Terry Thomas bụ onye ama ama Britain na-atọ ọchị nke a ma ama maka ọdịiche dị n'etiti ezé ihu ya.
N'ime mmerụ ahụ n'aka, enwere ụdị mmerụ ahụ nke ọdịdị redio ya dị ka ọdịiche eze nke Terry Thomas. Frankel zoro aka na nke a dị ka "Akara Terry Thomas," makwaara dị ka "akara nha nha nha nha."
Ọdịdị redio: Mgbe enwere dissociation scapholunate na ịdọka eriri nke scapholunate interosseous ligament, echiche anteroposterior nke nkwojiaka ma ọ bụ echiche coronal na CT na-egosi ọdịiche dị n'etiti ọkpụkpụ na ọkpụkpụ ọkpụkpụ, nke yiri oghere nha nha.
Nyocha akara: Scapholunate dissociation bụ ụdị nkwụsi ike nkwojiaka kachasị adịkarị, nke a makwaara dị ka scaphoid rotary subluxation. A na-ebutekarị ya site na nchikota nke ndọtị, mgbapụ nhụsianya, na ike mgbakwasị ụkwụ na-etinye n'akụkụ aka aka aka nke aka, na-ebute mgbawa nke njikọ nke na-eme ka ogwe osisi dị nso nke scaphoid guzosie ike, na-eduga na nkewa n'etiti ọkpụkpụ scaphoid na lunate. . Enwere ike ịdọka ligament radial collateral na ligament radioscaphocapitate.
Ihe omume ugboro ugboro, njide na mmerụ ahụ na-agbanwe agbanwe, laxity ligament congenital, na adịghị mma ulnar variance na-ejikọta ya na dissociation scapholonate.
Nyocha onyonyo: X-ray (ya na ntụnyere akụkụ abụọ):
1. Scapholunate oghere> 2mm na-enyo enyo maka dissociation; ọ bụrụ> 5mm, enwere ike ịchọpụta ya.
2. Scaphoid cortical mgbanaka mgbanaka mgbanaka, na anya n'etiti ala ala nke mgbanaka na nso nkwonkwo elu nke scaphoid bụ <7mm.
3. Scaphoid mkpụmkpụ.
4. Ịba ụba scapholonate angle: Dị ka ọ na-adịkarị, ọ bụ 45-60 °; akụkụ rediolunate> 20° na-egosi Dorsal Intercalated Segment Instability (DISI).
5. Palmar "V" akara: N'akụkụ anya nkịtị nke nkwojiaka, akụkụ palmar nke metacarpal na ọkpụkpụ radial na-etolite ọdịdị "C". Mgbe enwere mgbanwe na-adịghị mma nke scaphoid, akụkụ ọbụ aka ya na-ejikọta na nsọtụ palmar nke radial styloid, na-eme ọdịdị "V".
Oge nzipu: Jun-29-2024
