I kephah i chawi sang emaw, rit i chawi emaw, i kut i herh emaw hian natna i nei bawk em? Hei hi a chhan chu i biceps muscle-a harsatna vang pawh a ni mai thei. Chuvangin, vawiin hian hetiang hun lai hian i kekawr iptea harsatna a awm leh awm loh enfiah tura doctor-in a tih theih tur test awlsam tak, natna nei lo tak kan sawi dawn a ni. Hei hi Yergason’s test an ti a.
Yergason-a Test hi eng nge ni tak tak?
A awlsam zawngin, Yergason-a test hi doctor-in a tihsak che taksa test a ni. A bik takin i biceps muscle-a tendon chhiatna eng pawh a zawng a, a bik takin biceps tendon lu sei tak chu a zawng a ni.
He test hian thil dang engemaw zat ngaihtuahna nei turin a pui bawk.
- I kekawr iptea transverse humeral ligament kha i tikehsawm tawh em?
- `SLAP tear` tih hi a awm em, chu chu shoulder joint chhunga cartilage (labrum)-ah a awm em?
- Biceps muscle tendon hi a hring a, a inflamed em, chu chu `biceps tendonitis` tih natna i nei tihna a ni em?
He test hi kan hriatthiam hmain heng part hrang hrangte hi tlem han zir chiang ila.
Heng hmingte hi i hriat hian hlauthawng suh. Hengte hi thil awlsam tak a ni. Pakhat hnu pakhatin han thlir ila.
- Biceps muscle: Mi pakhat "lian" lantir nan i kut i flex a, han mitthla teh. Tichuan i kut chunglam ah hian bulge of muscle a awm a, chu chu biceps muscle an ti a. Hei hian thil rit kan chawi a, kan elbow kan ben a, kan kut chu kan lu chungah kan chawi sang bawk.
- Biceps tendon: Tendon hi kan ruh leh kan ruh inzawmkhawmtu, band ang chi thil chak tak a ni. Biceps muscle hian heng tendon pathum hi a nei a. Pahnih chu shoulder-ah a inbun a, pakhat chu elbow-ah a inbun bawk. Yergason-a test hian biceps tendon lu sei tak, a kekawrte nena inzawm chu a en ber a ni.
- Transverse humeral ligament: Hei hi strap ang chi a ni bawk. A hna chu a chunga kan sawi tak biceps tendon sei tak chu a awmna tur groove-ah vawn tlat a ni a, cable chu a kal kual loh nan clip hmanga tihkhauh ang mai a ni.
- SLAP tear: I shoulder joint hi ball leh socket joint a ni. Labrum hi cartilage ring a ni a, a ruh chu a hual vel a ni. SLAP tear hi he ring hi a chhe emaw, a chhiat emaw chuan a awm thin. Biceps tendon sei tak hi he ring-ah hian a inzawm tlat avangin a chhiatna eng pawh hian tendon hi a nghawng thei bawk.
- Biceps tendonitis natna hi a awm a:Hei hi a awlsam hle. Hei hi a chhan chu biceps tendon chu movement inang hman tam lutuk vangin a inflamed a, a na bawk.
Chuti a nih chuan engtin nge he Yergason’s Test hi i tih ang?
Hei hi test awlsam tak a ni. Chair-ah emaw, ding emaw-ah i thu thei bawk.
1. A hmasa berin i kut chu i taksa hnaih tir la, i elbow chu 90 degree thlengin bend rawh. Chumi awmzia chu i kut chu elbow-ah ‘L’ angin a awm tur a ni. Hetih lai hian i kutphah chu lei lam hawi tur a ni.
2. Tunah chuan doctor chuan i ke hmalam ah kut pakhat kut zungtang tlemte a dah ang a, biceps tendon kalna bicipital groove chu a hriat theih tawk chauh a ni.
3. Tichuan, doctor chuan a kut lehlamah i kutphah chu a chelh ang.
4. Tunah chuan thil pahnih i ti dawn a ni. I elbow te chu i taksa hnaih takah dah la, i kut chu pawn lam hawiin her la, i kutphah chu chunglam hawiin her rawh.
5. Hetianga i tih lai hian doctor chuan a kut hmangin resistance tlem a pe ang. Hei hian i kut chu i rotate harsa deuh turin force a pe ang tihna a ni.
6. I kut dang, na lo chu test ang chiah kha ti la, kut pahnih inkarah danglamna a awm leh awm loh tehkhin rawh.
‘Positive’ result chu eng nge ni?
He test hi ‘positive’ a nih theih dan kawng hnih a awm.
