Jabka canqowga waa mid ka mid ah noocyada ugu caansan ee jabka ee ku jira jiritaanka caafimaad. Marka laga reebo qaar ka mid ah Dhaawacyada Golaha I / II ee Dhaawacyada iyo Dhaawacyada Afduubka, inta badan jabka canqowga ayaa badanaa ku lug leh Malleus dambe ee Malleus. Weber A / B Nooca jabka Malleus Milleolus-ka ee caadiga ah sida caadiga ah waxay u horseedaa ciribtirka ciribtirka ah ee xasilloon oo lagu gaari karo dhimis wanaagsan oo leh muuqaalka tooska ah ee muuqaalka tooska ah ee loogu talagay. Taa bedelkeeda, c-noocyada jabka ee 'Malleolus' Malleous Malleus ee 'Malleous' oo ka kooban xasillooni darri ka dib dhaawaca fobleolus dusheeda, oo u horseedi karta xijaabka dushiisa, oo ka mid ah daadadka / dambe ee diyaaradda. Barokaca, iyo isku-darka shantaas nooc ee dhaawacyada.
Daraasado badan oo hore ayaa muujisay in gaabinta / dheelitirka lagu qiimeyn karo iyadoo la qiimeynayo saxiixa calaamadda dime, safka Stenton, iyo xagasha xagal ee 'Trinton', iyo kuwa kale. Barokacayaasha diyaaradaha conalka iyo sagittal-ka ayaa si fiican loogu qiimeyn karaa iyadoo la adeegsanayo aragtida hore iyo kan dambe ee foloroscopic-ka; Si kastaba ha noqotee, barakaca wareegga ayaa ah kuwa ugu adag ee lagu qiimeeyo si loo qiimeeyo silically.
Dhibaatada ka jirta qiimeynta barakaca wareegga ayaa si gaar ah u muuqata yareynta FIBula markii la galinayo xoqidda foibibular. Suugaanta badankood waxay muujineysaa in ka dib galinta isbadalka tibiofibular ee foblofibular, waxaa jira dhacdo 25% -50% ah oo ah dhimis liita, taasoo dhalisay in xumbaha iyo hagaajinta cilladaha finanka. Aqoonyahanada qaarkood waxay soo jeediyeen inay adeegsadaan qiimeynta joogtada ah ee CT-ga oo ku saabsan qiimeynta CT-ga oo joogto ah, laakiin tani waxay noqon kartaa mid caqabad ku ah in lagu hirgaliyo dhaqan ahaan. Si looga hadlo arintan, sanadkii 2019, Professor Zhang Shim oo ka socda Isbitaalka Yangpu ee kuxigeenka ku xiran Tentleolus joornaalka joornaalada ee Tenthopedic *, ee ku saabsan qiimeynta joornaalka odayga ee 'Milleos' *, Malleos-ka dambe ayaa la saxay iyada oo loo adeegsanayo raajada-dambe. Suugaanta suugaanta ayaa soo sheegeysa waxtarka caafimaad ee muhiimka ah ee habkan.
Aasaaska qaabkan ayaa ah in aragtida fluloroscopic ee canqowga, cortex gidaarka dambe ee ka dib ee Malleus-ka dambe, oo ay la mid tahay khadka tooska ah ee ku xidhaya sadarka dambe ee isku xidhka ah ee ka mid ah ee Malleus-ka dambe ee Malleus.
Sawirka aragtida foroloscopic-ka canqowga ee muujinaya xidhiidhka mawqifka ee ka dhexeeya kitlex-ka dambe ee Mallalal ee dambe ee Malloural ee dambe (B-line) iyo sadarka dhexe ee Malleus (A iyo C iyo C iyo C iyo C. Caadi ahaan, B-line waxay ku taalaa qadka kore ee sadarka saddexaad ee u dhexeeya xariiqyada a iyo c.
Meesha caadiga ah ee Malleus-ka dambe, wareejinta dibedda, iyo wareegga gudaha ayaa soo saari kara muuqaallo kala duwan oo muuqaal ah aragtida fiyaaraalka:
- Malleolus-ka dambe ee loo wareejiyay booska caadiga ah **
-Maxallada Malleolus ee dibedda ee 'Malleolus' **: Constal-ka dib-u-dhigga ee loo yaqaan 'Speleolus' wuxuu u muuqdaa "Sharp-ka-shaandheyn," Tricical Spolal Shadow ee ka soo baxo, Nugaalka Tribeolical fouss, xariifka jilicsan ee fowsal ah, oo ah safka qarsoon ayaa joojisay oo kala firidhsan.
-Maxeeyo isku-darka gudaha ah ee Malleolus **: Triamolus-ka ee loo yaqaan 'Macleus contor' ayaa u muuqda "Qaadada Malleolus-qaabeysan," "Qulqulka Cortical Shadow ee Mallalal fousso ee loo yaqaan 'Moseolal fololal foloflar' ayaa ka baaba'ay.
Kooxda waxaa ka mid ahaa 56 bukaan oo qaba nooca c-transalar-ka ee nooca loo yaqaan 'c-prakelolar' oo lagu daray dhaawacyada cirifka ah ee tibiofibular cirifka iyo loo adeegsaday habka qiimaynta ee kor u qaadista. Dib-u-imtixaanadihii CT-ga ee CT-ga ayaa muujinaya in 44 bukaanno ay gaareen dhimista cudurka Majiro kiisas dhexdhexaad ah (5-10 °) ama daran (ka weyn 10 °) isdhaafsiga dibedda.
Daraasadihii hore waxay muujiyeen in qiimeynta dhimista jabka ee dambe ee loo yaqaan 'Millolar' ee ugu weyn ee Malloulation: isbarbardhiga dusha sare ee u dhexeeya dusha sare iyo taliyihii Shenton, iyo calaamadda dime.
Yaraynta liita ee Malleus-ka dambe waa arin aad u badan oo ku saabsan waxqabadka rugta caafimaad. In kasta oo dareenka saxda ah la siiyo dib u soo celinta dhererka, muhiimadda loo wada siman yahay waa in lagu dhejiyaa sixitaanka wareejinta. Iyada oo ah wadajirka culeyska culeyska, waxkasta oo qarsoon oo canqowga ah waxay yeelan karaan saameyn musiibo howsha shaqadeeda. Waxaa la rumeysan yahay in farsamooyinka fluloroscopic-ka ee ay soo jeedisay Professor Zhang Shimin uu gacan ka geysan karo gaarista yareynta dhimista saxda ah ee jabinta c-noocyada c-noocyada ah. Farsamadan waxay u adeegtaa sidii tixraac qiimo leh oo loogu talagalay dhakhaatiirta hore ee telefoonka.
Waqtiga Post: May-06-2024
