I kekawr chunglam ruh chu i tikehsawm tawh em? He Talus Fracture chungchang hi han sawi ila!

I ke i hrual nghal a, i ke ruh a hring a, a na a, i kal pawh i kal thei lo em ni? Chutiang a nih chuan i ke ruh pawimawh tak talus chu i tichhia a ni mai thei. Vawiin hian talus fracture tih hi eng nge a nih, engtin nge a awm tih leh eng nge tih theih tih kan sawi dawn a ni.

Talus Bone chu eng nge ni? Engtiang chiahin nge a pawimawh?

A awlsam zawngin, i talus hi i ke ruh te tak te, mahse pawimawh tak a ni a, chu chuan i ke ruh leh i ke a thlunzawm a ni. Ngaihtuah teh, i ke hnuai lam ruh sei pahnih (tibia leh fibula) te chu an inzawm khawm a, i ke ruh inzawmna (ankle joint) an siam a ni. He joint hian i ke chu a chung leh a hnuai lam a tizau thei a ni.

Tin, talus ruh hi i ke ruh (calcaneus) chungah a thu bawk. Heng ruh pahnih hi an inzawm khawm a, subtalar joint an tih joint an siam a ni. He joint hian i ke chu a sir lehlamah, chhunglam leh pawnah a kal tir thei a ni.

Talus ruh hian thil pawimawh dang a ti leh bawk. Chu chu, i taksa rih zawng chu ke ruh (ankle joint) kaltlangin keah a transfer theih nan a pui tihna a ni. He ruh hi a tam zawk chu tissue hrual, hnim hring, cartilage an tih hian a khuh a ni. He cartilage hi ruhte chu inhnawh tawn lovin a kal tluang thei a ni. Chuvangin, talus ruh hi ke ruh incheina leh nghet taka a pawimawhzia chu i hmu thei mai thei. Chuvangin talus ruh a tliak chuan i chetna nasa takin a tikhawtlai thei a, nitin hna thawh pawh a ti harsa thei bawk.

Talus Fractures hi eng chi nge ni?

Talus ruh hi hmun hrang hrangah leh kawng hrang hrangin a chhe thei a. A chi hrang hrang thenkhat han thlir ila:

• Neck of the Talus Fracture: Hei hi talus fracture chi khat zingah chuan a tam ber a ni. Talus "neck" chu ruh lai tak a ni. A bik takin, kawr chu talus "taksa" - ke ruh inzawmna bula awm, tibia hnuai lam - leh "lu" - ke hnuai lam deuha awmte inkar hmun zau tak a ni.
• Lateral process fractures: Lateral process hi talus ruh atanga lo chhuak a ni. Heng ruh tliak te hi ke ruh chu pawn lam hawia rang tak leh rang taka inher a nih chuan a thleng tlangpui. Snowboarder zingah a awm fo avangin "snowboarder fractures" an ti \hin.
• Avulsion fractures: Hei hi talus ruh nena inzawm ligament (ruh inzawmkhawmna band ang chi) emaw, tendon (muscle leh ruh inzawmkhawmna band ang chi) emaw chu rang taka hrual a nih chuan a lo awm a, chu chuan talus ruh atanga talus ruh peng te tak te chu attachment point atanga a lo chhuah tir a ni.
• Stress fractures: Hengte hi talus ruh chhunga crack tenau tak tak a ni. Talus ruh hman tam lutuk emaw, ruh chunga stress repetitive vang emaw a ni fo thin. Entirnan, hla taka tlantute chungah hetiang hi a thleng thei a ni.

Talus fracture hi engtin nge an classified?

Doctor-te chuan heng ruh tliak te hi an awmna pangngai atanga an inthlak danglam dan a zirin an thliar hrang thin.

• Minimally displaced or stable fractures: Hetah hian talus ruh chu chhe tawh mah se, ruh chi hrang hrangte chu an awmna hmun atang chuan an che vak lo. A tam zawk chu line-ah an awm a, a dik chiah chiah.
• Displaced fractures: Hetah hian ruh chu a chhe tawh a, a ruhte chu a hmun pangngai atangin a chhuak ta a ni .
• Open or compound fractures: Hei hi a na zawk a ni. Hetah hian ruh tliak chuan vun a tikehsawm a, a rawn chhuak ta a ni. Chutiang a nih chuan a chhehvel taksa ruh, ruh leh ruh (ligament) te tihchhiat theihna a sang zawk. Tin, hrik lutin natna hrik a thlen thei bawk.

