Fracture ntawm ko taw yog ib qho kev raug mob hnyav thiab muaj txog li 20% ntawm tag nrho cov pob txha pob txha. Tsis txhob maj maj, qhov tshwm sim tuaj yeem ua rau tsis zoo, mus txog qhov tsis muaj peev xwm txav mus los yam tsis muaj kev pab.
Yog vim li cas
qhov kev raug mob no tuaj yeem tshwm sim yog tias ko taw tau nrawm nrawm rau ob sab, dhia ntawm qhov siab nrog rau ob txhais ceg, lossis thaum ntaus los ntawm ib qho khoom hnyav.
Metatarsal fractures yog tshwm sim los ntawm kev npaj txhij txog quab yuam ntawm ceg, siv ntau dhau thiab strain.
Tshuaj mob ko taw tawg
o ntawm qhov chaw raug mob thiab mob yog thawj cov tsos mob uas qhia tias koj yuav muaj ko taw tawg. Daim duab hauv qab no qhia tias mob ceg zoo li cas.
mob siab heev tuaj yeem ua rau tus neeg txav tsis tau. Bruising kuj tuaj yeem tshwm sim hauv qhov chaw raug mob. Qhov tawg tawg yog qhov tshwm sim los ntawm kev hloov pauv ntawm ko taw.
Qee zaum ib tug neeg tsis paub tias nws ko taw tawg. Tej yam tshwm sim yuav tsis tau hais, qhov mob tshwm sim tsuas yog thaum lub load ntawm cov ceg cuam tshuam. Yog li ntawd, kom paub meej qhov kev kuaj mob, koj yuav tsum tau hu rau tus kws kho mob.
pab xub thawj
Yog xav tias pob txha pob txha ntawm ko taw yuav tsum tau kho. Koj tuaj yeem siv cov pob txha mos uas ua los ntawm cov laug cam, cov ncej ski lossis cov pas nrig, uas txuas rau ceg nrog cov ntaub qhwv. Yog tias tsis muaj dab tsi nyob ntawm tes, koj tuaj yeem muab cov ntaub qhwv caj dab raug mob rau tus neeg noj qab haus huv siv txoj phuam qhwv caj dab, lub tsho lossis phuam.
Nrog qhov qhib pob txha, koj yuav tsum tsis txhob sim ua kom pob txha ntawm koj tus kheej, ua ntej ntawm tag nrho cov, koj yuav tsum tsis txhob los ntshav. Txhawm rau ua qhov no, kho cov tawv nqaij ncig ntawm qhov txhab nrog iodine lossis hydrogen peroxide. Tom qab ntawd koj yuav tsum ua tib zoo thov ib daim ntaub qhwv uas tsis muaj menyuam. Tom qab muab kev pab thawj zaug lawm, tus neeg raug tsim txom yuav tsum raug coj mus rau qhov chaw kho mob.
Diagnosis
Ua ntej tshaj plaws, tus kws kho mob yuav tsum ua tib zoo tshuaj xyuas cov ceg raug mob. Tau pom cov tsos mob ntawm ko taw tawg hauv tus neeg raug tsim txom, tus kws kho mob siv x-ray los txiav txim seb hom thiab qhov chaw ntawm kev puas tsuaj. Tsis tshua muaj, xav tau CT lossis MRI scan.
Thaum kuaj tau pob txha lawm, kev kho mob nyob ntawm hom pob txha thiab pob txha zoo li cas.
Fractured talus
Cov pob txha no muaj qee qhov tshwj xeeb. Tsis muaj cov leeg txuas nrog lub talus. Tsis tas li ntawd, nws hloov lub cev hnyav rau tag nrhoko taw.
Kev puas tsuaj ntawm talus tuaj yeem tshwm sim los ntawm kev raug mob ncaj qha, tshwm sim tsis tu ncua thiab suav tias yog kev raug mob hnyav rau cov pob txha ntawm ko taw. Nrog rau lwm yam kev raug mob, xws li pob txha, dislocation ntawm pob taws lossis lwm cov pob txha ntawm ko taw.
Symptomatics
Thaum raug mob, muaj qhov mob hnyav, o ntawm ko taw thiab pob taws, hemorrhages pom ntawm daim tawv nqaij. Yog tias cov khoom tawg tau raug tshem tawm, koj tuaj yeem pom tias ko taw deformed.
Txhawm rau kom paub meej qhov tawg, txiav txim siab nws qhov chaw, hom thiab qib ntawm kev hloov pauv ntawm cov pob txha, kev kuaj X-ray tau ua hauv ob qhov kev kwv yees.
