Farsamada Qalliinka | Farsamada Band Kirschner Wire Tension Band oo loogu talagalay hagaajinta gudaha ee daawaynta jabka Bennett

Burburka Bennett wuxuu xisaabiyaa 1.4% jabka gacanta. Si ka duwan jabka caadiga ah ee salka lafaha metacarpal, barokaca jabka Bennett waa mid gaar ah. Jajabka dusha sare ee u dhow ee u dhow ayaa lagu hayaa booska asalka ah ee anatomical sababtoo ah jiidashada xuubka metacarpal ee oblique, halka jajabka fog, ay sabab u tahay jilitaanka pollicis longus afduubka iyo jilicsanaanta pollicis, waxay kala baxaan dorsoradially iyo supinates.

Jeelka jabka Bennett ee barokacay, daawaynta qalliinka ayaa inta badan lagula taliyaa si looga fogaado in la wiiqo isku-habaynta wadajirka iyo shaqada suulka carpometacarpal. Marka la eego hababka daaweynta qalliinka, nidaamka hagaajinta saxanka iyo isboortiska, iyo sidoo kale hagaajinta gudaha Kirschner fiilada, ayaa si weyn loogu isticmaalaa waxqabadka kiliinikada. Culimo ka socota Cisbitaalka Saddexaad ee Hebei ayaa soo jeediyay farsamada xadhigga Kirschner ee xargaha, kaas oo ku lug leh jeex yar oo yar oo la jeexjeexay si loo hagaajiyo jabka Bennett, oo lagu gaadho natiijooyin wanaagsan.

Tallaabada 1: Samee jeexitaan 1.3 cm ah oo dhinaca shucaaca ah ee wadajirka carpometacarpal, kala saar lakabka si aad u soo bandhigto aagga, dib u soo celi pollicis dheer ee afduubka ee dhinaca ulnar, oo soo bandhig dhinaca dhabarka ee wadajirka carpometacarpal.

Talaabada 2: Codso jiidista gacanta oo u soo jiid suulka si aad u yarayso jabka. Geli 1 mm silig Kirschner dhexda jabka fog, 1-1.5 sentimitir ka fog wadajirka carpometacarpal, si aad u hagaajisid jajabka lafaha u dhow. Ka dib markii siliga Kirschner uu galo jajabka lafaha, sii wad inaad ku sii socoto 1 cm.

Tallaabada 3: Qaado siligga oo ku dheji qaab jaantus-sideed ah oo ku wareegsan labada daraf ee siliga Kirschner, ka dibna meel dhig.

Farsamada xargaha xargaha xargaha Kirschner ayaa lagu dabaqay jajabyo badan, laakiin jajabyada Bennett, jeexitaan yar ayaa badanaa keena muuqaal liidata waxayna ka dhigtaa habka mid adag. Intaa waxaa dheer, haddii jabka la gooyo, hal silig Kirschner ayaa laga yaabaa inaysan si wax ku ool ah u xasilin jajabka lafaha u dhow. Dhaqangalkeeda caafimaad ayaa laga yaabaa inay xaddidan tahay. Marka laga reebo habka hagaajinta xajinta xiisadda ee aan soo sheegnay, waxaa sidoo kale jira hagaajinta siliga Kirschner oo ay weheliso farsamada kooxda xiisadda, kaas oo sidoo kale lagu soo sheegay suugaanta.