Talus ruh tliak hian eng symptoms nge a neih?

Tunah chuan hetianga talus fracture i neih chuan eng symptoms nge i neih? A bulpui ber chu ke ruh natna nasa tak leh hring dup hi a ni. Ngaihtuah teh, sang tak atanga tla nghal mai ila, a nih loh leh bike accident i tawk ta ang u. Tichuan, i ke ruh (ankle area)-ah tuar theih loh khawpin natna i nei a, i ke chu a hring chhuak ta a ni.

Eng thil dang nge thleng thei ang?

• Kal a harsa ta hle mai. I ke pawh leiah i dah thei lo mai thei.
• Ka keah rit ka dah thei lo.
• Bruising a awm thei.
• I kut hmanga i khawih chuan , i rilru a na hle.
• Mi thenkhat chuan fracture blisters ang chi thil an nei thei . Hengte hi i hmuh chuan hlauthawng suh, mahse doctor pan nghal a tha ber.

A pawimawh ber chu heng symptoms te hi i neih chuan doctor advice la nghal mai tur a ni.

Engtin nge heng talus fracture te hi a lo awm thin?

Heng talus fractures te hi high-energy injuries atanga lo awm thin a ni tlangpui .

• Car chetsualna, motor chetsualna.
• Hmun sang tak atanga tla. Thingkung a\anga tla ang maiin ngaihtuah teh, a nih loh leh in sang tak atanga tla ang maiin han ngaihtuah teh.
• Hengte hi infiamna (sports injuries) lai pawhin a thleng thei bawk . Sawi tawh ang khan hei hi snowboarder zingah a tam hle.
• A châng chuan, i ke ruh i hrual mai mai ṭhinMahse, a hnah te te chu talus kil atang hian a inthen thei a ni. Mahse, hengte hi accident lian zawka fracture awm angin a na lo tlangpui.

Engtin nge doctor-te chuan talus fracture hi an hriat theih?

Hetianga hliam tuar doctor i hmuh chuan i ke ruh leh ke uluk takin an enfiah hmasa ang. Anni chuan vunah hliam, hliam, leh vunah hliam emaw hliam emaw awm zawng zawng an zawng ang. Chubakah chuan:

• Nerve chhiatna a awm leh awm loh en turin i kut zungtangte chu han vawrh chhuak turin an ti ang che .
• I pulse an check ang a , i thisen supply a tha em tih an enfiah ang .
• I ke ruh chhungah tui a awm leh awm loh an enfiah ang. Hei hi compartment syndrome an ti a . Hei hi thil hlauhawm tak a ni a, a chhan chu i keah hian hriatna leh hnathawhna a hloh thei a ni.
• Accident awm dan azirin hliam dang pawh endik a ni ang.

Tichuan, doctor chuan heng ang imaging test hi a order mai thei:

• X-ray: Hei hian thil tam tak a tilang thei a, chu chu i talus a chhe tawh em tih te, ruh chi hrang hrang te chu hmun dik takah a awm em tih te, chi hrang hrang engzat nge a awm tih te, a ruh tliakna hmun te hi a ni.
• CT Scan (Computed Tomography - CT scan): A châng chuan X-ray ringawt pawh hian a ruh tliak zawng zawng a lang lo thei. CT scan hian i ke cross-sectional image chipchiar tak a la thei a ni. Hei hian hliam nasat dan leh a hliam nasat dan dik taka tehna kawngah a pui thei hle.

Talus fracture hi engtin nge enkawl a nih?

Talus fracture enkawl dan hi a fracture chi leh a hliam nasat dan azirin a inang lo.

A hmasa berin i ke leh kekawrte chu i sawn loh nan splint (hun eng emaw chen atana puitu) dah a ni ang.

Tichuan, ruh tliak chu a nghet a, ruh tliak te chu a inrem tha a nih chuan operation a ngai lo mai thei. Chutiang hunah chuan doctor chuan a hnuaia mite hi a rawt thei ang:

• Casting: I ke leh ke ruh ah cast dahin ruh a dam hma loh chuan a inzawm khawm thin. He cast hi kar 6-8 vel an ha tlangpui . Hemi hun chhung hian i keah rit lutuk lo turin fimkhur hle tur a ni.
• Rehabilitation: Cast lakchhuah hnuah exercise bik pek i ni ang a, chu chuan i ke leh ke ruh chakna leh hnathawh theihna tur a siamsak ang che . Hengte hi physiotherapist enkawlna hnuaiah tih a ni ang.

