I kekawrte a na em? Rotator cuff tear a ni thei!

I kephah chawi emaw, inher emaw pawh i harsat em? I tih chuan a na em? A châng chuan zan lama i mut lai hian i kekawr ipteah pawh rit i dah theih loh khawpa natna i nei em? A nih loh leh i kekawr chhungah thil ‘tucked’ ang maiin i inhria em, a nih loh leh a inkhung tlat ang maiin i hria em? Tichuan he thawnthu hi i tan a pawimawh hle ang. Vawiin hian mi tam takin an neih, mahse an hriat chian loh shoulder problem chungchang kan sawi dawn a ni. Chu chu ke ruhro rotator cuff an tih hmuna tear a ni .

A rilru a buai em em a, a rilru a hah em em bawk a. rotator cuff of the shoulder? Engtin nge a phelh?

A awlsam zawngin sawi ila, rotator cuff hi i kekawr iptea taksa peng pali leh an ruhkawr (tendons) awmkhawmna a ni a, chu chuan ke ruhkawr vel chu ‘cuff’ emaw bracelet te tak te a siam a ni.

A hnathawh ber chu i kut chu chawi sang, tihhniam, leh inher chhuah tir che a ni . I kut chunglam ruh (damdawi lam hawia humerus kan tih) ball ang chi chu shoulder blade-a a socket-ah a awm reng theih nan a pui bawk. Golf tee-a golf ball ang maiin han ngaihtuah teh. Chutiang chuan kan shoulder joint hian hna a thawk a ni. Rotator cuff hian tee atanga ball a bounce loh nan a pui thin.

Chuvangin, rotator cuff tear chu chutiang tendon pakhat emaw a aia tam emaw chu upper arm bone (humerus) atanga a pum emaw, a then emaw a inthen chuan a ni. Hei hi a thleng nghal thei (tlu ang chi), a nih loh leh hun kal zelah tendon a chhe lutuk avangin a thleng thei bawk.

Heng mittui chi hrang hrang hi a awm em?

Ni e, chi hnih a awm ber a:

1. Partial Tear: Hei hi ruh atanga tendon a inthen kim loh hun a ni. Chumi awmzia chu ruh chu eng emaw chen chu ruh nen hian a la inzawm tlat tihna a ni. Mahse, a chhe deuh a, a chak lo hle. Puan hruihrual, a phelh kim lova a hrual deuh ang mai a ni.

2. Complete Tear emaw Full-Thickness Tear: Hei hi ruh atanga tendon a inthen vek hun a ni. A bik takin, tendon hian khur a nei niin a lang a, a nih loh leh a inthen vek a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Rotator cuff tears hi a takah chuan i ngaihtuah aiin a tam zawk. A bik takin puitling kum upa lam zingah an tam hle . Statistics thenkhat atanga a lan dan chuan khawvel hmun hrang hrangah kum tin mi maktaduai tam takin he rotator cuff problem hi an tuar thin.

Ngaihtuah teh, mi thenkhat chuan he mittui hi nei mahse symptom an nei lova, chuvangin an nei tih pawh an hre lo! A chang chuan chutiang chuan a ngawi reng thei.

Eng nge a lan chhuah dan? Hemi chungchangah hian engtin nge i ngaih?

Rotator cuff tear natna lan chhuah dan hi mi hrang hrangah a inang lo thei a, mahse a lan chhuah dan tlangpui thenkhat a awm a:

• A harsa a, a na a, kut chu a han chawi sang emaw, a hniam emaw, a herh emaw hian chakna a awm lo ang maiin a lang.Hetiang natna hi i sam i hrual emaw, i hnungzang i hrual emaw, thil lak chhuah tumin i kut i phar emaw hian a awm thei.
• When I move my arm in a certain way , ka kekawr chhung atang hian ‘tick-tock’ emaw ‘chiri-chiri’ emaw ri ka hre thin a, a nih loh leh thil pakhat a inher emaw, a chhungah a inkhung emaw ang maiin ka hria.
• Zan lamah chuan shoulder na hi a na zual duh hle. A bik takin hliam lam a mut hian a natna hi a na thei hle. Mi thenkhat chuan an kut chu an sir lama dah mai mai pawhin natna an nei thin.
• I kekawrte chu a chak lo va, thil chawi a harsat a, kawngkhar hawn a harsat phah a, etc. A hmaa thil awlsam tak tak tih chu i harsat phah mai thei.

