I kut emaw, ke emaw i tikehsawm a, ruh i tikehsawm tawh em? He 'Spiral Fracture' hlauhawm tak hi i zir dawn teh ang!

Aw ka Pathian, soccer i khel emaw, stairs i chhuk emaw a, rang takin i ke chu mak tak maiin a inher a, tuar theih loh khawpa natna a thlen a, i kut emaw, i ke emaw chu i che thei lo a nih chuan han ngaihtuah teh! Chutiang a nih chuan "spiral fracture" an tih chu i tuar tawh mai thei. Hei hi fracture chi khat na tak a ni. Chuvangin vawiinah hian chipchiar takin sawi ila, i thianpa hnenah i sawi ang maiin.

He spiral fracture hi eng nge ni?

A awlsam zawngin, spiral fracture chu i taksa ruh tliak, twisting force-a ruh a tihchhiat avanga lo awm a ni . Corkscrew-in cork a hawn ang mai a ni. Chu ruh tliak chu ruh zawh zawng zawngah spiral, a nih loh leh circle angin a darh a. Hengte hi `` complete fractures`` an ti fo thin. Chumi awmzia chu ruh chu a chhe vek tawh tihna a ni.

Hei hi hrethiam zawk tur chuan hetiang hian han ngaihtuah teh: Puan hnim i hrual hian a laiah a inher a, a dik em? Chutiang chuan ruh pakhat chu twisting force hmanga tihbuai a nih chuan hetiang fracture hi a thleng thin.

Eng ang ruh nge hetiang hi a thlen theih?

Spiral fracture hian kan taksa ruh sei tak takte hi a nghawng tlangpui. Entirna tlemte chu hetiang hi a ni:

• Femur (Thigh ruh) 1.1.
• A ke ruh (`Tibia`) .
• Ruh te tak te dang chu shin bone pawn lam (`Fibula`) .
• Ankle area-a ruh pakhat (`Talus`) .
• Kan kekawr bul atanga kan kekawr bul thlenga ruh (`Humerus`) .
• Hma lam ruh (`Radius` leh `Ulna`) .
• Kut zungtang leh ke ruh ruh te te (`Phalanges` leh `Metacarpals`) .

Hetianga ruh tliak a awm hian zai a ngai fo thin. A dam hun chhung hi ruh tliak chi leh a chhan a zirin a inang lo. Mahse, a dam kim theih nan thla engemaw zat a ngai tlangpui.

Spiral fracture leh ‘greenstick’ fracture hi eng nge an danglamna?

Hengte hi ruh tliak chi hnih a ni a, mahse an nihna erawh a inang lo. Doctor tan chuan heng hmingte hian ruh tliak dan te, a awmna hmun te, taksa chhunga a lan dan te a hrilh che a ni.

• Spiral fracture chu ruh a tliak a, spiral staircase a siam a ni. Hei hi ruh pakhat chu tlu emaw, accident emaw, infiamna lama hliam emaw avanga twisting force lian tak a neih hian a thleng thin. Rugby i khelh laiin mi pakhatin i ke a man a, a tikehsawm ang maiin han ngaihtuah teh.
• ` `Greenstick'' fracture chu ruh a ben a, a chhungah crack te tak te a awm a, mahse pahnih ah a chhe vek lo. I kut hmanga raw, i.e., soft, stick tihchhiat i tum tawh em? Thingpui hring ang maiin fai takin a chhe vek lo a ni lawm ni? Chutiang chu a ni. Heng ``Greenstick'' fracture te hi naupang tê têah a tam ber.

Chuvangin, eng hming pawh nise, a pawimawh ber chu i hliam veleh doctor pan a, check out tir hi a ni.

Hei leh naupang tê têa lo awm ṭhin ‘Toddler Fracture’ hi eng nge inzawmna?

‘Toddler Fracture’ hi a takah chuan ‘Spiral Fracture’ subtype a ni. Naupang kum thum hnuai lam ah a awm tlangpui. Spiral fracture dang ang bawkin twisting force avanga lo awm a ni a, mahse a nghawng tam ber chu shin bone (the ‘Tibia’) . A châng chuan naupang chu kea kal emaw, tlan lai emawa a tlu a, a tlu a nih chuan hetiang hi a thleng thei a ni.