Mahse, talus fracture tam zawkah chuan operation neih a tha.Heng hliamte hi high-force trauma avanga lo awm fo a nih avangin ruh chi hrang hrangte chu a inthlak danglam theihna chance a sang hle. Ruh chi hrang hrang a awm loh chuan ke leh ke ruh surgeon chuan a hmunah dah leh turin operation a ti ang.

• Open Reduction and Internal Fixation (ORIF): Ruh chu a chi hrang hranga then a nih chuan doctor chuan ORIF tih hming puin a ti thei a ni. Hetiang tihnaah hian surgeon chuan vun chu a tikehsawm a, ruh chi hrang hrangte chu a awmna tur dik takah a sawn leh a, ruh chu a dam hma loh chuan metal plate leh/ emaw screw hmangin ruh chu a vawn tlat a ni.
• External fixator: A chang chuan, hliam hnua a hring lutuk avangin ORIF surgery hi tih theih nghal theih a ni lo. Chutiang hunah chuan doctor chuan pawn lam fixator a hmang thei a ni. Chutiang a nih chuan doctor chuan i ruh chhungah pin lian tak tak thenkhat chu vun hmangin a dah lut a, pawn lamah bar bik hmangin a thlunzawm a, chu chuan ruh chi hrang hrangte chu a hmunah hun eng emaw chen a vawng tlat a ni. Swelling a tlahniam hnuah doctor chuan ORIF surgery a tum leh mai thei.

Enkawl loh emaw, enkawl dik loh emaw chuan eng harsatna nge awm thei?

Talus fracture hi enkawl tha a nih loh chuan emaw, a dam tha lo a nih chuan harsatna a awm thei a ni. Chûngte chu a châng chuan hun rei tak chhûnga harsatna awm thei a ni.

• Posttraumatic arthritis: Kan sawi tawh ang khan talus ruh hi a tam zawk chu cartilage-in a khuh a. Talus a hliam chuan a chhehvela cartilage pawh a chhe bawk. He cartilage chunglam hi a inthlau leh a hring a nih chuan a ruh (joint)-ah hian wear and tear a awm tan thin. Hun a kal zel a, hei hian arthritis a thlen thei a, chu chuan natna leh rilru hahna chhunzawm zel a thlen thei a ni .
• Malunion: Hei hian ruh tliak chu a dam dik lo tihna a ni a, dinhmun dik lo takah a awm tihna a ni . Chutiang a nih chuan hun rei tak chhung harsatna a thlen thei a, chu chu ke pianzia inthlak danglam te, kal harsat te, natna te a thlen thei a ni.
• Nonunion: Hei hian ruh tliak chu hun rei tak hnuah a dam tha lo tihna a ni a, enkawl ni mahse . Chutiang a nih chuan operation dang neih belh a ngai mai thei.
• Avascular necrosis emaw osteonecrosis: Talus-a thisen kal dan hi a buaithlak deuh a. Fracture a awm chuan, a bik takin neck area-ah chuan heng thisen kalna kawngte hi a chhe thei a, ruh chhunga thisen kalna chu a tlahniam emaw, a tawp vek emaw a ni thei.Chutiang a nih chuan ruh cell te hian oxygen leh nutrients an hmu lo ang a, an thi tan ang. Hei hi avascular necrosis an ti a. Hei hian ruh a tichak lo va, a tawpah chuan a tlakbuak thei a ni. Hei pawh hi complication pawi tak a ni.

Engtin nge tihdamna chu a awm? Eng nge ka beisei ang?

Operation hnuah chuan natna engemaw zat i nei ang. I doctor chuan natna damdawi a pe ang che . Chungte chu opioid, nonsteroidal anti-inflammatory drugs (NSAIDs), emaw local anesthetics te pawh a ni thei.

I talus ruh a dam hnuah i doctor chuan rehabilitation emaw physical therapy emaw ah a refer ang che. Hei hi a pawimawh hle. Heng exercise te hian i ke ruh chhunga range of motion, stability leh strength te i neih leh theih nan a pui ang che.

I kal tan leh hunah chuan a tir lamah chuan boot bik i ha emaw, tiang i hmang emaw a ngai mai thei. I keah full weight i dah nghal thei dawn lo. Thla engemaw zat a la ngai thei.

Doctor chuan a hun hunah X-ray a la ang a, ruh chu a dam tha em tih leh a attached plate te chu a hmunah a awm em tih a enfiah ang.

