndrome: Hei hian chutiang bawk chu a kawk bawk a, ke ruh hnunglam a pressure a ni.
• `Nutcracker-type impingement`: Hei hi hming hlimawm tak angin a lang thei a, mahse a awmzia chu ruh dang (`(os trigonum)`) chu a sir lehlamah kan hrual tihna a ni a, ring kan tihchhiat hian a sir lehlamah kan hrual ang bawkin. Chuvang chuan heti hian an sawi a ni.
• `(Posterior tibiotalar impingement syndrome)` tih hi a ni
• `(Talar compression syndrome)` tih a ni

A pawimawh ber chu he extra bone `(os trigonum)` tih hi congenital a ni . Chumi awmzia chu he ruh hi mi a pian hunah a awm thei tihna a ni. Ke pakhatah chauh a awm thei a, ke pahnihah pawh a awm thei bawk. He extra bone hi ke ruh bulpui nen hian tissue thuk tak `(cartilage)` an tih hmangin a inzawm a ni. Chuvangin a che vel lo. Ngaihtuah teh, a vaiin mi 15% leh 30% inkar hian he `(os trigonum)` ruh hi an nei a ni . Mahse mak tak mai chu, he ruh nei zawng zawng hian symptom an nei vek lo. Mi tam tak chuan he ruh extra hi an nei tih pawh an hre lo!

Tute nge ``Os Trigonum Syndrome'' vei tam zawk?

He `(os trigonum)` ruh hian natna a thlen theih nan chuan ke ruh hmuna hliam (`(trauma)`) eng emaw tak a awm a ngai tlangpui. Chu chu tlu thut emaw, accident emaw ang chi thil tihna a ni. A nih loh leh, he dinhmun hi `(repetitive stress)` vang pawh a ni thei a, chu chu ke ruh hnung lama pressure repeated a ni .

Entîr nân, hetiang hian ngaihtuah teh:

• Ballet dancer : An ke ruh hnuai lam hawiin an ding fo thin a, hei hian ke ruh hnunglam ah pressure nasa tak a siam thin.
• Soccer player : Ball an kick (kicking sports) hian an kein hnuai lam a hawi fo thin.
• Downhill runners/walkers: Ankle hnunglam pawh an hriat lohvin pressure an pe tam zawk bawk.

Chutiang thil ti thinte chu ``Posterior ankle impingement'' emaw ``Os Trigonum Syndrome'' emaw an vei theihna a sang hle.

Engvangin nge posterior ankle impingement hi a awm thin?

Kan sawi tawh ang khan ``Os Trigonum Syndrome'' hi chu ruh dang nei mi pakhatin chu ruh inzawmna hmunah hliam a neih chuan a thleng thin. Entîr nân, ke ruh tliak ang chi thil .

Chu bakah, hei hi ke ruh chunga pressure awm reng vang pawh a ni thei bawk. Ngaihtuah:

• Dancer chu kephah tip chunga a ding reng hian.
• Soccer player pakhatin ball a pet chhunzawm zel hian.
• Runner pakhatin a ke hmanga a nawr chhuah chuan (`(ankle hnunglam a nawr chhuak)`).

Hliam emaw, hman tam lutuk emaw avang hian ruh dang chu a innghahna hmun atang chuan a nawr emaw, a inhnukdawk emaw tan thin. Hei hian a chhehvel tissue te chu a tizau thei a, a ti chhe thei bawk. Hei hi natna lan chhuah dan, inflammation, swelling, leh pain te a lo awm hian a ni.

`(Os Trigonum Syndrome)` natna lan chhuah dan chu engte nge ni?

A tam zawkah chuan ``os trigonum`` ruh nei te pawhin an hre lo, a chhan chu harsatna a thlen lo.

Mahse ``Os Trigonum Syndrome'' i neih chuan i ke ruh hnung lamah hetiang symptom hi i hmu mai thei:

• Natna : Natna hi hriat theih a ni a, a bik takin i ke ruh lian tak i nawr chhuah emaw, i ke ruh hnuai lam i kawhhmuh emaw hian a na hle.
• Reduced range of motion : Ke chu a chung leh a hnuai lam, a sir lehlamah, a sir lehlamah sawn a harsa ta hle.
• Stiffness : A ke ruh chu a tight hle niin a lang.
• Swelling : Ke ruh hnunglam chu a hring thei.
• Khawih pawhin a nêm: Khawih pawhin a na .

