Dislocation o ka wāwae - Symptoms, lapaʻau

Ma ka hooko ana mai dislocations alapine (frequency) haʻawina ka mea i loaʻa i dislocation o ka wāwae i loko o kona maemae palapala mea pohihihi a me ka mea o ka hola 14-15 1 o ka huina helu o nā dislocations. Loa pinepine ka mea, ua hui ia me ka 'ē aʻe wāwae nā palapū paha e hou fracture paha dislocation o ka puupuu wawae, i ka iapaau ana i keia hihia i mea' ē aʻe huikau.

I kekahi manawa, subtalar dislocation o ka wawae, a me ka dislocated i loko o ka transverse hui, dislocation o ka manamana lima. Wa a pau loa ka hana dislocated talus a navicular iwi priplyusny, oiai nā iwi sprains e loa pohihihi keia. Full dislocations mea pohihihi keia, holo nōhie, he likeʻole subluxations ma ke ami o ka wāwae.

Pehea e hana i kekahi dislocated wawae.

A pau e wehewehe aku ma ka dislocations anamnesis i kaʻilikai i ka noae, ke kumu nuiʻano o ka lapaau o ka loa a me kaʻaoʻaoʻelua fixation ma hope o lalo anesthesia kūpono dislocation ua eliminated. Ma hope o pau i ka papa o ka lapaau i ka hoʻomanawanui, e noho malie lōʻihi lawa e hoʻopilikia i ka eha i i ke kōkoʻolua e haanou ana a hiki lameness. All poe akamai i paipai aku i kanaka, ka poe i waiho wale aku no i ka dislocation o ka wāwae, oiai ka uku pila-hoʻohana orthopedic instep.

Subtalar dislocation o ka wāwae ia lŘlŘ kākaʻikahi. A hiki i kēiaʻano o ka hewa,ʻo ia talus ʻoniʻole, a me ka pohupani hale o ka calcaneus , a me ka navicular a me cuboid iwi o ka i Tareso. Oia dislocations ana ma muli o ia i haule mai ke kiekie, ka wā he mea reliance ma ka pelupelu ia noae. Loa pinepine ka mea, i na, a posteromedial, pinepine pu ma fracture o ke poo o ka talus, a me ka navicular iwi.

Symptoms o ka eha ua hoakaka ia edema hindfoot a kokololio muli hematoma. Inā he ua i na dislocation, i ka wāwae ua iki 'oni iki ma loko. Kekahi neʻeʻana ma hope o ia nā palapū, ua nui eha a me ka loa i kaupalena ', kokoke loa kaawale ka papa kākoʻo mai o ka loli ana o na wawae. Ma ka hihia ma ka sprain i hui me ka pohupani hale o ka wāwae, a laila, visually ike i ka nui mahuahua i loko o ke kuekue wawae. I mea e hookupaa nui ae i ka definitiveʻike, Ua pono, e pana aku au i nā nā wānana waiwai X-Ray.

Iapaau ana o kēia 'ano o ka dislocation kokoke manawa-e hoopau ana a me ka pono koke reposition, a ua lawe mai ma lalo o kekahi mau anesthesia. Quickness hoʻopau dislocation mea pono no ka mea, he mea hemorrhage, a me ke kūpono nani, e alalai mai i ka ho'ēmiʻana. Ma hope o ka hoʻoponopono i ka pilikia kau hoolei aku, mai ka manamana a me fixation o ke kuli hui, i ua lena ma ka huina o 150 °. Ma hope o ia, i ka hooponopono ana ua lawe mai X-Ray ninaninau. Mahope o 3-4 pule o ka fixation ua wehe 'a me ka pono pono me ka hoʻohana' ana o physical Inc a me ka lomilomi no ka piha koi o ka iki i nuku hana. Ua Ua hoi pono e komo instep waiho mai i 6 mahina. Serviceability hoʻomaka e loaa i mua o 2 mahina.

Dislocation ma transverse tarsal ke ami hoi o ka wāwae ia lŘlŘ ma muli o ke kauoha me mechanical poino. Ua eha pinepine ia lŘlŘ ma motorcyclists i hana forcible flexion o ka forefoot. Oia ka dislocation ua pinepine pu ma fracture o ka wawae a me cuboid navicular iwi.

Nā symptoms o kēia 'ano o ka ili trauma e hoʻopilikia ma ka dorsum o ka wāwae, kona deformation, like hoʻi me edema a me ka loa eha. I ka probing maopopo hōʻike i ka pohupani hale o ka navicular iwi. No ka pololeiʻike, mea i pono, e hoʻomaka X-Ray i loko o nā nā wānana waiwai.

Ma mua o mua, e hoʻopau i kēia dislocation, i ka maikaʻi. Inā loaʻa nā ole contraindications, ka hana ua hana ma lalo o kekahi mau anesthesia. Inā he kanaka ua contraindicated anesthesia, keia hana ua lawe mai ka hoʻohana 'ana i ka intraosseous anesthetic.

Ma hope iho o ka hoʻopau o ka dislocation o ka wāwae ua paa, a ua weheʻia ke puna i loko o 1,5-2 mahina. E hoihoi functionality pili physiotherapy.