He natna hi eng ang chiah nge ni?

Hei pawh hi mi tin tan a inang lo. Ṭhenkhat chuan an kekawrte chhûnga thil awm ang maia natna dull, constant ache an nei thei a, chu chu a rit hle bawk . Mi dangte chuan natna khirh tak, hliam tuar thei tak an nei thei bawk .

• Mittui chu accident (acute tear) , tlu ang chi a lo awm a nih chuan, i ke ruh natna tuar theih loh leh kut chakna hloh vek i nei nghal mai thei.
• In a degenerative tear , a natna chu a tir lamah chuan a na lo thei hle. Over-the-counter pain relievers (OTC pain relievers) hmanga tihdam theih a ni . Mahse, hun kal zelah a natna chu a na zual thei a, damdawiin a reh lo thei bawk.
• A pawimawh ber chu mi zawng zawng hian natna an tuar vek dawn lo a, mahse mi tam zawk chuan an kut leh keah chak lohna engemaw zat an nei ngei ang.

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

Rotator cuff tear chhan awm thei engemaw zat a awm.

1. Hliam na tak: 1.1.

Tendon chu tlu emaw, kekawrte na taka vuak emaw, thil rit tak chawi laia a kekawrte a tihbuai nghal emaw a nih chuan a chhe thei a ni. A chang chuan rotator cuff hi a ke ruh a inthlak emaw, a ke ruh a tliak emaw pawhin a chhe thei bawk.

2. Mittui chhe thei:

Hei hi a chhan tam ber a ni. Hetiang hlauhawmna hi kum 40 chunglamte tan a sang hle a, hei hi a thlen theih chhan hrang hrang a awm a:

• Bone spurs: Mi thenkhat chuan an shoulder bone chung lamah ruh spurs te te (`(Bone spurs)`) an nei a, chutah chuan tendon a kal tlang thin. Kan kut kan han chawi sang chuan heng ruh zung (bone spurs) te hian tendon-ah an inhnamhnawih thin. Hei hi ``Shoulder Impingement`` an ti a. Hei hian a hrual chhunzawm zel chuan, lungpui chunga hrui in chil ang maiin, tendon chu a chak lo thei a, a chhe thei bawk.
• Thisen kal dan tlahniam: 1.1.Kan tar chhoh zel chuan rotator cuff tendons-a thisen supply a tlahniam a. Kan taksa peng eng pawh a hliam chuan a dam theih nan thisen tha tak neih a pawimawh hle. Chuvangin, he thisen supply hi a tling tawk lo a nih chuan tendon chu a chak lo a, hliam tenau tak pawh chu a dam awlsam lo va, zawi zawiin mittui lian takah a kal thei a ni.
• Overuse leh Repetitive Motions te chu:

Infiamna khelh emaw, nitin hna thawh emaw pawh nise, chutiang bawka i kekawr i hman chuan taksa ruh leh ruh (muscles) leh ruh (tendons)-ah stress nasa tak a siam a ni. Hei hian tendon a tichak lo thei a, a tikehsawm thei bawk. Lemziak a siam laiin a chunglam hawi reng emaw, thingrem hna thawk emaw, cricket emaw, volleyball emaw khelh laiin fast bowling bowl rengtu emaw hi han ngaihtuah teh. Risk sang zawkah an awm a ni.

Hetiang hi tuin nge nei tam zawk? (Risk Factor hrang hrang) 1.1.

