Kuvunika k'umutwe wa radial n'ijosi rya radial ni imvune isanzwe iterwa n'ingufu z'imitsi yo mu nkokora, akenshi iterwa n'imbaraga z'imitsi yo mu nkokora cyangwa stress ya valgus. Iyo ingingo y'inkokora iri mu mwanya wagutse, 60% by'imbaraga z'imitsi yo mu nkokora zoherezwa hafi y'umutwe wa radial. Nyuma yo gukomereka k'umutwe wa radial cyangwa ijosi rya radial bitewe n'imbaraga, imbaraga zo gukata zishobora kugira ingaruka ku gice cyo hejuru cy'umugongo, bishobora gutera imvune mu magufwa no mu gifu.
Mu 2016, Claessen yagaragaje ubwoko bwihariye bw'imvune aho kuvunika k'umutwe/ijosi rya radial byaherekejwe no kwangirika kw'amagufwa/ikariti ku gice cyo hejuru cy'umugongo. Iyi ndwara yiswe "ikibyimba cyo gusomana," hamwe n'imvune zirimo iyi mvange yiswe "imvune zo gusomana." Muri raporo yabo, bashyizemo imvune 10 zo gusomana kandi basanga imvune 9 zari zifite imvune zo mu mutwe wa radial zashyizwe mu cyiciro cya Mason type II. Ibi bigaragaza ko hamwe n'imvune zo mu mutwe wa radial wa Mason type II, hakwiye kubaho ubukangurambaga ku mvune zishobora kujyana na zo ku gice cyo hejuru cy'umugongo.
Mu buvuzi, kuvunika kw'amagufwa yo gusomana bikunze kwibasirwa cyane, cyane cyane iyo hari aho kuvunika k'umutwe/ijosi bihinduka cyane. Ibi bishobora gutuma umuntu atita ku bikomere bifitanye isano n'umutwe w'igufwa rya humerus. Kugira ngo bakore ubushakashatsi ku miterere y'indwara n'ubwiyongere bw'amagufwa yo gusomana, abashakashatsi b'abanyamahanga bakoze isesengura ry'imibare ku rugero runini rw'ingero mu 2022. Ibisubizo ni ibi bikurikira:
Ubushakashatsi bwakorewe ku barwayi 101 bafite imvune zo mu mutwe/ijosi zo mu bwoko bwa radial, bakaba baravuwe hagati ya 2017 na 2020. Hashingiwe ku kuba baravunitse igice cy’umutwe cya humerus ku ruhande rumwe, abarwayi bagabanyijwemo amatsinda abiri: itsinda rya capitulum (Itsinda rya I) n’itsinda ritari irya capitulum (Itsinda rya II).
Byongeye kandi, imvune zo mu mutwe w’urukiramende zasesenguwe hashingiwe ku gace k’umubiri wazo, kagabanyijemo ibice bitatu. Icya mbere ni agace gafite umutekano, icya kabiri ni agace k’imbere k’imbere, naho icya gatatu ni agace k’inyuma k’imbere.
Ibisubizo by'ubushakashatsi byagaragaje ibi bikurikira:
- Uko imvune zo mu mutwe wa radial zishyirwa mu byiciro bya Mason, niko ibyago byo kuvunika umutwe wa capitulum birushaho kwiyongera. Amahirwe yo kuvunika umutwe wa radial wo mu bwoko bwa Mason I afitanye isano no kuvunika umutwe wa capitulum yari 9.5% (6/63); kuri Mason yo mu bwoko bwa II, yari 25% (6/24); naho kuri Mason yo mu bwoko bwa III, yari 41.7% (5/12).
- Iyo imivune y’umutwe w’urumuri yageraga ku ijosi ry’urumuri, ibyago byo kuvunika umutwe w’urumuri byagabanukaga. Inyandiko zatanzwe ntizagaragaje ko hari abantu bamwe na bamwe bavunitse umutwe w’urumuri bigana n’imivune y’umutwe w’urumuri.
- Hashingiwe ku bice by’umubiri by’amagufwa y’umutwe w’urukiramende, amagufwa aherereye mu "gace k’umutekano" k’umutwe w’urukiramende yari afite ibyago byinshi byo kuba yavunika umutwe w’urukiramende.
▲ Ishyirwa mu byiciro rya Mason ry'amagufwa y'umutwe wa radial.
▲ Ikirego cy'umurwayi wavunitse, aho umutwe wa radial wafashwe hakoreshejwe icyuma n'amapine, naho igice cya humerus kigafatwa hakoreshejwe amapine ya Bold.
Igihe cyo kohereza: Kanama-31-2023
