Terry Thomas bụ onye Britain a ma ama na-eme ihe ọchị nke a maara maka oghere dị egwu ya n'etiti ezé ihu ya.
N'ime mmerụ ahụ n'aka, e nwere ụdị mmerụ ahụ nke ọdịdị redio nke yiri oghere ezé Terry Thomas. Frankel kpọrọ nke a "akara Terry Thomas," nke a makwaara dị ka "akara oghere ezé dị iche iche."
Ọdịdị Redio: Mgbe e nwere nkewa scapholunate na ndọda nke ligament interosseous scapholunate, anya anteroposterior nke nkwojiaka ma ọ bụ anya coronal na CT na-egosi oghere dị n'etiti ọkpụkpụ scaphoid na lunate, nke yiri oghere ezé dị mkpụmkpụ.
Nnyocha Akara: Nsị nke scapholunate bụ ụdị nsogbu nkwojiaka kachasị a na-ahụkarị, nke a makwaara dị ka scaphoid rotary subluxation. Ọ na-abụkarị site na njikọta nke ndọtị, ulnar diversion, na ike supination nke etinyere n'akụkụ ulnar palmar nke nkwojiaka, na-ebute mgbawa nke ligaments nke na-eme ka ogidi proximal nke scaphoid kwụsie ike, na-eduga na nkewa n'etiti ọkpụkpụ scaphoid na lunate. Enwere ike ịdọwa ligament radial colateral na radioscaphocapitate ligament.
Mmega ahụ ugboro ugboro, mmerụ ahụ njide na ntụgharị, adịghị ike njikọ aka n'ọmụmụ, na mgbanwe ulnar na-adịghị mma na-esonyere na dissociation scapholunate.
Nnyocha onyonyo: X-ray (na ntụnyere abụọ):
1. Oghere Scapholunate > 2mm na-enyo enyo maka nkewa; ọ bụrụ na ọ karịrị 5mm, enwere ike ịchọpụta ya.
2. Akara mgbanaka akụkụ ahụ nke Scaphoid, ebe anya dị n'etiti ókè ala nke mgbanaka ahụ na elu nkwonkwo dị nso nke scaphoid dị ihe dịka 7mm.
3. Mkpụmkpụ nke scaphoid.
4. Mmụba akụkụ scapholunate: Dịka ọ na-adịkarị, ọ bụ 45-60°; akụkụ rediolunate karịrị 20° na-egosi enweghị ntụkwasị obi nke Dorsal Intercalated Segment Instability (DISI).
5. Akara "V" nke Palmar: N'akụkụ aka nkịtị nke aka, akụkụ palmar nke metacarpal na ọkpụkpụ radial na-etolite ọdịdị "C". Mgbe enwere mgbanwe na-adịghị mma nke scaphoid, akụkụ palmar ya na-ejikọta na nsọtụ palmar nke radial styloid, na-emepụta ọdịdị "V".
Oge ozi: Jun-29-2024
