Jajab radius fog waa mid ka mid ah kuwa ugu badanjabku-shaqaynta bukaan-socodka.Inta badan jabniinka fogfog, natiijooyin daweyn oo wanaagsan ayaa lagu gaari karaa iyada oo loo marayo saxanka habka calaacalaha iyo maroojinta hagaajinta gudaha.Intaa waxaa dheer, waxaa jira noocyo kala duwan oo gaar ah oo jabka radius fog, sida jabka Barton, jabka Die-punch,Jabka Chauffeur, iwm., mid kasta oo u baahan habab daaweyn gaar ah.Culimada ajnabiga ah, daraasaddooda ku saabsan shaybaarro waaweyn oo kiisaska jabka radius fog, ayaa aqoonsaday nooc gaar ah oo qayb ka mid ah isku-dhafka ay ku lug leedahay jabka radius fog, iyo jajabyada lafuhu waxay sameeyaan qaab dhismeed oo leh saldhig "saddex geesood ah" (tetrahedron), loo yaqaan "tetrahedron" nooca.
Fikradda "Tetrahedron" Nooca Distal Radius Fracture: Noocaan jabka radius fog, jabku wuxuu ku dhacaa qayb ka mid ah wadajirka, oo ku lug leh labada weji ee palmar-ulnar iyo radial styloid, oo leh qaabeyn saddex geesood ah.Xariiqda jaban waxay ku fidsan tahay cidhifka fog ee raadiyaha.
Kala duwanaanshaha jabkan ayaa ka muuqda astaamaha gaarka ah ee jajabyada lafaha dhinaca palmar-ulnar ee raadiyaha.Dhinaca kale, fossa dayaxa ee ay sameeyeen jajabyada dhinaca palmar-ulnar waxay u adeegaan sidii taageero jireed oo ka soo horjeeda kala-baxa volar ah ee lafaha carpal.Luminta taageerada qaab-dhismeedkan ayaa keenaya kala-bax toos ah ee wadajirka curcurka.Dhanka kale, iyada oo qayb ka ah qaybta hoose ee radioulnar wadajirka ee dusha sare ee radial articular, dib u soo celinta jajabkan lafaha booska anatomical waa shardi u ah dib u soo celinta xasiloonida wadajirka radioulnar ee fog.
Sawirka hoose wuxuu muujinayaa kiiska 1: Muujinta sawirada nooc ka mid ah "Tetrahedron" ee caadiga ah ee jabka raadiyaha fog.
Daraasad socday shan sano, toddobo xaaladood oo jabka noocaan ah ayaa la aqoonsaday.Marka la eego calaamadaha qalliinka, saddex xaaladood, oo ay ku jiraan Kiis 1 ee sawirka kore, halkaas oo markii hore ay jireen jajabyo aan barakicin, daaweyn muxaafid ah ayaa markii hore la doortay.Si kastaba ha ahaatee, inta lagu guda jiro dabagalka, dhammaan saddexda xaaladood waxay la kulmeen barokac jaban, taasoo keentay qalliinka hagaajinta gudaha ee xiga.Tani waxay soo jeedinaysaa xasillooni la'aan heerkeedu sarreeyo iyo khatarta weyn ee dib-u-soo-kabashada ee jabka noocan oo kale ah, oo xoogga saaraya calaamad xooggan oo loogu talagalay faragelinta qalliinka.
Marka la eego daawaynta, laba xaaladood ayaa markii hore lagu soo maray hab dhaqameed volar ah oo leh flexor carpi radialis (FCR) ee saxanka iyo isku xidhka hagaajinta gudaha.Mid ka mid ah xaaladahan, hagaajintu way guuldareysatay, taasoo keentay barakaca lafaha.Ka dib, hab palmar-ulnar ah ayaa la adeegsaday, iyo hagaajin gaar ah oo saxan tiir leh ayaa loo sameeyay dib u eegista tiirka dhexe.Ka dib markii ay dhacday cillad la'aan, shantii kiis ee xigay dhamaantood waxay mareen habka palmar-ulnar waxaana lagu hagaajiyay taarikada 2.0mm ama 2.4mm.
Kiiska 2: Isticmaalka habka volar-ka caadiga ah ee leh flexor carpi radialis (FCR), hagaajinta saxan calaacasha ayaa la sameeyay.Qalliinka ka dib, kala-baxa hore ee wadajirka gacanta ayaa la arkay, taas oo muujinaysa hagaajin la'aanta.
Kiis 2, shaqaaleysiinta habka palmar-ulnar iyo dib u eegis lagu sameeyo saxan tiirka ayaa keentay boos lagu qanco ee hagaajinta gudaha.
Iyadoo la tixgelinayo cilladaha taarikada jaban ee raadiyaha fog ee caadiga ah ee hagaajinta jajabkan 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 ku filan.Marka labaad, cabbirka weyn ee biraha saxanka qufulka ah waxaa laga yaabaa inaysan si sax ah u sugin jajabyada lafaha yar yar waxayna suurtogal u tahay inay meesha ka saaraan iyada oo la gelinayo fiilooyinka u dhexeeya jajabyada u dhexeeya.
Sidaa darteed, culimadu waxay soo jeedinayaan isticmaalka 2.0mm ama 2.4mm taarikada qufulka si gaar ah loogu hagaajiyo jajabka tiirka dhexe.Marka lagu daro saxanka taageerada, iyadoo la adeegsanayo laba boolal si loo hagaajiyo jajabka lafaha iyo dhexdhexaadinta saxanka si loo ilaaliyo boolaladaha sidoo kale waa ikhtiyaarka hagaajinta gudaha ee beddelka ah.
Xaaladdan oo kale, ka dib markii la hagaajiyo jajabka lafta leh laba boolal, saxanka ayaa la geliyey si loo ilaaliyo boolal.
Marka la soo koobo, nooca "Tetrahedron" jabka radius distal wuxuu muujinayaa sifooyinka soo socda:
1. Dhacdooyin hoose oo leh heer sare oo ah baaritaanka hore ee filimka cad.
2. Halis sare oo xasillooni darro ah, oo leh u janjeera beddelka inta lagu jiro daawaynta muxaafidka ah.
3. Taarikada qufulka calaacalaha caadiga ah ee jabka radius fog ayaa leh awood hagaajineed oo daciif ah, waxaana lagu talinayaa in la isticmaalo taarikada qufulka 2.0mm ama 2.4mm hagaajin gaar ah.
Marka la eego sifooyinkan, marka la eego waxqabadka kiliinikada, waxaa lagu talinayaa in la sameeyo CT scans ama baaritaan xilliyeedka bukaanka leh calaamadaha curcurka ee muhiimka ah laakiin raajo xun.Noocan ahjab, Faragelinta hore ee qaliinka oo leh saxan gaar ah oo tiirar ah ayaa lagula talinayaa si looga hortago dhibaatooyin dambe.
Waqtiga boostada: Oct-13-2023
