Kut a na em? Kut ruh pahnih a tlakbuak (Scapholunate Dissociation) dinhmun a ni thei!

I kutphah ah hian thil mak emaw, na emaw i nei fo thin em? He natna hi i tlu emaw, thil rit tak i chawi emaw, infiamna i khelh emaw atanga intan a ni mai thei. A tam zawkah chuan, "Aw, a hliam mai mai a ni," tiin kan ngaihtuah thin. Mahse, a châng chuan, hei hi ngaihven deuh deuh ngai dinhmun a ni thei. Chu chu vawiinah hian kan sawi dawn a, chu chu kut zungtang-a lo awm, ngun zawka enfiah a ngai a ni.

He wrist bone dislocation hi eng nge ni? (Scapholunate inthen darhna) 1.1.

A awlsam zawngin, he `(Scapholunate Dissociation)` hi kan kutphah chhunga ruh te tak te pahnih, `Scaphoid` ruh leh `Lunate` ruh te chu an awmna tur hmun atanga tlem an inthlak a, an inkarah gap, a nih loh leh `gap` siam a ni. A dik tak chuan heng ruh pahnih hi ligament chak tak hmanga inzawmkhawm a ni a, chu chu `Scapholunate Interosseous Ligament (SLIL) kan ti a ni. Accident thenkhatah chuan, a bik takin kut a inher a, a tlak chuan he `ligament` hi a chhe thei a ni. Chutah chuan ruh pahnih inzawmna chu a lo chhuak a, an inher kual tan ta a ni. I kutphah i hman hian heng ruh pahnih hi an inhlat a, a nih loh leh `dissociate` a ni.

Hei hi hrui pahnih hmanga inzawm khawm knot ang a ni. Knot a tight chhung chuan hrui pahnih chu a inzawm khawm a, mahse knot a lo chhuah chuan hrui pahnih chu a inthen ta a ni.

He natna hi tuin nge vei tam zawk?

Dik tak chuan he `(Scapholunate Dissociation)` an tih hi tu pawhah a awm thei a, mipa leh hmeichhia, hnam leh sakhaw hrang hrang thliar lovin. Mahse, a hlauhawm ber chu kut leh khup chunga tlu te tan a ni . Ngaihtuah teh, kawngpuiah i kal a, rang takin i tlu a, chutah chuan kan in chhanchhuah nan automatic-in leiah kan kut kan nghat a. Chutih lai tak chuan he accident hi a thlen tam ber a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Kan hmuh angin, kut zungtang dang kan en chuan he `(Scapholunate Dissociation)` dinhmun hi 5% (`5%`) velin kan hmu thei a ni Tin, kutphah hmuna ruh tliak thenkhat, a bik takin ``distal radius fractures`` kan tih chi, chu chu kut ruh lian tak chu kutphah hnaih taka a tliak chuan he `(SL dissociation)` condition nei zinga 40% (`40%`) vel ah hmuh theih a ni . Fracture bik thenkhat, ``chauffeur fractures`` ang chi te pawh a awm a, chu chu hetiang hi hmuh tur a ni.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Ka sawi tawh ang khan hei hi a chhan ber chu ``kut phar chunga tlu`` a ni fo thin . A dik tak chuan, i tlu a, i kut leia i dah a, a chungah rit i dah chuan, chu pressure chuan ``scapholunate interosseous ligament (SLIL)`` chu a tikehsawm thei a ni.

Chumi piah lamah chuan chhan dang engemaw zat a awm thei bawk:

• Lirthei accident-a steering wheel khauh taka vawn, car ang chi: He ligament hi a intlansiak nghal laiin kut a tlak avangin a chhe thei a ni.
• Hereditary condition thenkhat: Entirnan, `Hereditary Spastic Paraparesis` ang chi condition te.
• Congenital Ligament Laxity: Mi thenkhat chu an pian tirh atanga an ruh ruh (joint) a loose ligament nei an ni . Hei pawh hi an chungah a thleng tam zawk.
• Rheumatoid Arthritis: Hei hi ruh natna a ni a, ruhkawr a ti na a. He natna hian ligament a tichak lo thei bawk a, chu chuan he natna hi a thlen thei a ni.