Dik tak chuan tu pawhin rotator cuff tear an nei thei. Mahse, mi thenkhat chu an hlauhawmna a sang deuh hlek a ni. Hêng thudikte hi i tân a inmil em tih en rawh:

• Kum: Kum 40 chunglamte chu an hlauhawmna a sang zawk a, a chhan chu kum upat danah tendon chakna leh flexibility a tlahniam a ni.
• Chhungkaw chanchin: I chhungkuaa mi (nu, pa, unau) tu emaw chuan ke ruh lama harsatna, rotator cuff tears ang chi a neih chuan i hlauhawmna pawh a sang deuh thei bawk.
• Meizial zuk: Meizial zu thinte hian tendon damna rate an nei slow zawk a, an tendon pawh a tichak lo thei bawk.
• Poor Posture: Mite chuan computer-a hnathawk emaw, an phone hmang emaw, ding emaw, thut emaw laiin an kekawrte hmalam hawia hunch-in an kekawrte chu a tul lovah pressure an siam thei a ni.
• Hna leh infiamna thenkhat: A hmaa kan sawi tawh ang khan, ke ruh inthlak nawn fo thinte hian heng mittui tlakchhamna hi an nei tam zawk thin. Entir nan:
• Thingrem siamtute
• Painter te pawh an awm
• Lirthei technician te an ni
• Heavy lifting hna thawk thinte
• Infiammi: A bik takin infiamna, baseball, softball, tennis, tui chawi, lawng chawlhna lama khel thinte. Kan rama mi lar tak tak, cricket (a bik takin bowler), volleyball, leh badminton ang chi infiamna khel thinte pawh an hlauhawm hle.

Enkawlna pek loh chuan eng nge thleng? (Buaina awm thei) .

Hei hi mi tam takin an zawh thin a ni. "A na deuh a nih chuan a pawi lo, a mah chauhin a dam leh mai ang ." A chhan chu, enkawl loh chuan he rotator cuff tear hi a na zual thei a ni.

• A then tear te pawh hi shoulder hman chhunzawm zel chuan tear complete ah a lo thang lian thei a ni.
• Mittui tla vek a awm chuan i kut i che thei lo emaw, i chawi thei lo emaw thlengin a hruai thei a ni.
• >Hun rei tak enkawl loh chuan i ke ruh natna rei tak i nei thei a, i kut hliam chu nitin hnathawhna atana hman theih loh khawpin i chak lo thei a, harsatna dang, ke ruh ruh (arthritis) ang chi i nei thei bawk.

Engtin nge hetiang chiah hian i diagnose?

I kephah na emaw, nuam lo emaw i neih chuan i tih hmasak ber tur chu Doctor pan a ni. Zawhna a zawt ang che a, a enfiah ang che.

1. Physical Exam: Doctor chuan i kekawrte chu a hrethiam ang a, a nalh leh a hring a awm leh awm loh a enfiah ang. Chumi hnuah chuan i kut chu kawng hrang hrang (range of motion)-a kalpui turin a ti ang che a, i kut chakna chu a enfiah ang. Heng test te hian rotator cuff problem i neih leh neih loh rough idea a pe thei a ni.

2. Special tests (Imaging Tests): Diagnosis hriat chian nan a hnuaia test te hi tih theih a ni:

• X-ray: Hei hian direct-in tendon torn a lantir thei lo. Mahse, ruh spurs, arthritis leh ruh lama harsatna dangte ang chi thil a check thei a ni.
• MRI (Magnetic Resonance Imaging): Hei hi rotator cuff tears zawngna atana test tha ber a ni. Tendon engzat nge a hrual tih leh eng chi tear nge a nih (partial emaw complete emaw) chiang takin a tarlang thei.
• Ultrasound Scan: Hei hi tendon tear leh swelling ang chi thil te enfiah nan pawh hman theih a ni. MRI aiin test rang zawk leh man tlawm zawka tih theih a ni.

