Wararka - Sawirka Lafaha: "Calaamadda Terry Thomas" iyo Kala-goynta Scapholunate

Sawirka Lafaha: "Calaamadda Terry Thomas" iyo Kala-goynta Scapholunate

Terry Thomas waa majaajiliiste caan ah oo Ingiriis ah oo loo yaqaan farqiga caanka ah ee u dhexeeya ilkaha hore.

Dhaawacyada curcurka, waxaa jira nooc dhaawac ah oo muuqaalka sawir-qaadistu uu u eg yahay daloolka ilkaha ee Terry Thomas. Frankel wuxuu tan ugu yeeray "calaamadda Terry Thomas," oo sidoo kale loo yaqaan "calaamadda farqiga ilkaha ee aan kala go'a lahayn."

Muuqaalka Raajada: Marka ay jirto kala-goysyada scapholunate iyo jeexjeexa ligament-ka interosseous ee scapholunate, aragtida hore ee curcurka ama aragtida coronal ee CT waxay muujinaysaa farqiga sii kordhaya ee u dhexeeya lafaha scaphoid iyo lunate, oo u eg dalool ilko oo yar.

Falanqaynta Calaamadaha: Kala-goynta Scapholunate waa nooca ugu badan ee xasillooni-darrada curcurka, oo sidoo kale loo yaqaan scaphoid rotary subluxation. Badanaa waxaa sababa isku-darka fidinta, kala-goynta ulnar, iyo xoogga supination-ka ee lagu dhejiyo dhinaca ulnar palmar ee curcurka, taasoo keenta dillaac seedaha oo xasiliya usha u dhow ee scaphoid, taasoo keenta kala-goynta lafaha scaphoid iyo lunate. Xididdada radial collateral iyo seedaha radioscaphocapitate ayaa sidoo kale laga yaabaa inay jeexmaan.

Hawlaha soo noqnoqda, dhaawacyada qabashada iyo wareegga, dabacsanaanta seedaha ee ku dhasha, iyo kala duwanaanshaha ulnar ee taban ayaa sidoo kale lala xiriiriyaa kala-goynta scapholunate.

Baaritaanka Sawirka: Raajo X (oo leh isbarbardhig laba geesood ah):

1. Farqiga Scapholunate > 2mm wuxuu shaki ka qabaa kala-goynta; haddii ay ka badan tahay 5mm, waa la ogaan karaa.

2. Calaamadda giraanta cortical-ka ee Scaphoid, iyadoo masaafada u dhaxaysa xadka hoose ee giraanta iyo dusha sare ee isku-dhafka scaphoid ay tahay < 7mm.

3. Gaabinta Scaphoid-ka.

4. Xagasha scapholunate oo korodhay: Caadiyan, waa 45-60°; xagasha shucaaca oo ka badan 20° waxay muujinaysaa xasillooni la'aanta qaybaha isku xiran ee Dorsal (DISI).

5. Calaamadda "V" ee Palmar: Aragtida caadiga ah ee dhinaca curcurka, geesaha calaacasha ee lafaha metacarpal iyo radial waxay sameeyaan qaab "C". Marka ay jirto dabacsanaan aan caadi ahayn oo scaphoid ah, cidhifkeeda calaacasha waxay isgoystaa cidhifka calaacasha ee radial styloid, taasoo sameysa qaab "V".