Heng spiral fracture te hi engtiang chiahin nge an awm?

Spiral fracture hi a takah chuan chutiang chuan a awm lo. Accident na tak leh hliam na tak avanga lo awm an nih fo avangin ruh tliak chi dang aiin an tam lo hle.

Hetiang chi ruh tliak hi tute nge nei tam zawk?

Tu pawhin ruh a tikehsawm thei a, spiral fracture hi tu chungah pawh a thleng thei bawk. Hengte hi accident avanga lo awm a ni fo. Mahse, i tlu fo chuan hetiang fracture hi i nei tam zawk. Tin, ruh natna vei te hi ruh tliak chi hrang hrang, spiral ruh tliak te pawh a awm thei bawk.

Spiral fracture a awm hian eng symptoms nge a neih?

Hetiang fracture hian a tlangpuiin a hnuaia symptoms te hi a lantir thin:

• Natna nasa tak a nei
• A hring chhuak
• Khawih a nih chuan tenderness
• Taksa peng pakhat, a tlangpuiin a che thei tih sawn theih lohna
• Bruising emaw vun rawng danglam emaw
• Chu hmunah chuan deformed appearance emaw lump pangngai lo emaw chu a lang thei a ni.

‘Open’ leh ‘Closed’ break te hi eng nge ni?

I doctor chuan i ruh tliak chu ‘open’ emaw ‘closed’ emaw tiin a classified ang.

• In an open fracture , i ruh hian vun a tichhia a. Chungte chu dam nan hun a duh rei zawk a, natna hrik leh harsatna dang a thlen theihna a sang zawk bawk.
• In a closed fracture , ruh chu a chhe a, mahse vun a tichhia lo. Hei hi a la pawi hle a, mahse open fracture aiin harsatna a thlen theihna a hniam zawk.

‘Displaced’ fracture tih hi eng nge ni?

‘Displaced’ emaw ‘non-displaced’ emaw tih hi i doctor-in i ruh tliak sawina atana a hman tur thumal a ni.

• Displaced fracture chu ruh tliak te chu a inthlak a, ruh tliak vel chu gap a awm a ni.
• Non-displaced fracture -ah chuan ruh chu a la chhe vek a, mahse a piece te chu alignment atanga hla lutuk lovah a kal lo.

Displaced fracture-ah chuan operation a ngai fo thin.

Eng thilin nge heng spiral fractures te hi a thlen?

Ruh tichhe thei impact chi hrang hrang hian hetiang chi hi a tikehsawm thei a ni. I kut, i ke emaw, i taksa emaw chu a awmna pangngai aṭanga lak chhuah nghal a nih chuan an thleng tlangpui. A chhan langsar zual thenkhat chu:

• Tlu (e.g., stairs atanga tla, sang tak atanga tla) .
• Lirthei chetsualna thleng thin
• Infiamna lama hliam (e.g., football, rugby, basketball) .
• Hnathawhna hmuna chetsualna thleng thin

Mi pakhatin a tlu a, a kut chu leiah a vawm a, a taksa chu a sir lehlamah a tikehsawm a nih chuan hetiang hian an kut ruh pakhat chu a chhe thei tih han ngaihtuah teh.

Engtin nge doctor chuan spiral fracture dik taka a hriat theih ang?

Doctor chuan physical exam a ti hmasa ang che. Tichuan, imaging test engemawzat an order ang .

Hemi atan hian eng test nge tih a nih?

Taksa enfiah hnuah heng test zinga pakhat emaw a aia tam emaw tih theih a ni:

• X-ray: X-ray hian ruh tliak a awm leh awm loh, spiral emaw chi dang emaw, chhiatna engzat nge a thlen tih chiang takin a hriat theih.
• Magnetic resonance imaging (MRI): I doctor chuan MRI scan a ti thei ang. Hei hian ruh leh a chhehvel tissue te chhiatna chu a kimchangin a pe thei a ni. Hei hi taksa peng hrang hrang, taksa peng hrang hrang leh taksa peng hrang hrangte tihchhiat a awm leh awm loh enfiah nan a pawimawh hle.
• CT scan: Operation neih a ngai a nih chuan i doctor emaw surgeon emaw chuan i ruh a tihchhiat zat chiang taka a hriat a ngai ang. X-ray aiin CT scan hian i ruh leh a chhehvel tissue te chu chipchiar zawkin a la thei a ni.