Hei hi eng symptoms nge ni? Engtin nge a awm?

``Scapholunate Dissociation'' tih condition i neih chuan a tlangpuiin a hnuaia mi hi i tawng ang:

• Kut hnunglam natna, a bik takin thil pakhat nghet taka i vawn laiin (`strong gripping motion`) : entirnan, bottle cap hawn emaw, kawngkhar khar emaw.
• Grip strength lama chak lohna: A hma anga thil chelh nghet thei lo.
• Kut vel a hring leh a hring: Kut vel chu a hring a, khawih a na hle.
• I kutphah i phar laiin natna: I kut i han hawi let chuan a na.
• A chang chuan i kutphah atanga "click" ri lo chhuak i hre thei bawk.

Heng symptoms te hi mi zawng zawng tan a inang vek lo tih hre reng ang che. Mi thenkhat chuan natna an nei tam zawk a, thenkhat chuan an nei tlem zawk. Chuvangin, i kutphahah thil danglam tak i hriat chuan doctor pan a tha ber.

Engtin nge doctor hian hei hi a hriat chian?

Doctor i pan hunah i symptoms te an zawt hmasa ang che. Eng chen nge natna i neih tawh a, engtin nge a lo intan a, engtikah nge a na zual? Tichuan i kutphah chu a na, a hring emaw, a hring emaw a awm em tih an enfiah ang.

Chu bakah, doctor chuan test a ti thei bawk a, chungte chu:

• Scaphoid Shift Test: He test-ah hian doctor chuan a kut chu i scaphoid ruh chungah a dah a, i kutphah a ti che a. He test hian scaphoid ruh stability a enfiah thin.
• X-ray: Hei hian scaphoid leh lunate ruh (scapholunate gap) inkar gap a lian zia a hriat theih. A tlangpuiin he gap hi millimeter 2 (2 mm) aia tlem lo a ni. Mahse, SL dissociation a nih chuan he gap hi millimeter 5 (5 mm) aia tam a ni thei. A châng chuan, X-ray-ah "ring sign" an tih thil pakhat i hmu thei bawk. Hei hi scaphoid ruh inmil lohna a ni.
• MRI (Magnetic Resonance Imaging) hmanga enfiah a nih chuan:MRI hian scapholunate interosseous ligament (SLIL) chu a chhe tawh em tih chiang takin a tarlang thei a ni. Ruh chhehvela tissue nem tak takte thlalak tha tak a hmu thei.
• Arthroscopy: Hei hian incision te tak te tak siam a, chuta tang chuan camera (scope) dahin ruh chhung lam en a ni. Hei hian ligaments chhiatna chu direct-in a hmu thei a ni. A chang chuan arthroscopy nen hian enkawlna hi a rualin tih theih a ni.

Hei hi engtin nge enkawl a nih? (Tihdamna)

`Scapholunate Dissociation` tih natna kan enkawl hian a hmasa ber atan:

• Analgesics: Natna tihziaawm nan damdawi pek thin a ni.
• Splinting: Kut leh kut zungtang chu a che thei lo turin splint bik hman a ni. Hei hian ligament chhia te chu a dam theih nan a pui thin.

Tichuan, i doctor chuan kut lama mithiamte hnenah a refer mai thei che a ni. Hetiang dinhmun hi a hliam atanga kar ruk chhungin kut zai a ngai fo thin.

Surgery neih chhung hian general anesthesia pek i ni ang (i muhil vek tawh tihna a ni), a nih loh leh regional anesthesia pek i ni ang (i numbed chauh tihna a ni). Surgery neih chhung hian doctor chuan:

• A kutphah hnung lamah hian incision te tak te siam a ni.
• Tissue chhia chu lakchhuah a, tihfai a ni.
• Tichuan, scaphoid leh lunate ruh inkar gap khar nan, chu chu ruh pahnih inzawmkhawm leh tur chuan, nangmah ngeiin i taksa hmun dang atanga lak chhuah tendon, suture emaw, thir screw emaw ang chi thil i hmang thin.
• A tawpah chuan incision chu an sewn leh ta a ni.