Hei hi eng enkawl dan nge ni ang?

Thu lawmawm tak chu rotator cuff tear hi enkawlna hrang hrang a awm a. I doctor chuan i mittui tlak dan, i kum leh i activity level te a zirin i tan enkawlna tha ber a ruat ang.

Enkawl dan hi chi hnih ah then theih a ni a, chungte chu:

1. Nonsurgical duhthlan tur

Hei hi mi tam tak tan chuan a pawimawh hle: Rotator cuff tears hi operation tel lo chuan a dam kim lo (tendon reattaches) a ni. Mahse, mi tam tak (a bik takin mittui tla thenkhat nei emaw, kum upa zawk emaw) chuan natna a tiziaawm thei a, kekawrte hnathawh a ti tha a, nitin hnathawhna tur operation tel lova an tih theihna tur level-ah an kir leh thei a ni.

Dik tak chuan, zirchianna chuan mittui tla ṭhenkhat nei mi sawm zinga pariat vel chu non-surgical treatment hmangin an dam ṭha thei tih a tarlang . Mahse, he dinhmun hi a ṭhat theih nan thla tam tak, kum tam tak pawh a ngai thei. Enkawlna kawngah i dawhtheih a ngai a ni.

Heng non-surgical treatment te hi engte nge ni?

• Chawlh hahdam leh Activity tihdanglam:I kekawrte chawlh hahdam a pawimawh hle. Hun engemaw chen chu thiltih emaw, infiamna emaw, natna thlentu i chawlhsan emaw, tihtlem emaw a ngai mai thei. I doctor pawhin ni engemaw zat chu arm sling bun turin a rawt thei bawk.
• Natna tihdamna: I doctor chuan natna leh hliam tihziaawmna turin natna tidamtu pawl ``NSAIDs - Nonsteroidal anti-inflammatory drugs'' (e.g., Ibuprofen, Diclofenac) atanga damdawi ei tur a rawt thei ang.
• Physical Therapy: Hei hi non-surgical treatment-a thil pawimawh ber a ni. Physics therapist thiam tak chuan i ke ruh tichak turin exercise tihchakna leh i kekawrte chetna tur tipung turin stretching exercise a zirtir ang che. Heng exercise te hi dik taka tih hian natna a tiziaawm thei a, i shoulder function pawh a ti tha thei bawk.
• Steroid Injection: A natna leh a hring a nasat chuan i doctor chuan i shoulder joint-ah steroid injection (e.g., cortisone shot) pek che a rel thei ang. Hei hian chhanchhuahna rang tak a pe thei a, mahse hun rei lote chhunga chinfelna chauh a ni. Heng injection te hi ei chhunzawm zel hi a tha lo.

2. Surgery tih theih dan tur

A hnuaia mite hi operation neih a ngai a ni:

• Mittui tla kim i neih chuan (a bik takin mittui tla lian tak a nih chuan).
• Partial tear ni mahse thla 6-12 chhung non-surgical treatment hnuah pawh hmasawnna a awm lo.
• I la naupang a, i thawkrim a, i hna emaw, i infiamna emaw hian i kekawrteah a innghat nasa hle a nih chuan.
• Acute injury avanga major tear a awm chuan.

Tunah chuan rotator cuff surgery tam zawk hi arthroscopically hmanga tih a ni tawh . Chumi awmzia chu camera te tak te (arthroscope) leh surgical instrument te chu a kekawr iptea incision tenau engemaw zat hmangin an dah tihna a ni. Hetiang tih hian natna a tlem a, a dam chak zawk a, a chhan chu incision lian tak a awm loh vang a ni. Mahse, a châng chuan mittui chu a lian hle emaw, a buaithlâk hle emaw a nih chuan, surgeon chuan open surgery (a tih chu a lian deuh deuh a ngai) a ti thei a ni.