Engtin nge spiral fracture hi enkawl a nih?

I spiral fracture enkawlna chu a tir lama i ruh nasat dan leh ruh tliak chi hrang hrangah a innghat a ni. Ruh tliak te chu a dam leh a, a inzawm khawm leh a ngai a ni. An chhiat dan leh a ruh tliak chhan a zirin i doctor chuan enkawlna hrang hrang a hmang thei a ni.

Immobilization tih a ni

I ruh tliak chu a na lutuk lo a, chu chu ruh chi hrang hrang a inhlat lutuk tihna a ni (`non-displaced`) a nih chuan, splint emaw cast emaw chauh hmangin i dam leh thei mai thei Splint hi kar thum atanga kar nga vel a awm tlangpui. Cast pakhat hian rei zawk a daih thei a, a tlangpuiin kar ruk atanga kar riat chhung a daih thei. Mahse, ruh chu a dam tha em tih hriat nan X-ray dang i neih a ngai dawn a ni.

Surgery tel lova ruh tihtlem (Closed Reduction) .

Fracture na zawk tan chuan ruhte chu ‘closed reduction’ an tih hmangin ruhte chu a insiamrem leh thin. Hei hi surgery a ni lo. Doctor chuan ruh tliak te chu a chelh a, pawn lam atang chuan a hmunah a hruai leh a. Hetiang tih chhung hian natna tihziaawmna tura pui turin a hnuaia mi pakhat hi pek i ni ang:

• Local anesthetic hian a ruh tliak vel chauh a ti na lo ang.
• Taksa pum tih hahdamna tur sedatives .
• General anesthesia hian i tih chhung zawngin a muthilh tir ang che.

He ‘closed reduction’ hnu hian doctor chuan splint emaw plaster emaw a dah ang che.

Spiral fracture a awm chuan operation tih a ni

Fracture na tak tak tan chuan operation neih a ngai thin. Surgeon chuan i ruhte chu a set leh ang a, a hmunah a siam tha ang a, chutiang chuan an dam dun thei ang. A tam zawkah chuan hei hi internal fixation hmanga tih a ni . Chumi awmzia chu surgeon chuan i ruh chhungah thir chi hrang hrang a dah lut ang a, a dam thlengin a hmunah a vawng tlat ang tihna a ni. Internal fixation hi chi hrang hrang a awm a:

• Rods: Ruh kal tlanga, a chung atanga a hnuai lam thlenga luhtir thin rod.
• Plate leh screw: Metal plate hmang hian ruh chi hrang hrang chu a inzawm khawm a.
• Pin leh wire: Pin leh wire hi fixation device dang aiin ruh chi hrang hrang te zawkte vawnkhawm nan hman a ni. Rod emaw plate emaw nena hman dun an ni tlangpui.

Mi thenkhat chu heng thir chi hrang hrangte hi an taksaah dahin an khawsa thin. Mi thenkhat chuan an lakchhuah nan operation an neih leh a ngai thin.

Pawn lam atanga Fixation

External fixation pawh i nei thei bawk . Surgeon chuan i taksa sir lehlamah i ruh tliak tawhah screw emaw pin emaw a dah ang a, i taksa pawn lama support emaw brace emaw-ah a dah ang. Hei hi hun eng emaw chen atana tih tur a ni tlangpui. Fracture stabilize nan leh internal fixation tih hmain a dam theih nan hun pek a ni.