- A ‘click’ emaw popping sensation: Transverse humeral ligament a inthlak chuan i kut i han herh chuan biceps tendon chu a groove atangin a rawn pop chhuak ang. He popping sensation hi doctor kut a kekawrte chunga ‘click’ emaw ‘thump’ emaw ang maiin a lang ang. Chumi awmzia chu tendon hmuna vawn tlat ligament chu a chhe tawh tihna a ni.
- Pain or tenderness: Test neih laiin i ke hmalam a na i hriat chuan ‘positive’ result-ah pawh ngaih a ni. He natna hian `tendinopathy` (tendon-a hun rei tak tihchhiat), `tendinosis` (tendon-a collagen a chhe), emaw `SLAP tear` ang chi natna a kawk thei a ni.
A pawimawh ber chu ‘positive’ test result hi final diagnosis a ni lo. Doctor hnenah harsatna a neih rinhlelhna pe theitu clue mai a ni.
He test hnuah hian eng nge thleng?
Yergason’s test hnuah i doctor hian thil engemaw zat a ti leh mai thei.
- Hei bakah hian taksa test awlsam dang tlemte pawh tih a ni bawk ang.
- I kekawr chhung lam en turin MRI scan ang chi thil tih an rawt a ni.
Hemi hnu hian i dinhmun a zirin enkawlna tur ruahmanna siam a ni ang. Hei hian a huam thei ang:
- Chawlh hahdam
- Ice a lo hmin ta
- Painkiller leh anti-inflammatory damdawi te a awm bawk
- Steroid injection (Cortisone hmanga kah) te hi a tha hle.
- Taksa lam enkawlna
- A then phei chuan a hmun chhia te paih chhuah nan (`debridement`) emaw, tendon inzawm leh nan (`biceps tenotomy` emaw `tenodesis`) emaw pawh operation tih theih a ni.
Test dang thenkhat chu shoulder na a awm leh awm loh
Yergason’s test bakah hian doctor-te’n kekawrte harsatna hriat theihna atana an hman thin test awlsam dang engemaw zat a awm bawk. Hengte pawh hi tawi te tein han thlir ila. He table hi han en teh.
| Test Hming | A tih dan chu a awlsam hle. | Engtin nge ‘positive’ kan nih ang? |
|---|---|---|
| Yergason-a Test a ni | I elbow chu 90°-in bend la, doctor-in a dodal hunah i kut chu pawn lam hawiin her rawh. | Natna hriatna emaw, kekawr hmalam ‘click’ ri emaw. |
| Speed Test neih a ni | Kut chu chunglam hawia hawi a, elbow ben lovin dinglam hawia dah chu doctor dodalna lakah a chawi sang a. | Kawngkhar natna hriat emaw, kut chawi laia chak lohna hriat emaw. |
| O'Brien-a Test a ni | I kut dinglam chu shoulder level-ah chawi sang la, i taksa lam hawiin chhung lam hawi deuh la, i kutpui chu hnuai lam hawiin dah rawh. Doctor chuan i kut chu a hmet thla a, i kut chu i vawn tlat tum a. | Shoulder joint chhunga natna hriat (a bik takin kutpui hnuai lam hawi hian). |
Heng test te hi engtiang chiahin nge a dik?
Hetiang taksa test hi 100% a dik lo. Chu chu, a chang chuan result-in natna vei hnenah ‘ni lo’ a ti thei a, natna nei lo hnenah pawh ‘ni’ a ti thei bawk. Chuvang chuan doctor chuan test pakhat chauh a rinchhan ngai lo. I sawi lan natna lan chhuahna te, chutiang test engemaw zat result te, leh a tul chuan scan report te chu a inzawm khawm a, thutlukna hnuhnung ber a siam a ni.
Take-Home Thuchah a ni
- Yergason test hi thisen test emaw scan emaw a ni lo. Doctor-in i taksa a khawih avanga a tih tur test awlsam tak a ni.
- Hei hian biceps tendon-a harsatna awm ber chu ngaihtuahna a pe thei che a ni.
- Test laiin natna emaw, click ri emaw i hriat chuan harsatna a awm tih a tilang thei a, mahse diagnosis chiang tak a ni lo.
- I ke ruh natna i neih hian mahni inhriatthiamna nei ngai suh. Internet a\angin damdawi lam thurawn zawng suh la, mi thusawi pawh ngaithla suh.
- I kekawrte na i neih chuan a tha ber chu a rang thei ang bera doctor pan hi a ni. Test tul tak tak a ti ang a, i tana enkawlna \ha ber a pe ang che.
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