Terry Thomas numunyarwenya uzwi cyane wubwongereza uzwiho icyuho kigaragara hagati y amenyo yimbere.
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Mu gukomeretsa kw'intoki, hari ubwoko bw'imvune isura ya radiografiya isa n'iy'amenyo ya Terry Thomas. Frankel yavuze ko ari "ikimenyetso cya Terry Thomas," kizwi kandi ku "kimenyetso cyo gutandukanya amenyo gake."
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Kugaragara kwa Radiografiya: Iyo habaye gutandukana kwa scapholunate no gutanyagura ligamenti ya scapholunate interosseous ligament, kureba anteroposterior yo kuboko cyangwa kureba coronike kuri CT byerekana itandukaniro ryiyongereye hagati ya scaphoide n'amagufwa ya lunate, bisa no gutandukanya amenyo make.
Isesengura ryibimenyetso: Gutandukana kwa Scapholunate nubwoko bukunze guhungabana kwamaboko, bizwi kandi nka scaphoid rotary subluxation. Ubusanzwe biterwa no guhuza kwaguka, gutandukana kwa ulnar, hamwe nimbaraga zo hejuru zashyizwe kuruhande rwa ulnar palmar kuruhande rwikiganza, bikavamo guturika kwimitsi ituma pole yegeranye ya scaphoide, bigatuma habaho gutandukana hagati yamagufwa ya scaphoide na lunate. . Indanganturo ya radial hamwe na radioscaphocapitate ligament nayo irashobora gucika.
Ibikorwa bisubirwamo, gufata no gukomeretsa, kuvuka kwa ligament kuvuka, no gutandukana kwa ulnar nabyo bifitanye isano no gutandukana na scapholunate.
Ikizamini cyo Kwerekana: X-ray (hamwe no kugereranya byombi):
1. Icyuho cya Scapholunate> 2mm gikekwa gutandukana; niba> 5mm, irashobora gupimwa.
2. Ikimenyetso cya Scaphoid cortical ring ring, hamwe nintera iri hagati yumupaka wo hepfo wimpeta hamwe nubuso bwa hafi bwa scaphoide ni <7mm.
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3. Kugabanya Scaphoid.
4. Kongera inguni ya scapholunate: Mubisanzwe, ni 45-60 °; inguni ya radiolunate> 20 ° yerekana Dorsal Intercalated Segment Instabilite (DISI).
5. Ikimenyetso cya Palmar "V": Kubireba bisanzwe kuruhande rwikiganza, impande yimikindo ya metacarpal namagufwa ya radiyo ikora ishusho "C". Iyo habaye ihindagurika ridasanzwe rya scaphoide, inkombe ya palmar irahuza nuruhande rwimikindo ya radiyo styloide, ikora ishusho ya "V".
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Igihe cyo kohereza: Jun-29-2024