Bone Grafting tih a ni

I spiral fracture chu hmun tam takah a inthlak a nih chuan, emaw, ruh chu a dam tha lo a nih chuan, ruh graft i neih a ngai mai thei . Surgeon chuan ruh tissue extra a dah lut ang a, ruh tliak chu a inzawm leh ang. Tichuan, a tlangpuiin internal fixation hmangin, ruh chu a lo seilian leh thlengin a chi hrang hrangte chu an vawn khawm thin. He bone graft atana tissue hi hmun hrang hrang atangin lak theih a ni:

• I taksa hmun dang atanga lo chhuak - a tam zawk chu i hip ruh chunglam atanga lak a ni.
• Donor dang (`pawn lam donor`) hnen atangin.
• A thlakna tur artificial piece a ni.

Spiral fracture surgery hi outpatient procedure a ni fo thin . Chumi awmzia chu a ruh tliak dan azirin chu ni vek chuan in lamah i haw thei tur a ni. Mahse, ruh lian zawk, i femur emaw tibia emaw surgery i neih chuan ni khat emaw ni hnih emaw chhung damdawi inah i awm a ngai mai thei.

Operation hnuah ruh tliak chu immobilized a ni. I rit i dah leh theih hmain brace, splint emaw cast emaw i bun a ngai mai thei a, a nih loh leh a ruh hmaa i hman ang khan i hmang thei bawk.

Hemi atan hian eng damdawi nge pek thin?

Over-the-counter painkillers aspirin emaw ibuprofen (NSAIDs ) te hian operation hnuah thisen chhuah leh harsatna dang a thlen thei a ni. Chuvangin i surgeon chuan operation hnua natna tihziaawmna tur damdawi i ei theih dan tur a hrilh ang che.

Spiral fracture enkawlna avanga harsatna awm thei te chu engte nge ni?

Spiral fracture surgery hian harsatna a thlen thei a, chungte chu:

• Acute Compartment Syndrome (ACS): Muscle-a pressure a sang a, tissue-a thisen kal chu a titawp a, muscle leh nerve-te a tichhe reng thei bawk.
• Malunion: Ruh tliak, a dam huna a inmil tawk lo.
• Nonunion: Ruh te hi an lo thang khawm leh vek lo va, an lo thang tha leh tha lo.
• Bone infection (Osteomyelitis): Open fracture (ruh hian vun a tihchhiatna hmun) i neih chuan bacteria infection i vei theihna a sang zawk.
• Chhungril hliam dang: Fracture hian hliam na hmun vel muscle, nerve, thisen kalna, tendon leh ligament te a tichhe thei a ni.

Tin, NSAID damdawi hian side effect a thlen thei bawk:

• Thisen chhuak
• Ulcers a awm
• Pum natna
• Intestinal lama harsatna awm thei

Engtiang chiahin nge enkawl hnuah ka dam leh ang?

I natna lan chhuah dan a reh theih nan kar engemaw zat a la ngai thei. I spiral fracture leh ruh tliak siamthatna tur surgery chi hrang hrang i neih dan azirin kar tlemte chhungin i taksa chu zawi zawiin i che thei leh thei tur a ni.

Pawimawh: Natna nasa tak tuar theih loh leh reh loh i neih chuan doctor ko nghal rawh.

Engtin nge hetiang fracture lakah hian kan inven theih ang?

Hliam hlauhawmna tihziaawmna turin heng himna tips te hi zawm rawh:

• I lirthei khalh dawnin seat belt vuah fo ang che.
• Thiltih leh infiamna tinrengah himna hmanraw \ha tak tak ha rawh .
• I in leh hnathawhna hmun chu nangmah emaw, mi dangte emaw tithinur thei thil ṭûl lote chu awm lovin dah rawh .
• In atanga thil i chawi dawnin hmanraw emaw hmanraw dik tak hmang fo ang che. Chair, dawhkan leh counter-ah chuan chho ngai suh.
• I ruh hriselna vawng reng thei tur diet leh exercise plan zawm rawh .
• Kum 50 aia upa i nih chuan, emaw, i chhungkuaa mi tu emaw chuan ruh natna (osteoporosis) a nei a nih chuanChutiang a nih chuan i doctor nen bone density test chungchang sawipui rawh.

Spiral fracture hi a veng thei ang em?

Spiral fracture hi tlu emaw, accident emaw, infiamna lama hliam emaw avanga lo awm a ni tlangpui a, chuvangin a venna tur hian tih theih a tlem hle. Mahse, a chunga kan sawi tak himna dan zawm hian a hlauhawmna chu engemaw chen a tihziaawm thei a ni.

