Jabka radius-ka fog waa mid ka mid ah kuwa ugu badanjabkaDhaqtarka caafimaadka. Inta badan jabka fog, natiijooyin daaweyn oo wanaagsan ayaa lagu gaari karaa saxanka palmar approach iyo hagaajinta gudaha. Intaa waxaa dheer, waxaa jira noocyo kala duwan oo gaar ah oo jabka radius-ka fog ah, sida jabka Barton, jabka Die-punch,Jabka darawalka, iwm., mid walba wuxuu u baahan yahay habab daaweyn gaar ah. Aqoonyahannada ajnabiga ah, daraasadahooda ku saabsan muunado waaweyn oo kiisaska jabka radius-ka fog, waxay aqoonsadeen nooc gaar ah halkaas oo qayb ka mid ah kala-goysku ay ku lug leedahay jabka radius-ka fog, jajabyada laftana ay sameeyaan qaab-dhismeed koontarool leh oo leh saldhig "saddex-xagal" (tetrahedron), oo loo yaqaan nooca "tetrahedron".
Fikradda Nooca "Tetrahedron" Jabka Radius-ka Fog: Noocan jabka radius-ka fog, jabka wuxuu ka dhacaa qayb ka mid ah kala-goysyada, oo ku lug leh labada dhinac ee palmar-ulnar iyo radial styloid, oo leh qaab-dhismeed saddex-xagal ah oo isdhaafsan. Xariiqda jabka waxay ku fidsan tahay dhammaadka fog ee radius-ka.
Gaar ahaanshaha jabkan waxaa lagu muujiyay sifooyinka gaarka ah ee jajabyada lafaha dhinaca palmar-ulnar ee radius-ka. Dhinac, fossa-da dayaxa ee ay sameeyeen jajabyadan lafaha dhinaca palmar-ulnar waxay u adeegtaa taageero jireed oo ka dhan ah kala-goysyada volar ee lafaha carpal. Lumitaanka taageerada qaab-dhismeedkan waxay keentaa kala-goysyada volar ee kala-goysyada curcurka. Dhanka kale, iyadoo qayb ka ah dusha sare ee radial articular ee kala-goysyada radioulnar ee distal, dib u soo celinta jabkan lafaha booskiisa anatomical waa shuruud u ah dib u soo celinta xasilloonida kala-goysyada radioulnar ee distal.
Sawirka hoose wuxuu muujinayaa Kiiska 1aad: Muujinta sawir-qaadista ee jabka radius-ka fog ee nooca "Tetrahedron" ee caadiga ah.
Daraasad socotay shan sano, toddobo kiis oo noocan ah oo jab ah ayaa la aqoonsaday. Marka laga hadlayo calaamadaha qalliinka, saddex kiis, oo ay ku jiraan Kiis 1aad ee sawirka kore, halkaas oo markii hore ay jireen jab aan barakicin, daaweyn muxaafid ah ayaa markii hore la doortay. Si kastaba ha ahaatee, intii lagu jiray dabagalka, saddexda kiisba waxay la kulmeen barokicin jabka, taasoo keentay qalliin gudaha ah oo dambe. Tani waxay soo jeedinaysaa heer sare oo xasillooni darro ah iyo khatar weyn oo ah in dib loo celiyo jabka noocan ah, taasoo xoojinaysa tilmaam xooggan oo loogu talagalay faragelinta qalliinka.
Marka laga hadlayo daaweynta, laba kiis ayaa markii hore lagu sameeyay hab dhaqameed oo loo yaqaan 'flexor carpi radialis (FCR)' oo loogu talagalay saxanka iyo boolal-ka gudaha. Mid ka mid ah kiisaskan, hagaajintu way fashilantay, taasoo keentay barokac lafaha ah. Dabadeed, hab palmar-ulnar ah ayaa la isticmaalay, waxaana la sameeyay hagaajin gaar ah oo leh saxan tiir ah si loo sameeyo dib-u-eegista tiirka dhexe. Ka dib markii ay dhacday cillad hagaajin, shan kiis oo xigay dhammaantood waxay mareen habka palmar-ulnar waxaana lagu hagaajiyay saxanno 2.0mm ama 2.4mm ah.
Kiiska 2aad: Iyadoo la adeegsanayo habka caadiga ah ee volar-ka ee loo yaqaan flexor carpi radialis (FCR), waxaa la sameeyay hagaajinta saxanka palmar. Qalliinka ka dib, waxaa la arkay kala-goys hore ee kala-goysyada curcurka, taasoo muujinaysa cillad ku timid hagaajinta.
Kiis 2aad, adeegsiga habka palmar-ulnar iyo dib-u-eegista saxan tiir ayaa keentay boos ku filan oo lagu hagaajin karo gudaha.
Marka la eego cilladaha saxannada jabka ee radius-ka fog ee caadiga ah marka la hagaajinayo jajabkan lafaha gaarka ah, waxaa jira laba arrimood oo waaweyn. Marka hore, isticmaalka habka volar-ka ee leh flexor carpi radialis (FCR) waxay keeni kartaa soo-gaadhis aan ku filnayn. Marka labaad, cabbirka weyn ee boolal-yada saxanka qufulan ee palmar-ka ayaa laga yaabaa inaysan si sax ah u adkayn jajabyada lafaha yaryar waxayna suurtogal tahay inay ku milmaan iyagoo boolal gelinaya meelaha u dhexeeya jajabyada.
Sidaa darteed, culimadu waxay soo jeedinayaan in la isticmaalo taarikada qufulka ee 2.0mm ama 2.4mm si loogu hagaajiyo qaybta dhexe ee lafaha. Marka laga soo tago taarikada taageerada, isticmaalka laba boolal si loo hagaajiyo qaybta lafaha iyo in la dhexdhexaadiyo saxanka si loo ilaaliyo boolalku sidoo kale waa ikhtiyaar kale oo gudaha ah oo lagu hagaajin karo.
Xaaladdan, ka dib markii la hagaajiyay jajabka lafaha laba boolal, saxanka ayaa la geliyay si loo ilaaliyo boolal.
Marka la soo koobo, jabka radius-ka fog ee nooca "Tetrahedron" wuxuu muujinayaa astaamaha soo socda:
1. Dhacdo yar oo leh heer sare oo ah qalad hore oo filim caadi ah.
2. Khatar sare oo ah xasillooni darro, iyadoo ay u janjeerto in dib loo celiyo inta lagu jiro daaweynta caadiga ah.
3. Taarikada qufulka ee caadiga ah ee palmar-ka ee jabka radius-ka fog waxay leeyihiin xoog hagaajin oo daciif ah, waxaana lagu talinayaa in la isticmaalo taarikada qufulka ee 2.0mm ama 2.4mm si loo helo hagaajin gaar ah.
Marka la eego astaamahan, ku dhaqanka caafimaadka, waxaa lagugula talinayaa in la sameeyo baaritaanno CT ama baaritaanno xilliyeed ah oo loogu talagalay bukaanada leh calaamado waaweyn oo gacanta ah laakiin leh raajada X-ray ee taban.jabka, qalliin hore oo lagu sameeyo saxan tiir gaar ah ayaa lagu talinayaa si looga hortago dhibaatooyinka dambe.
Waqtiga boostada: Oktoobar-13-2023