Surgery tum ber chu ruh natna (tendon) chhe tawh chu ruh nena inzawm leh hi a ni. A châng chuan ruh zung (bone spurs) a awm chuan an la chhuak bawk.

• In the case of a partial tear , surgeon chuan a ruh hring hring, a chhe tawh ṭhenkhat chu a tan chauh a ngai mai thei. Hei hi debridement an ti a .
• Mittui thenkhat chu a lian leh te, eng chen nge a awm tawh tih leh a tendon dinhmun avang hian siamthat theih loh mittui a ni thei. Chutiang hunah chuan surgery dang ngaihtuah a ngai mai thei. Entirnan, ``Reverse shoulder replacement`` (shoulder joint thlak nan surgery bik) emaw ``Tendon transfer`` (tendon hrisel tak chu hmun dang atanga rawn luhtir a, fixed) emaw a ni.

He surgery hi a ni vek emaw, a tuk emaw (`outpatient procedure` emaw short stay) emaw-ah tih a ni tlangpui. Mahse, he surgery atanga a dam kim theih nan hun rei tak a ngai a, kum khat emaw a aia tam emaw pawh a ni thei.

A dam leh theih nan eng chen nge hun a duh? (Recovery Hun) 1.1.

Hei hi mi tam takin ngaihtuahna senga an zawh thin a ni.

• Operation tel lo chuan physical therapy leh enkawlna dang hmanga natna a tlahniam a, hnathawh a pung theih nan thla engemaw zat a ngai thei.
• Surgery i neih chuan, .
• Surgery zawhah chuan i kut a chet loh nan kar 4 atanga kar 6 vel sling i bun a ngai dawn a ni. Hemi hun chhung hian i kekawrte chawlh hahdam a pawimawh hle.
• Tichuan physical therapy i tan a ngai a ni . Hei hi tih ngai tak a ni ngei ang. Zawi zawiin shoulder movement hmangin i tan a, chutah chuan exercise chakna lam i pan leh thin.
• Mi tam zawk chuan operation an neih atanga thla 4 atanga thla 6 chhungin shoulder function leh chakna pangngai an nei leh a , nitin hna an thawk thei bawk.
• Mahse, a dam kim theih nan leh infiamna ang chi thila a kir leh theih nan thla 9, thla 12, a nih loh leh thla 18 pawh a ngai thei. Mittui lian leh te, operation chi hrang hrang, i kum leh physical therapy i tih that danah a innghat a ni.

Dam hnuah eng nge thleng ang? (Prognosis/Hmuh dan tur) 1.1.

Mi tam zawk chu rotator cuff tear hnuah an dam tha thei hle.

• Mi tam tak chuan non-surgical treatment hmangin natna a tlahniam a, functional status pawh a ti tha zawk thin .
• Surgery hmang hian, a bik takin tunlai technique hmanga arthroscopy ang chi hmangin mi tam tak chuan shoulder function tha tak an nei leh thei a ni.
• Mahse, chu tendon ang chiah chu a inthlak leh theihna chance tlemte a awm. He hlauhawmna hi a bik takin mittui tla hmasa ber a lian hle a nih chuan, emaw, kum upa zawk emaw, zu in tawh emaw a nih chuan a sang hle. A hrual leh a, natna nasa tak a thlen emaw, hnathawh a hloh emaw a nih chuan operation tih leh i ngaihtuah leh mai thei.

Hei hi a thlen leh tawh loh nan ven theih a ni em? (Invenna) 1.1.

A ven kim thei lo nain, symptomatic rotator cuff tear i neih theihna tur tihziaawmna tur thil i tih theih a awm a:

• I shoulder muscle te chu chak leh flexible takin vawng reng ang che. Shoulder stretching leh strengthening exercise neih fo thin ang che. Hemi chungchangah hian i doctor emaw physical therapist emaw hnenah thurawn zawt rawh.
• Hnathawh emaw, infiamna emaw i khelh laiin dinhmun dik tak vawng reng rawh.
• Movement inang chiah i tih leh nawn leh chuan a inkar ah chawlh la rawh. I kekawrte chu overexert suh.
• Bungraw i chawi dawnin, uluk takin chawi tur a ni. Vawi khatah hrual vek suh la, i kekawrte hmangin chawi sang mai rawh.
• Meizial i zu a nih chuan titawp rawh.

