Ultrasound-iyobowe na ultrasound idirishya "Tekinike ifasha mugushira Racral Kuvuka Radiyo Kumurongo wa Voriver

Ubuvuzi busanzwe bwo kuvura Radius Racttire nincola yemejwe hamwe no gukoresha amasahani hamwe na screw kugirango ukosorwe imbere. Mugihe cyo gukosora imbere, mubisanzwe ntabwo ari ngombwa gufungura caplicarpal hamwe na capsule. Kugabanya hamwe bigerwaho binyuze muburyo bwa manipulation yo hanze, hamwe na flueroscopi yizihiza kugirango usuzume hejuru. Mugihe cyo kuvunika amabuye yihebye, nko kumeneka-punch kuvunika, aho kugabanuka mu buryo butaziguye, birashobora kuba ngombwa gukoresha uburyo butaziguye bwo gufasha amashusho no kugabanya (nkuko bigaragara ku gishushanyo gikurikira).

Ligaments ya extrinsique hamwe nibisohokamo byihutirwa bya radiocarpal hamwe bifatwa nkinzego zingenzi zo kubungabunga ukuboko guhuha hamwe. Hamwe n'iterambere mu bushakashatsi bwa anatoodical, byavumbuwe ko, bumeze ko kubungabunga ubusugire bwa Radiyo ngufi, guca ligaments ext ntabwo byanze bikunze bivamo umutekano winkuta.

Kubwibyo, mubihe bimwe, kugirango ugere kumbonera neza hejuru, birashobora gukenerwa kugabanya igice cya extrinsi, kandi ibi bizwi nkikibazo cyijwi cyagutse yidirishya (Reba). Nkuko bigaragara ku gishushanyo gikurikira:

Igishushanyo AB: Muburyo busanzwe bwa Henry yo kwerekana ububiko bwa radiyo ya kure, kugirango tubone kuvunika indwara ya marike ya marike na scaphoid, hashingiwe ku kuboko kuri capsule ibanzizwa. Umucuruzi akoreshwa mu kurinda radio ngufi ya radiolunate. Nyuma yaho, imvugo ndende ya radiyo iterwa na radiyo ya kure yerekeza ku ruhande rwa ulnar ya scaphoid. Kuri iyi ngingo, mu buryo butaziguye amashusho yubuso burashobora kugerwaho.

Igishushanyo CD: Nyuma yo kwerekana ubuso buhuriro, kugabanya indege ya SAGITTAL Yihebye Ibikorwa bikozwe mu buryo butaziguye. Ububiko bwamagufwa bukoreshwa mugukoresha no kugabanya ibice byamagufwa, hamwe na 0.9mm insinga za kirschner zishobora gukoreshwa mugukosora by'agateganyo cyangwa nyuma. Iyo ihuriro rimaze kugabanuka bihagije, uburyo busanzwe bwo gufunga no gukosorwa gukosorwa. Hanyuma, imigezi yakozwe mu maradiyo maremare ya Radiolunate n'intoki hamwe na capsule ihuriweho ni ndundurwa.

Urufatiro rwibitekerezo (ivugurura ryijwi ryo kwagura idirishya) uburyo buhuje no gucamo amagambo amwe n'akomo kuvuga ibintu bitarangwamo ibintu bitarangwamo ibintu bya Extrinsique ntabwo byanze bikunze bivamo umutekano winkuta. Kubwibyo, birasabwa kubwubuto bwabahanzi bwashyizweho na Ratal Radiyo Flaque aho kugabanya ihuriro rya fluoscopique rigoye cyangwa mugihe intambwe zihari. Icyerekezo cyerekana cyane kugirango ugere ku bitekerezo byiza bitaziguye mugihe cyo kugabanya ibibazo nkibi.