Kuvunika kw'ishingiro rya Metatarsal ya Gatanu

Kuvura nabi imvune ya gatanu ya metatarsal base bishobora gutuma imvune idakomeza cyangwa igatinda, kandi indwara zikomeye zishobora gutera rubagimpande, bigira ingaruka zikomeye ku buzima bw'abantu bwa buri munsi ndetse n'akazi kabo.

AkaremanoSubwubatsie

Metatarsal ya gatanu ni igice cy'ingenzi cy'inkingi yo ku ruhande rw'ikirenge, kandi igira uruhare runini mu gutwara ibiro no guhagarara kw'ikirenge. Metatarsal ya kane n'iya gatanu hamwe na cuboid bigize urugingo rwa metatarsal cuboid.

Hari imitsi itatu ifatanye n'ishingiro rya metatarsal ya gatanu, imitsi ya peroneus brevis ishyirwa ku ruhande rw'imbere rw'ikibuno ku rufatiro rwa metatarsal ya gatanu; imitsi ya gatatu ya peroneal, idakomeye nk'imitsi ya peroneus brevis, ishyirwa ku gice cya diaphysis kiri kure y'ikibuno cya gatanu cya metatarsal; plantar fascia Imitsi ya fascicle ishyirwa ku ruhande rw'ikibuno ku ruhande rw'ibanze rw'ikibuno cya gatanu cya metatarsal.

Ishyirwa mu byiciro ry'ibyavunitse

Imvune zo mu rufatiro rwa metatarsal ya gatanu zashyizwe mu byiciro na Dameron na Lawrence,

Gucika kw'ingingo ya mbere ni ukuvunika kw'ibinure bya metatarsal tuberosity;

Agace ka II gaherereye aho diaphysis ihurira n'uturemangingo tw'imbere, harimo n'ingingo ziri hagati y'amagufwa ya 4 na 5 ya metatarsal;

Gucika intege mu gice cya gatatu ni ugucika intege mu gice cya hafi cya metatarsal diaphysis kiri kure y’urugingo rwa 4/5 rw’intermetarsal.

Mu 1902, Robert Jones yasobanuye bwa mbere ubwoko bw'ivunika rya zone II ry'ishingiro rya metatarsal ya gatanu, bityo ivunika rya zone II naryo ryitwa ivunika rya Jones.

Kuvunika kw'ikibyimba cya metatarsal muri zone ya mbere ni bwo bwoko bukunze kugaragara cyane bw'ivunika rya gatanu rya metatarsal base, ringana na 93% by'ivunika ryose, kandi riterwa no guhinduka kw'ibimera no kwangirika kwa varus.

Kuvunika mu gace ka kabiri bingana na 4% by'imvune zose ziri mu gice cyo hasi cya metatarsal ya gatanu, kandi biterwa no guhindagurika kw'ibirenge no gukurura amaguru. Kubera ko biba biri mu gace k'amazi aho amaraso aturuka mu gice cyo hasi cya metatarsal ya gatanu, kuvunika muri aka gace bishobora kudahuza cyangwa gutinda imvune zigakira.

Gucika kw'ingingo ya gatatu bingana na 3% by'ibyacitse ku gice cya gatanu cy'inyuma cy'inyuma.

Ubuvuzi bw'abadakoresha uburyo bwa kera

Ibimenyetso by'ingenzi byerekana uburyo bwo kuvura indwara zishingiye ku kutubahiriza amategeko birimo kwimura imvune iri munsi ya mm 2 cyangwa kuvunika guhamye. Ubuvuzi busanzwe burimo guhagarara hakoreshejwe ibitambaro bya elastic, inkweto zikomeye, guhagarika kugenda hakoreshejwe plaster, udupapuro two gukandagiraho tw’amakarito, cyangwa inkweto zo kugenda.

Ibyiza byo kuvura hakoreshejwe uburyo bwa "conservative treatment" birimo ku giciro gito, nta gukomereka, no kwakira neza abarwayi; ingaruka mbi zirimo kuba nyinshi z’imvune zidakwirakwira cyangwa ingorane zitinda ku ruhu, no kudakomera kw’ingingo.

KubagaTubwishingizi

Ibimenyetso byo kubaga imvune ya gatanu ya metatarsal base birimo:

1. Guhindura imiterere y'ivunika rirenga mm 2;

1. Kugira uruhare rwa > 30% by'ubuso bw'ingingo ya cuboid igana kuri metatarsal ya gatanu;

1. Kuvunika kw'inyuma;

1. Kuvunika byatinze cyangwa kudahuza nyuma yo kuvurwa nta kubagwa;

1. Abarwayi bakiri bato bakora cyane cyangwa abakinnyi b'imikino ngororamubiri.

Muri iki gihe, uburyo busanzwe bwo kubaga bukoreshwa mu kuvura imvune z’ishingiro rya metatarsal ya gatanu burimo Kirschner wire tension band internal fixation, anchor suture fixation ukoresheje umugozi, screw internal fixation, na hook plate internal fixation.

1. Gushyiraho umugozi w'insinga ya Kirschner

Gufata umugozi wo gufunga insinga za Kirschner ni uburyo busanzwe bwo kubaga. Ibyiza by'ubu buryo bwo kuvura birimo kubona ibikoresho byoroshye byo gufunga imbere, ku giciro gito, no kugira ingaruka nziza zo gukanda. Ibyiza birimo kurakara k'uruhu no kwangirika k'insinga za Kirschner.

2. Gufata imisumari hakoreshejwe imisumari ifunganye

Gufata umugozi w'inkingo hakoreshejwe umugozi birakwiriye ku barwayi bafite imvune zo mu gice cyo hasi cya metatarsal ya gatanu cyangwa bafite uduce duto twavunitse. Ibyiza birimo gukata gato, kubagwa byoroshye, kandi nta mpamvu yo gukuramo kabiri. Ibyiza birimo ibyago byo gucika kw'inkingo ku barwayi ba osteoporosis.

3. Gufata inzara z'umwobo

Udupira tw’umugongo ni uburyo bwo kuvura buzwi ku rwego mpuzamahanga ku mvune z’ishingiro rya metatarsal ya gatanu, kandi ibyiza byabwo birimo gukomera no kudahungabana neza.

Mu buvuzi, ku mvune nto ziri ku gice cyo hasi cya metatarsal ya gatanu, iyo hakoreshejwe vis ebyiri mu gufunga, hari ibyago byo gucika intege. Iyo vis imwe ikoreshejwe mu gufunga, imbaraga zo kurwanya kuzunguruka ziragabanuka, kandi birashoboka ko yongera gusimburwa.

4. Isahani y'ifatizo irashyirwa ku murongo

Gufata plate y'ingofero bifite ibimenyetso byinshi, cyane cyane ku barwayi bafite imvune cyangwa imvune zo mu magufwa. Imiterere yayo ihuye n'ishingiro ry'igufwa rya gatanu rya metatarsal, kandi imbaraga zo guhagarara kw'ingofero ni nyinshi. Ingaruka mbi zo gufata plate zirimo ikiguzi kinini n'ihungabana rinini.

Sincamake

Mu kuvura imvune zo mu gice cyo hasi cya metatarsal ya gatanu, ni ngombwa guhitamo witonze ukurikije uko buri muntu amerewe, ubunararibonye bwe bwite bwa muganga n'urwego rwa tekiniki, no gusuzuma byimazeyo ibyifuzo by'umurwayi ku giti cye.