Spiral fracture i neih chuan eng nge i beisei ang?

Spiral fracture i neih chuan full recovery i beisei thei ang.

I taksa peng hliam chu chakna leh range of motion i neih leh theih nan physical therapy i mamawh ang.

Hei hi a dam theih nan eng chen nge a la ngai ang?

I dam leh theih hun chhung hi i ruh tliak nasat dan leh i mamawh enkawlnaah a innghat a ni. Mi tam zawk chuan spiral fracture atanga an dam leh theih nan thla engemaw zat an hmang thin.

I taksa a dam theih nan eng chen nge a daih dawn tih hi thil dang tam tak a awm bawk. I dinhmun nena inmil hun bituk chungchang chu i doctor emaw surgeon emaw nen sawiho rawh.

Hnathawh leh sikul kal thei lo em ni?

I hliam bik leh ruh tliakte hian hna, sikul leh thil dang i tih loh hun chhung chu a hril ang.

I dam chhoh lai hian taksa tihchakna engmah i thawh leh hmain i surgeon emaw doctor emaw nen inbia ang che.

A tawp berah chuan spiral fracture chungchang...

Spiral fracture tam zawk tan chuan outlook a tha hle. Surgery nei mah la, damna famkim i siam tur a ni. I ruh tliak nasat dan azirin i dam hnuah thil engemaw tih loh a ngai mai thei. Nakin lawka hliam leh ruh tliak loh tur ven dan tha ber berte chu i doctor emaw surgeon emaw nen sawiho rawh.

Engtikah nge damdawi inah hmanhmawh taka kan kal ang?

Spiral fracture – emaw, fracture dang emaw i nei nia i hriat chuan doctor pan nghal tur a ni. A hnuaia symptoms te hi i neih chuan emergency room-ah kal rawh:

• Natna nasa tak a nei.
• Taksa peng pakhat, a tlangpuiin a che thei tih sawn theih lohna.
• Taksa peng pakhat chu a hmel a danglam nasa emaw, a awmna pangngai atanga a chhuak emaw a nih chuan.
• I ruhte chu i vun hmanga hmuh theih a nih chuan.
• Vung.
• Heng symptom dangte nen hian hliam thar hmuh theih a nih chuan.

Hliam na tak (trauma) i neih chuan emergency room-ah kal nghal rawh.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor i hmuh hian hetiang zawhna hi i zawt thei ang:

• Eng ruh nge a tliak?
• Spiral fracture emaw fracture chi dang emaw ka nei em?
• Surgery ka mamawh em?
• Eng chen nge a dam leh theih ang?
• Engtikah nge taksa tihchakna ka tan leh theih ang?

Spiral fracture hi hliam hlauhawm tak a ni a, mahse i doctor leh surgeon te chuan a rang thei ang bera keah an ding leh ang che. I dam lehna tur chu hmanhmawh suh. Step khat khatin la la, damna hun pe rawh. I ruh chak leh hrisel taka awm theih dan tur i doctor nen sawiho la, kum 50 aia upa emaw, chhungkaw history-a ruh natna nei emaw i nih chuan ruh density test neih fo bawk ang che.

Thupui tawi (Take-Home Message) 1.1.

Spiral fracture chu ruh pakhat chu twisting force hmanga tihchhiat a ni. Corkscrew ang maiin ruh zawhin a kal a. Hengte hi tlu leh infiamna lama chetsualna avanga lo awm a ni fo. A lan chhuah dan chu natna nasa tak, vun hring, leh che thei lo te a ni thei. Enkawlnaah hian casting leh surgery te a tel a ni. A pawimawh ber chu hetiang hliam i neih chuan damdawi lam thurawn la nghal mai tur a ni. Enkawlna dik leh chawlh hahdam chuan i dam kim thei a ni. Chuvangin hlauthawng suh, mahse tihkhawtlai pawh ti suh!

` Fracture, spiral fracture, torsion fracture, ruh surgery, ruh tihdam, accident, sports injuries