Mi thenkhat chuan he natna hi pumpelh nan an kal dan te, an tlan dan te, an kick dan te, an zai dan te an thlak danglam thin. A chang chuan hre rengin hetiang hian an ti a, a chang chuan hriat lohvin an ti bawk.

Mahse, hetianga ke pianphung dinhmun a inthlak chuan taksa hmun dangah pawh lungawi lohna leh natna a awm thei a ni . Entirnan, ballet dancer ``Os Trigonum Syndrome`` vei chuan ke ruh zungbun atanga a ding laiin a ke chu a chhung lam emaw pawn lam emaw a tikehsawm thei. Mahse, hun kal zelah hei hian ke ruh, ke, khup emaw, hip emaw a ti na thei a ni.

Doctor te hian engtin nge Posterior Ankle Impingement hi an hriat theih?

I ke ruh na i neih chuan doctor chuan he natna hi i nei em tih hriat nan step engemaw zat a zawm ang:

1. Zawhna i zawt ang : I natna lan chhuah dan eng nge ni, eng thiltih nge natna thlentu, etc.

2. 2. A rilru a hah lutuk chuan a rilru a buai em em a.I medical history chungchang sawi: a hmaa i hliam te, natna dang i neih te.

3. I ke leh kekawrte enfiah : I ke kha han phar la, bend la, rotate la, eng ang chein nge natna a thlen tih i en ang.

Os Trigonum Syndrome symptoms hi natna dang nen a inang thei a, chu chu Achilles’ tendon injury emaw talus fracture emaw a ni thei. Chuvangin, i doctor chuan Os Trigonum a awm leh awm loh finfiah nan leh a chhan dang a awm loh nan imaging test a ti fo ang. Chûng zîngah chuan:

• X-ray hmanga enfiah (`(X-ray)`) .
• MRI scan (`(MRI)`) tih a ni.
• CT scan (`(CT scan)`) hmanga tih a ni.
• Ultrasound hmanga enfiah (`(Ultrasound)`) .

Heng test te hian ruh dang a awm leh awm loh leh a chhehvel tissue a tichhe em tih chiang takin a hriat theih a ni.

Engtin nge `(Posterior Ankle Impingement)` hi enkawl a nih?

He ke ruh hnung lama hliam hi enkawlna hi hmanraw awlsam tak, surgery ni lo hmanga tan a ni. Heng enkawlnate hi a inzawm khawm anga tih theih a ni:

• Natna thlen thei thiltih aṭangin ni engemaw zat chawlh hahdam rawh.
• In lama exercise emaw physical therapy emaw : Hengte hian ke ruh awmna tur a siam tha thei a, ke leh ke ruh a tichak thei bawk.
• Ni khatah vawi tam tak ice hnawih : Hei hian a hring (swelling) a tiziaawm thei.
• Ankle movement tihtlem nan walking boot bik bun : Hei hian hliam a tidam thei.
• Nonsteroidal anti-inflammatory drugs (NSAIDs) : Natna leh hliam tihziaawmna.
• Steroid injection : A chang chuan a natna a nasat chuan doctor ten heng injection te hi an rawt thin.

Mi tam tak chuan heng enkawlna awlsam tak takte hmang hian hahdamna an hmu thin. Mahse, thla engemaw zat enkawl hnua natna lan chhuahna a ṭhat loh chuan, a bik takin infiammi i nih chuan thiltih pakhata inhmang reng reng i nih chuan zai a ngai mai thei.

Surgery-ah hian os trigonum leh a chhehvela tissue chhia te chu lakchhuah a ni. Hei hi arthroscopically (camera leh instrument te chu incision tenau tlemte hmanga dah luh dan) emaw, open incision angin emaw tih theih a ni. Recovery period hi thla khat emaw thla hnih emaw vel a ni. Infiammi te hi thla ruk chhungin full sports activity-ah an kir leh thei tlangpui.