Engtikah nge I Healthcare Provider I Biak Tur?

Heng symptoms te hi i neih chuan doctor hnenah thurawn dil ngei ngei tur a ni:

• Kar engemaw zat chhunga awm tawh, ke leh/ emaw kut natna.
• Zanah a na zual a, mut a tibuai a nih chuan.
• Shoulder joint-a khawih chuan a sen, a hring, a na nasa tak a awm chuan.
• I ke emaw i kut emaw a chak lohna thut i neih chuan , a bik takin accident hnuah.
• I ke ruh natna leh nuam lo lutuk hian nitin hnathawh i tih theih loh khawpa a nghawng a nih chuan .

Doctor hnenah eng zawhna nge i zawh tur?

Doctor hmu tura i kal dawnin hetiang zawhna hi zawt hreh suh:

• Engtin nge he rotator cuff tear hi ka neih theih? Ka dinhmunah hian eng nge a chhan ber?
• Eng ang mittui nge ka mittui (partial, complete)? Engtiang chiahin nge a lian?
• Ka tan enge inenkawlna tha ber? Surgery ka mamawh em?
• Surgery ni lo enkawlna atang hian eng chen nge hmasawnna ka beisei theih ang?
• Surgery ka neih chuan eng nge a hlauhawmna? Eng chen nge a dam leh theih ang?
• Hetiang mittui tlakna hi a lo thlen leh tawh loh nan eng nge ka tih theih ang?
• Eng thiltih nge ka pumpelh ang? Eng thil nge ka tih theih ang?
• Complication awmte chu ka hriat chian tur em ni? Chutiang harsatnate chhinchhiahna chu engte nge ni?

Hnathawh tam emaw, infiammi i nih emaw chuan rotator cuff tear hian i hnathawh emaw, infiamna emaw atanga hun engemaw chen a hruai bo thei che a ni. Mahse, i career tawp lam emaw, i sports career tawp lam emaw a nih a ngai lo. I doctor nen i tana enkawlna tha ber chungchang sawi rawh – non-surgical emaw surgical emaw pawh nise. I kekawrte chu rei lo te chhung chu na leh chak lo mah se, hun kal zelah a dam thei a, enkawl dan dik tak leh mahni thawhrimna nen a dam thei a ni. Dawhtheihna leh doctor thupek zawm hi a pawimawh ber a ni.

Take-Home Thuchah a ni

Rotator cuff tear hi thil awmze nei tak, mahse a na thei hle a, ke ruh na leh chak lohna a thlen thei a ni.

• A chhan: Accident, kum upat ruala inhmeh lo, kekawrte hman tam lutuk, leh ruh zung (bone spurs) lo awm.
• A lan chhuah dan: Kekawrte na (a bik takin zan leh kut chawi lai), kut chawi harsa, chak lohna, kekawr atanga ‘click’ ri lo chhuak.
• Test: Taksa enfiah, X-ray, MRI emaw Ultrasound scan emaw a ni.
• Enkawl dan: Chawlh hahdam, natna tidamtu (NSAIDs), taksa lam enkawlna, steroid injection, leh a tul chuan surgery (arthroscopic surgery ang chi) te.
• A pawimawh ber: I ke ruh natna emaw, i rilru hahna emaw i neih reng chuan doctor pan rawh. I hriat chian thuai a, enkawl i tan chuan i dam theihna chance a sang zawk. Mahni inenkawl tum suh! I kekawrte chu a hlu a ni.

` Kekawrte na, rotator cuff, tendon tear, shoulder hliam, physical therapy, shoulder surgery, rotator cuff tear