He risk tihtlem nan hian eng nge ka tih theih ang?

`(Scapholunate Dissociation)` hlauhawmna tihziaawm nan a pawimawh ber chu tlu laka invenna tura hma lak hi a ni. Hetiang thil hi i ti thei ang:

• Balance, coordination leh chakna tichaktu exercise-a tel.
• In chhunga trip hlauhawmna tihbo. Entîr nân, hrui hrual, êng ṭha lo, leh rug te chu enfiah rawh.
• A tul chuan assistive device, cane emaw walker emaw hmang ang che.
• Kekawr flat, nghet, traction tha tak ha.

Hetiang dinhmun hi ka neih chuan eng nge ka beisei theih ang? (Buaina awm thei) .

SL dissociation enkawlna i hmuh thuai loh chuan heng ang harsatna hi a awm thei a ni:

• Chronic pain: I kutphah natna chhunzawm zel i nei thei.
• Inflammatory arthritis: Arthritis hi ruh natna (inflammatory arthritis) nen a lo awm thei a.
• Joint instability: Kut chu thunun theih loh khawpa che ang maiin a awm thei.
• Grip strength tihtlem: Thil i grip tha thei lo mai thei.
• Scapholunate Advanced Collapse (SLAC) Ankle: Hei hi degenerative arthritis condition a ni a, kut ruh a ti chhe thin. Hei hi a pawi hle thei a ni.

(Scapholunate Dissociation) ka neih chuan eng chen nge ka dam leh theih ang? (Hmuh dan tur) .

SL dissociation surgery i neih chuan a hnu kar engemaw zat chhung chu cast i bun a ngai dawn a ni. Doctor-in a lakchhuah hnuah physical therapy hian i kutphah chakna a neih leh theih nan a pui ang. Enkawlna dik leh taksa enkawlna tha tak nen chuan thla engemaw zat chhungin i hnathawh dan pangngaiah i kir leh thei tur a ni.

Scapholunate Dissociation hmang hian engtin nge ka in enkawl ang?

SL dissociation enkawl zawhah i doctor nen eng ang activity leh exercise nge him taka i tih theih tih sawiho rawh. Exercise program bik a awm a, chu chuan i kutphah chakna leh range of motion i neih leh theih nan a pui thei che a ni. I doctor-in a tih tur a tih che chu kal pelh ngai suh la, i kutphah khauh lutuk thil ti suh.

Take-Home Thuchah a ni

Okay, chuti a nih chuan `Scapholunate Dissociation` kan sawi kha chu kutphah chhunga ruh te tak te pahnih, `Scaphoid` leh `Lunate` te chu an awmna hmun atanga an inthlak a, an inkarah gap a siam a ni. Chumi chhan ber chu heng ruh pahnih inzawmkhawmtu `Ligament` tihchhiat a ni. Hei hi i kut phar chunga i tlu hian a thleng fo thin.

A lan chhuah dan ber chu kutphah na, a hring, a hring, leh grip strength tlahniam te hi a ni. Doctor chuan hei hi a hriat theih nan scaphoid shift test, X-ray, MRI, leh arthroscopy te ang chi test a hmang thin.

Surgery hi enkawlna tha ber a ni fo thin. Enkawlna dik leh taksa enkawlna tha tak a awm chuan mi tam zawk chu thla engemaw zat chhungin an hnathawh dan pangngaiah an kir leh thei a ni. Chuvangin, i kutphah natna emaw, nuam lo emaw i neih reng chuan, hliam na tak mai nia ngaih ai chuan doctor pan a, thurawn lak a pawimawh zawk.

` Kut, Kut na, Kut ruh, Ligament, Scapholunate Dissociation, Fracture, Surgery tih te