Wararka - Sawirrada orthopedic: "The Terry Thomas saxeex

Sawirka orthopedic ah: "The Thory Thomas oo saxeex ah" iyo baahinta Scaphunate

Terry Thomas waa majaajiliistaha caanka ah ee Ingiriiska ee loo yaqaan farqigiisa muuqaalka ah ee dhexmara ilkahiisa hore.

Dhaawacyada curcurka, waxaa jira nooc dhaawac ah oo muuqaalkooda raadiyadooda ay u egyihiin farqiga ilkaha ee Thery Thomas. Frankel ayaa loo tixraacay tan sida "saxiix The Terry Thomas," ayaa sidoo kale loo yaqaanaa "saxiix rikoor ah oo la soo qaaday."

Muuqaalka Raadinta: Marka ay jiraan dhir jilicsan oo jeexjeexyo xargaha is-weydaarsiga scaphonada-ka, aragtida anterostaosteririhie ee curcurka ama aragtida ctortal ee CT-da ayaa muujinaya farqiga u dhexeeya shaashadda iyo lafaha, u eg farqiga iligga ee yaryar.

Falanqaynta saxiix: Dalaga is-weydaarsiga 'scaphunate' ayaa ah nooca ugu badan ee deganaanshaha gacanta, oo sidoo kale loo yaqaan scapaphoid wareejinta sublumar. Waxaa sida caadiga ah sababay isku darka kordhinta, weecashada Ulnar, iyo xoogagga shaqada ayaa laga dalbaday dhinaca garabka ee garabka, taasoo dhalisay in lugaha loo yaqaan 'scaphioid' oo xasilinaya cirifka loo yaqaan 'scaphiid', taasoo horseedaysa kala goynta laf-dhabarka iyo lafaha. Xiritaanka xagjirka ah iyo marinka raadiyaha ayaa sidoo kale laga yaabaa inay dillaacaan.

Hawlaha soo noqnoqda, dhaawacyada wareejinta iyo dhaawacyada, caloosha jiirka lagu dhajiyo, iyo kala-duwanaanta ulnar ee xun ayaa sidoo kale la xidhiidha is-kala-goynta scapholoynate.

Imaanshaha imtixaanka: raajo (isbarbardhiga laba geesoodka ah):

1. Gap scaphunate> 2mm ayaa laga shakiyaa kala go'ay; Hadday> 5mm, la ogaan karo.

2. Calaamadda giraanta lagu dhejiyo scapaph, oo leh masaafada u dhaxaysa xadka hoose ee giraanta iyo dusha sare ee isku dhafka ah ee scappoid "7mm.

4. Kordhin xagal Scapholate: Caadi ahaan, waa 45-60 °; Xagalka radingate> 20 ° waxay muujineysaa derescale-ka qaybta ee Dheerta ah (Dis).

5. Palmar "v" calaamad: aragtida dambe ee gacanta ee gacanta, geesaha timirta ee metacarpal iyo lafaha radial waxay sameeyaan qaab "c" qaab ah. Marka ay jiraan dabacsanaan aan caadi ahayn oo ah scaphiid, geedaha calaacalka ah ee loo yaqaan 'Plar' oo ay ku jiraan geeska Palmar ee 'Plar Plar' ee styloid-ka radial, sameynta qaab "v" qaab ah.