Mwendo wovulala m'dera m'chiuno. Kufotokoza mwa chidule za kuwonongeka

Mwendo wovulala m'dera femoral ali ndi madokotala ananena zawo zabwino zinachitikira repositioning oyambirira a zotsala fupa kapena imposition wa samatha.

Malinga malo, amadziŵika:

- choipa chapamwamba m'mphepete;

- wovulala diaphysis ya;

- wovulala ndi wapotalikira kapena proximal metaepiphysis.

zotupa Recent yodziwika ndi zina mavuto mankhwala. Kulandira kuvulala izi chifukwa mathithi kuchokera m'mwamba kwambiri. Menyani pamene kugwa mwachindunji pa malo trochanter wamkulu, n'zothandiza mwendo wosweka.

Zizindikiro monga ululu m'chiuno limodzi wodwalayo kovuta kugwetsera kuchokera ndege yopingasa cha chidendene. Komanso, m'munsi nthambi yafupika ndi pang'ono zimayenda outwards. Mu nkhani iyi, trochanter kwambiri zoopsa kuchepetsa ndi apamwamba kuposa mzere-Roselle Nelatona. Kuukonza digiri kusamutsidwa makombo fupa ndi chikhalidwe cha wovulala imagwiridwa ndi Kupenda radiological.

The medial (khomo lachiberekero) kuvulala kwa femur ndi mutu epifizelioz zokhudzana ndi kuwonongeka kwapakati pa-articular. mwakayakaya ofananira ndi chotupa periarticular, koma zina ndi malowedwe a wovulala ndege ya M'mimbamo olowa.

Mwendo wovulala mu femoral khosi ndi mutu zoopsa epiphysiolysis popanda kuchepetsa kumafuna immobilization yaitali pa basi kubwereketsa kapena pulasitala lamba pa malo m'chiuno superimposed pa kasinthasintha wa mumtima komanso Anabweza. Immobilization nthawi ndi kwa miyezi awiri kapena atatu, kenako (kwa miyezi inayi kapena isanu ndi umodzi) kumaliseche.

A mwendo wosweka pa mafupa m'chiuno ndi kusamutsidwa a zotsala fupa zimaphatikizapo kugwiritsa ntchito samatha chigoba monga miyeso achire.

The Vuto ambiri ndi mapangidwe necrosis avascular mu mutu femoral. Mu nkhani ya kulephera kwa njira ndiwofatsa mwendo wovulala mankhwala kumafuna opaleshoni.

Wakutali wovulala zifukwa zimene - kuvulala pamene kugwa ndi kumenya ili m'chigawo cha trochanter chachikulu cha mafupa m'chiuno. kuwonongeka ichi amakhala ndi ululu zochepa pa palpation ndi kayendedwe, komanso m'dera zoopsa kutupa. Childs, chotero mwendo wovulala limodzi ndi kuphwanya zazing'ono ntchito.

Monga mankhwala zotchulidwa immobilization mu pulasitala splint kwa masabata atatu kapena anayi.

The kuvulala ambiri a femur ndi monga diaphyseal wovulala. Kuwononga isanafalikire wachitatu pakati bwino zimayamba ndi zinthu zoopsa mozungulira kapena mwachindunji. Childs, izi zimachitika pamene mwendo wosweka zakugwa msinkhu kapena masewera yam'manja.

Popeza kuchuluka kwa kusiyana diaphyseal kuwonongeka otsika ndi mkulu, komanso wachitatu pakati pa choipa. Malinga ndi phunziro kwa oblique, yopingasa, fractures comminuted ndi helical.

Makamaka kuchepetsa zidutswa fupa kugwirizana ndi mlingo wa mphamvu ntchito, mlingo wa kuwonongeka, komanso kuchepetsa magulu zogwirizana minofu.

Bone wovulala femur proximally retracted malo yodziwika makombo, kasinthasintha kunja ndi flexion chifukwa iliopsoas kuchepetsa ndi gluteus. The kusamutsidwa kwa mpukutu wapotalikira ikuchitika chammbuyo, inwards ndi oposa.

Wovulala wachitatu pakati amakhala ndi chimodzimodzi ubale tonse zinyalala. Motero anapatukira anteriorly ndi Anabweza wa mpukutu proximal sichidziwika kutchulidwa pamene mosavuta kusamutsidwa yofunika kwambiri wapotalikira mpukutu m'litali ndi posteriorly.

mankhwalawa kuvulazidwa femur imapereka maphatikizidwe popanda zowononga.

Pa mapeto a nthawi imobilizatsionnogo katundu pa nthambi amaloledwa palibe kale kuposa masabata awiri kapena atatu. Inapita kuchira amathandiza ntchito osambira ofunda ndi physiotherapy.