Yuav ua li cas
Yog kuaj pom qhov tawg ntawm ko taw tawg, cov pob txha tawg tau sib phim tam sim ntawd. Qhov tseeb yog tias tom qab koj mus ntsib kws kho mob, nws yuav nyuaj dua los kho lawv txoj haujlwm raug, qee zaum txawm tias ua tsis tau.
Gypsum thov rau ib hlis thiab ib nrab. Pib txij li lub lim tiam thib peb, koj yuav tsum tso cov leeg nqaij uas raug mob los ntawm qhov splint thiab ua kom nquag plias nrog pob qij txha.
Ib me ntsis tom qab, kho lub cev thiab zaws, kho lub cev kho mob. Nws yuav siv li ob mus rau peb lub hlis kom rov ua haujlwm.
Scaphoid pob txha
tshwm sim los ntawm kev raug ncaj qha. Feem ntau, pob txha pob txha pob txha no yog nrog los ntawm kev raug mob rau lwm cov pob txha.
Symptoms
Ib tug neeg tsis tuaj yeem sawv ntawm ko taw vim mob hnyav. Muaj o thiab hemorrhage. Ntawm palpation, sim tig ko taw mus rau hauv thiab tawm, tus neeg xav tias mob heev. Kom paub meejtawg ntawm cov pob txha navicular ntawm ko taw, x-ray raug pom zoo.
Kev kho mob
Yog tias tsis pom muaj kev hloov pauv, tus kws kho mob siv lub voj voog pov tseg rau thaj chaw raug mob. Nyob rau hauv cov ntaub ntawv ntawm cov pob txha navicular tawg nrog kev hloov pauv, cov pob txha tawg raug muab piv, qee qhov kev qhib qhib yuav tsim nyog. Cov ko taw yog tsau rau hauv plaster rau ib lub sij hawm ntawm plaub mus rau tsib lub lis piam.
Nws yog qhov nyuaj heev los kho qhov pob txha ntawm ko taw ua ke nrog kev sib cais. Yog hais tias lub dislocated fragment tsis muab rov qab rau hauv qhov chaw, traumatic flat taw yuav tsim. Cov tawg tawg tau hloov kho siv lub tshuab rub tshwj xeeb. Qee lub sij hawm nws yog ib qho tsim nyog yuav tsum tau mus rau qhov chaw qhib thiab kho ntawm qhov txo qis nrog cov kab suture. Tom qab cov txheej txheem zoo li no, immobilization ntawm cov leeg nqaij raug mob yuav tsum kav ntev txog 10-12 lub lis piam. Yav tom ntej, yuav tsum hnav khau orthopedic.
Fractures ntawm cuboid thiab sphenoid pob txha
Feem ntau, qhov kev raug mob tshwm sim thaum qhov hnyav poob rau sab nraub qaum ntawm ko taw thiab nrog o ntawm cov ntaub so ntswg hauv qhov chaw ntawm qhov raug mob, mob ntawm palpation thiab tig ko taw mus rau txhua qhov chaw. Yuav tsum tau x-ray kom paub meej tias qhov tawg. Tom qab ntawd, txhais ceg yog tsau nrog plaster cam khwb cia rau ib hlis thiab ib nrab. Rau ib xyoos tom qab xws li pob txha tawg, nws raug nquahu kom hnav lub koov txhawb nqa.
Fracture ntawm cov pob txha metatarsal ntawm ko taw
qhov kev raug mob no feem ntau tshwm sim ntawm tag nrho cov ko taw pob txha. Muaj ob hommetatarsal fractures: traumatic thiab kev nyuaj siab.
Taumatic fracture
Yog qhov tshwm sim ntawm kev ua haujlwm sab nraud. Nws tuaj yeem yog qhov hnyav poob ntawm txhais ceg, nyem ko taw, lub tshuab muaj zog.
Signs
Kev puas tsuaj ntawm ko taw yog tshwm sim los ntawm tus yam ntxwv crunch thiab mob thaum lub sijhawm raug mob, koj tuaj yeem pom qhov luv ntawm tus ntiv taw lossis nws qhov sib txawv rau sab. Qhov mob muaj zog heev thaum xub thawj, tab sis tsis muaj zog thaum lub sij hawm, txawm tias nws tsis ploj mus kiag li. o lossis bruising tshwm sim ntawm qhov chaw raug mob.