Talus fracture a awm chuan hun rei tak chhunga a hmalam hun tur chu eng nge ni?

Surgery i nei emaw nei lo emaw i ke chu cast emaw splint emaw-ah a awm ang. Chumi chhung chuan rit i dah thei dawn lo va, i kal thei dawn lo bawk. I hliam nasat dan azirin, cast hi kar 8 atanga kar 12 chhung, a aia rei pawh i bun a ngai mai thei .

Hliam a nasat poh leh cast a rei zawk ang. Ruh a dam hnuah pawh mi ṭhenkhat chuan an ke ruh na, a khauh, leh a hring chhuak chhunzawm zel thei . Mahse, enkawlna dik leh rehabilitation exercise neih a nih chuan mi tam zawk chu an doctor-in okay a pek veleh an hnathawh dan pangngaiah an kir leh thei a ni.

Engtikah nge hna ka thawh leh theih ang?

Hei hi i hliam nasat dan leh i hnathawh dan azirin a danglam bawk ang. A tlangpuiin, kar hnih tal chu hna i thawk leh thei tawh lo vang . Nitin i kea i thawh chuan (e.g., dawr puitu, zirtirtu), kum khat chhung chu hna thawk turin i kir leh thei kim lo mai thei .

Talus ruh tliak chungah i kal thei ang em?

Hei hi talus fracture i neih chi hrang hrangah a innghat. Talus fracture hi hliam na tak a ni fo thin. Ankle leh foot joint-a motion leh function nasa takin a hloh thei a ni. Hei hian i kal theihna leh i kea rit phurh theihna a nghawng thei a ni. Chuvangin, ke ruh tliak chunga kal tum ngai suh, damdawi lam thurawn tel lo chuan.

Talus fracture hi a dam theih nan eng chen nge a mamawh?

Accident buaithlak dan azirin thla thum emaw a aia rei emaw pawh i nei thei.Cast i bun a ngai mai thei. Cast lakchhuah a nih hnuah pawh natna, vun leh a hring (stiffness) a awm reng thei. A dam kim theih nan leh a pangngaia a lo kir leh theih nan hun rei zawk a ngai thei.

Talus fracture natna hi eng ang nge ni?

Talus fracture hi hliam na tak a ni. A tawng tawhte chuan a hrehawm hle niin an sawi .

Engtin nge talus ruh tliak chu i siam that ang?

Talus fracture tenau thenkhat chu cast hmanga enkawl theih a ni a, chutah chuan rehabilitation exercise hmanga enkawl theih a ni. Mahse, talus fracture tam zawkah chuan ruh chi hrang hrangte chu a inrem leh theih nan operation a ngai a ni.

Talus fracture hi hliam na tak, a tlangpuiin thil thleng lian tak, car accident emaw, hmun sang atanga tlak emaw avanga lo awm a ni. Talus fracture i neih chuan doctor pan nghal tur a ni. Hei hian operation a ngai tlangpui. Hliam nasat dan azirin kar hnih (a hliam tenau) atanga kar 12 emaw a aia rei emaw chhung khawi hmunah pawh cast i vuah a ngai mai thei. Talus fracture hi hrehawm tak ni thei mahse, enkawlna dik tak chuan damna kawngah a pui thei a, a rang thei ang bera i nun pangngaiah a hruai kir leh thei bawk.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuti a nih chuan, kan sawi tawh atang chuan hengte hi i hriat reng tur pawimawh ber berte chu an ni:

• A talus fracture can be a serious injury , chuvangin symptoms i neih chuan , doctor thurawn zawng nghal rawh.
• Hei hian operation a ngai fo thin.
• The healing period may take several months , chutiang hun chhung chuan ke chungah rit i dah loh nan i fimkhur tur a ni.
• Rehabilitation exercise hi damna atana thil pawimawh tak a ni. An tih dik a nih chauhvin i keah full function i nei leh thei ang.
• Enkawl loh chuan harsatna lian tak tak, arthritis, malunion, emaw avascular necrosis te a awm thei a ni.
• Hei hi thil harsa leh hrehawm tak ni thei mah se, damdawi lam inenkawlna mumal tak leh insiamthatna a awm chuan mi tam tak chu an dam tha thei a ni. Chuvang chuan chak taka awm reng a pawimawh.

Hemi chungchanga zawhna dang i neih chuan doctor zawt hreh suh. Hrisel takin awm rawh!

` Talus, ke ruh tliak, ke ruh, ke, na, hring, surgery, plaster, rehabilitation