Engtin nge he `(Posterior Ankle Impingement)` hi kan ven theih ang?

Dik tak chuan chu ruh dang ``os trigonum'' an tih chu a lo piang lo. Pian tirh laia awm reng thil a ni. Mahse pakhat (a nih loh leh pahnih!) i neih chuan, ke ruh hliam laka fimkhur a, i ke ruh hnuai lam hawi rengtu thiltih atanga inthiarfihlim , he syndrome hi i vei theihna tur i tihtlem thei a ni.

`(Os Trigonum Syndrome)` vei chuan eng ang hmalam hun nge a beisei theih ang?

Hlauh tur a awm lo! `(Os Trigonum Syndrome)` vei tam zawk hi chawlh hahdam leh non-surgical treatment hmangin an dam tha hle . Mahse thil pakhat hriat reng tur chu, natna lan chhuahna thlentu thiltih i chhunzawm leh chuan a lan chhuah dan chu a lo lang leh thei tih hi a ni. Chuvangin fimkhur deuh a tha.

Engtin nge ka ke ruhte hi ka humhim theih ang?

I ke ruh hliam laka ven nan heng thil tlemte hi hre reng ang che:

• I thiltih tur atana inmil tur pheikhawk bun rawh. Kekawr hlui, chhe tawh tak takte chu paih vek rawh.
• Hmun inang lo emaw, khur awmna hmun emaw chu pumpelh rawh. Entirnan, tlan laiin tlang hnuai lam, soccer khelh laiin field inthlau emaw, khur awmna emaw, dance studio-a floor chhe te.
• I ke ruh i hliam fo a nih chuan i ke ruh ti nghet turin brace emaw tape bik emaw hman tum ang che.
• Zawi zawiin i exercise nasatzia tipung rawh. Entirnan, Soccer i la khel ngai lo a nih chuan ni khatah darkar thum chhung chu inkhel tan nghal mai suh. Tlemte atanga tan la, zawi zawiin hun leh chakna tipung rawh.
• Technique dik tak zir la, practice la, a bik takin tlan lai te, ball pet lai te, leh zai lai te.
• I taksa chu ngaithla rawh. Thil engemaw a na a nih chuan ti tawh suh.
• Taksa tihchak hmain in lum tha la, chumi hnuah pawh insiam tha rawh.

Anterior Ankle Impingement leh Posterior Ankle Impingement te hi eng nge an danglamna?

Heng pahnih hi ke ruh tliak ni mah se, hmun hnihah a awm.

• Posterior ankle impingement syndrome (vawia kan sawi tawh kha) hi i ke ruh hnung lamah a awm thin . I ke hnuai lam i hawi chuan he hmuna tissue hi a pinch a, natna a thlen thin. Chu extra bone os trigonum an tih chu neih chuan heng symptoms te hi a tipung a ni.
• Anterior ankle impingement syndrome hi i ke ruh hma lamah a awm thin . Extra bone spurs (bone spurs) ankle joint hmalam emaw, shin bone hnuai lam emaw a lo awm vang a ni.

A awlsam zawngin ``Posterior ankle impingement`` ah chuan a natna hi ke ruh hnunglam atanga lo chhuak a ni a, ``Anterior ankle impingement`` ah chuan a natna hi ke ruh hmalam atanga lo chhuak a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

``Os Trigonum Syndrome`` hi ke ruh hnunglam natna thlentu a ni. Pian tirh atanga ruh extra piece awm vang a ni. Runner, zai thiam, leh soccer ang chi infiamna khel thinte zingah a tam ber.

Hetiang ke ruh natna i neih chuan doctor pan ngei ngei tur a ni. Tichuan, eng enkawlna nge i tan a tha tih chiang takin i hre thei ang a, he natna hi engtin nge i enkawl ang tih i hre thei ang. Natna tlemte pawh ngaihthah suh tih hre reng ang che!

I ke ruhte enkawl la, hrisel takin awm rawh!

` Ankle na, os trigonum, posterior ankle impingement, ruh extra, infiamna lama hliam, ke na, physical therapy