ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯕꯥꯏꯁꯦꯄꯁ ꯔꯄꯆꯔ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ! (ꯕꯥꯏꯁꯦꯄꯁ ꯇꯦꯟꯗꯣꯟ ꯔꯄꯆꯔ)

ꯅꯍꯥꯛꯅꯥ ꯑꯀꯅꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯂꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯈꯪꯍꯧꯗꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯒꯤ ‘ꯀ꯭ꯂꯤꯛ’ ꯍꯥꯌꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯥ ꯐꯥꯑꯣꯏ꯫ ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯜ ꯑꯗꯨ ꯑꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯎꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯕꯥꯏꯁꯦꯄꯁ ꯔꯄꯆꯔ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯡ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯂꯥꯡꯇꯛꯅꯩ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯉꯂꯕꯗꯤ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯑꯗꯨꯅꯥ, ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯕꯥꯏꯁꯦꯄꯁ ꯔꯄꯆꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯀꯄꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯜ ꯑꯗꯨꯕꯨ ꯕꯥꯏꯁꯦꯄꯁ ꯃꯁꯜ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯁꯜ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯗꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯑꯃꯗꯥ ꯑꯀꯅꯕꯥ ꯀꯣꯔꯗꯒꯨꯝꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯅꯥ ꯆꯦꯜꯂꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯇꯦꯟꯗꯣꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯕꯥꯏꯁꯦꯄꯁ ꯔꯄꯆꯔ ꯍꯥꯌꯕꯁꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯇꯦꯟꯗꯣꯟ ꯇꯤꯁꯨꯗꯥ ꯊꯣꯀꯄꯥ ꯇꯤꯂꯍꯥꯠ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯇꯤꯟ ꯑꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯨꯛ ꯈꯔꯗꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯑꯩꯈꯣꯌꯒꯤ ꯕꯥꯏꯁꯦꯄꯁ ꯃꯁꯜ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯍꯨꯃꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯆꯦꯜꯂꯤ:

• ꯈꯨꯎꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯅꯤ (Long head tendon ꯑꯃꯁꯨꯡ Short head tendon)
• ꯑꯦꯂꯕꯣꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯃꯥ (Distal biceps tendon)

ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯏ꯫

• ꯄ꯭ꯔꯣꯛꯁꯤꯃꯥꯜ ꯕꯥꯏꯁꯦꯄꯁ ꯇꯦꯟꯗꯣꯟ ꯔꯄꯆꯔ (proximal Biceps Tendon Rupture): ꯃꯁꯤ ꯈꯨꯎꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯃꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯅꯤ꯫
• ꯗꯤꯁ꯭ꯇꯦꯜ ꯕꯥꯏꯁꯦꯄꯁ ꯇꯦꯟꯗꯣꯟ ꯔꯄꯆꯔ (Distal Biceps Tendon Rupture): ꯃꯁꯤ ꯑꯦꯂꯕꯣꯏꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯗꯦ, ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯕꯥꯏꯁꯦꯄꯁ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯨꯠꯁꯥꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯗꯨꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯕꯥꯏꯁꯦꯄꯁ (biceps) ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯨꯠ ꯁꯤꯖꯤꯟꯅꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯌꯥꯝ ꯐꯠꯇꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯇꯦꯟꯗꯣꯟ ꯑꯁꯤ ꯈꯨꯎꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ, ꯑꯃꯁꯨꯡ ꯈꯨꯠꯁꯥꯒꯤ ꯑꯇꯩ ꯃꯁꯂꯁꯤꯡ (Brachialis and Supinator)ꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯗꯨꯅꯥ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯆꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯆꯦꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ , ꯅꯍꯥꯛꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯃꯇꯃꯗꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯁ꯭ꯛꯔꯨ ꯑꯃꯥ ꯆꯦꯠꯁꯤꯅꯕꯗꯥ) ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ (distal rupture) ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯗꯨ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯆꯪꯁꯤꯅꯕꯥ ꯉꯝꯂꯕꯁꯨ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨꯒꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ, ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯑꯦꯂꯕꯣꯏꯒꯤ ꯃꯈꯥꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯃꯈꯨꯠ ꯑꯗꯨ ꯋꯥꯡꯈꯠꯍꯅꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ (supination) ꯑꯁꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯅꯥ ꯃꯥꯡꯈꯤ꯫ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯆꯦꯠꯅꯥ ꯆꯦꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯈꯨꯠꯁꯥ ꯑꯗꯨꯅꯥ ꯄꯥꯉ꯭ꯒꯜ ꯂꯩꯇꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯐꯥꯑꯣꯒꯅꯤ꯫ ꯁꯥꯟꯅꯔꯣꯏꯁꯤꯡꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯈꯨꯠꯇꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯄꯥꯉ꯭ꯒꯜ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯕꯥꯏꯁꯦꯄꯁ ꯇꯦꯟꯗꯣꯟ ꯑꯃꯥ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯆꯦꯟꯊꯈꯤꯕꯅꯣ?

ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯅꯤ ꯂꯩꯕꯥ ꯌꯥꯏ: ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯅꯠꯠꯔꯒꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ꯫

ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯍꯥꯌꯕꯁꯤ "ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯤꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯌꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯆꯦꯠꯁꯤꯂꯍꯟꯅꯕꯥ ꯐꯣꯔꯁ ꯀꯌꯥ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ" ꯍꯥꯌꯕꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯟꯗꯨꯅꯥ ꯂꯩꯃꯥꯌꯗꯥ ꯁꯣꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯎ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕꯥꯏꯁꯦꯄꯁ ꯔꯄꯆꯔ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯃꯇꯃꯗꯥ ‘ꯇꯣꯛ’ ꯅꯠꯠꯔꯒꯥ ‘ꯄꯣꯞ’ꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯇꯥꯕꯥ꯫
• ꯈꯪꯍꯧꯗꯅꯥ, ꯈꯨꯎ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯎꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ (ꯈꯨꯠꯂꯥꯏ ꯄꯥꯌꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ)꯫
• ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯎꯗꯥ ꯁꯣꯟꯊꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯃꯊꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯥ꯫ꯃꯇꯧ ꯑꯁꯨꯝꯅꯥ ꯌꯦꯡꯅꯕꯥ꯫
• ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯀ꯭ꯔꯦꯝꯄ ꯇꯧꯔꯀꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ꯫
• ꯃꯈꯨꯠ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ (ꯃꯈꯨꯠ ꯑꯗꯨ ꯃꯊꯛꯇꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯊꯝꯃꯨ)꯫
• "ꯄꯣꯄꯦꯌꯔ ꯃꯁꯜ"ꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ: ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯈꯨꯎꯒꯤ ꯃꯅꯥꯛꯇꯥ (ꯄ꯭ꯔꯣꯛꯁꯤꯃꯥꯜ ꯔꯄꯆꯔ) ꯎꯕꯥ ꯐꯪꯏ꯫ ꯀꯥꯔꯇꯨꯟ ꯑꯗꯨꯗꯥ ꯄꯣꯄꯦꯌꯔꯒꯨꯝꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯁꯦꯄꯁ ꯃꯁꯜ ꯑꯗꯨ ꯂꯪꯐꯩ ꯑꯃꯒꯨꯝ ꯎꯏ ꯑꯃꯁꯨꯡ ꯂꯪꯊꯣꯀꯏ꯫ ꯃꯁꯤꯕꯨ `(ꯄꯣꯄꯦꯌꯔ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯃꯁꯤ ꯕꯥꯏꯁꯦꯄꯁ ꯔꯄꯆꯔꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ?

ꯃꯍꯧꯁꯥꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯃꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯒꯤ ꯔꯦꯟꯖ ꯑꯣꯐ ꯃꯣꯁꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯦꯡꯊ ꯑꯗꯨ ꯆꯦꯛ ꯇꯧꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯤꯠꯀꯨꯞ ꯑꯗꯨ ꯃꯄꯨꯡ ꯐꯥꯗ꯭ꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯑꯦꯛꯁ-ꯔꯦ, ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.

ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯀꯅꯐꯔꯝ ꯇꯧꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯅꯤ ꯂꯩꯔꯤ:

1. ꯍꯨꯛ ꯇꯦꯁ꯭ꯠ: ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨ ꯃꯍꯥꯛꯀꯤ ꯃꯈꯨꯠꯇꯥ ꯆꯦꯅꯁꯤꯟꯅꯕꯥ ꯍꯣꯠꯅꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯣꯏ ꯍꯥꯌꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫

2. ꯕꯥꯏꯁꯦꯄꯁ ꯁ꯭ꯛꯕ꯭ꯌꯥꯔ ꯇꯦꯁ꯭ꯠ: ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯂꯕꯣꯏ ꯑꯗꯨ ꯁꯄꯣꯔꯠ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯍꯅꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯣꯔꯝꯌꯨꯂꯥ ꯑꯗꯨ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯃꯄꯥꯟꯗꯥ ꯊꯣꯛꯂꯛꯠꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨ ꯆꯦꯟꯊꯈꯤꯕꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯅꯥ ꯐꯪꯂꯤꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨ ꯈꯨꯎ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯆꯦꯟꯊꯈꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯀꯌꯥꯝ ꯁꯥꯊꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯀꯦꯁꯁꯤꯡ (ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ)

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯣꯀꯄꯥ (ꯄꯥꯔꯁꯤꯑꯦꯜ ꯇꯤꯌꯥꯔ) ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯑꯥꯏꯁ: ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯅꯠ 20 ꯔꯣꯝ, ꯅꯣꯡꯃꯗꯥ ꯀꯌꯥꯃꯔꯨꯝ ꯑꯥꯏꯁ ꯊꯥꯎ꯫
• ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ: ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯀꯅꯕꯥ ꯂꯤꯐꯇꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯀꯅꯕꯥ ꯊꯕꯛ-ꯊꯧꯔꯃꯁꯤꯡ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯅꯍꯥꯀꯄꯨ ꯂꯪꯂꯥ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
• ꯄꯦꯏꯅꯀꯤꯂꯥꯔꯁꯤꯡ: ꯏꯕꯨꯞꯔꯣꯐꯦꯅꯒꯨꯝꯕꯥ ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ (NSAIDs)ꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯕꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ꯫
• ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ: ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯒꯤ ꯂꯃꯖꯤꯡ ꯃꯈꯥꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡꯅꯥ ꯍꯤꯡꯕꯒꯤ ꯊꯧꯑꯣꯡꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯈꯨꯠꯀꯤ ꯑꯇꯩ ꯃꯁꯂꯁꯤꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫

ꯂꯦꯟꯕ

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯦꯂꯕꯣꯏ (distal rupture)ꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯅꯕꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ "ꯑꯦꯂꯕꯣꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯃꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯐꯒꯠꯂꯔꯣꯏ꯫ ꯃꯁꯜ ꯑꯗꯨꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯝꯂꯣꯏ꯫"

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯁꯨ ꯁꯔꯖꯔꯤ ꯇꯧꯅꯕꯥ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯣꯀꯍꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕꯥꯏꯁꯦꯄꯁ ꯃꯁꯜ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯨꯎꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯣꯡꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯕꯛ-ꯊꯧꯔꯃꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ꯫

ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨ ꯁꯔꯨ ꯇꯥꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯖꯤꯅꯕꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯙꯥꯇꯨꯒꯤ ꯄꯤꯅꯁꯤꯡ (ꯑꯦꯉ꯭ꯀꯔꯁꯤꯡ) ꯅꯠꯠꯔꯒꯥ ꯕꯇꯅꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯁꯨ ꯌꯥꯏ꯫ ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯦꯃꯦꯔꯥꯒꯤ ꯃꯇꯦꯡꯅꯥ ꯑꯥꯔꯊ꯭ꯔꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯁꯔꯖꯔꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯅꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯁ꯭ꯞꯂꯤꯟꯇ ꯅꯠꯠꯔꯒꯥ ꯀꯥꯁ꯭ꯠ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯇꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯁꯨꯡ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯄꯥꯡꯊꯣꯛꯂꯕꯗꯤ, ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨ ꯁꯔꯨ ꯇꯥꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯊꯥ ꯑꯅꯤꯗꯒꯤ ꯑꯍꯨꯝ ꯐꯥꯎꯕꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯄꯥꯉ꯭ꯒꯜ ꯂꯩꯍꯟꯅꯕꯒꯤꯗꯃꯛꯇꯥ ꯑꯇꯣꯞꯄꯥ ꯊꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯑꯀꯅꯕꯥ ꯊꯕꯛ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯟꯅꯄꯣꯠꯁꯤꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯉꯥꯏꯒꯗꯒꯦ ꯍꯥꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