Kev ntxhov siab tawg (kev nkees)
Cov kev raug mob zoo li no, uas suav nrog pob txha ntawm 5 lub pob txha metatarsal ntawm ko taw, feem ntau pom muaj nyob rau hauv cov neeg ncaws pob thiab cov neeg uas ua lub neej nquag. Lawv tshwm sim los ntawm kev ntxhov siab ntau dhau thiab ntev ntawm ko taw. Qhov tseeb, xws li pob txha tawg yog pob txha tawg, thiab nws nyuaj rau pom nws.
Yog tias ib tug neeg raug kev txom nyem los ntawm ntau yam kab mob sib kis, xws li pob txha lossis pob txha deformity, nws tus mob tuaj yeem loj tuaj. Metatarsal stress fractures kuj tshwm sim nyob rau hauv cov neeg uas pheej taug kev nyob rau hauv tsis xis nyob thiab nruj khau.
Symptoms
thawj cov tsos mob uas yuav tsum ceeb toom koj yog qhov mob uas tshwm sim hauv ko taw tom qab lub sijhawm hnyav hnyav thiab ploj mus nyob rau hauv lub siab. Nyob rau tib lub sij hawm, nws intensifies mus rau xws li ib tug npaum li cas uas yuav ua tsis tau. Kev mob tshwm sim txawm tias thaum so. o tshwm rau ntawm qhov chaw ntawm qhov raug mob.
Qhov phom sij yog qhov ntawdFeem ntau cov neeg uas muaj kev raug mob no tsis maj mus ntsib kws kho mob, feem ntau ib tug neeg tsis txawm xav tias nws muaj ko taw puas. Cov cim qhia nyob rau hauv cov ntaub ntawv no tsis yog hais raws li nyob rau hauv lwm yam kev puas tsuaj, tus neeg mob taug kev thiab cov kauj ruam ntawm nws ko taw. Yog li ntawd, kom tsis txhob muaj teeb meem, nws yuav tsum tau mus ntsib kws kho mob tam sim ntawd.
Fracture ntawm cov pob txha metatarsal thib tsib ntawm ko taw yog qhov raug mob ntau tshaj plaws.
Tucking ko taw sab hauv tuaj yeem ua rau pob txha tawg. Thaum qhov no tshwm sim, kev sib cais thiab hloov chaw ntawm cov pob txha metatarsal. Splicing yog ntev heev, yog li koj yuav tsum tau hu rau tus kws kho mob sai li sai tau. Yog tias kev kho mob qeeb, cov pob txha yuav tsis loj hlob ua ke kom zoo, qhov kev phais yuav tsum tau ua.
Lub hauv paus ntawm 5 metatarsal yog thaj chaw uas muaj ntshav tsis txaus. Qhov no yog qhov uas Jones pob txha tshwm sim. Nws tshwm sim tawm tsam keeb kwm ntawm kev ntxhov siab thiab loj hlob ua ke qeeb heev.
Metatarsal Fracture Diagnosis
Tus neeg raug mob tau ua tib zoo tshuaj xyuas los ntawm tus kws kho mob, kawm tsis yog ntawm ko taw xwb, tab sis kuj yog pob qij txha, txiav txim siab qhov muaj edema, hemorrhage thiab tus yam ntxwv deformity. Tom qab ntawd cov duab hluav taws xob raug coj mus rau hauv qhov ncaj, lateral thiab semi-lateral projections. Tom qab txiav txim siab qhov pob txha thiab nws hom, cov kev kho mob tsim nyog tau sau tseg.
Kev kho mob
Yog tias pom muaj pob txha me me, kev kho mob yog ib qho yooj yim splint. Nyob rau tib lub sijhawm, tus txha caj ceg raug mob yuav tsum tsis muaj zog rau ob peb lub lis piam txhawm rau kom cov pob txha raug mob kom zoo li qub.
Thaumcov pob txha raug puas tsuaj loj heev, nws yog ib qho tsim nyog yuav tsum tau nqa tawm sab hauv fixation. Qhov no yog ua tiav siv cov ntsia hlau tshwj xeeb.
Qhov hnyav thiab qhov xwm txheej ntawm kev puas tsuaj txiav txim siab kho ntxiv. Ib qho kev puas tsuaj ntawm metatarsal puas yuav tsum tau immobilized. Kev siv gypsum tuaj yeem tiv thaiv cov pob txha los ntawm kev hloov pauv tau. Vim qhov tseeb tias ko taw tsis muaj zog, qhov sib xyaw ntawm cov pob txha yuav tshwm sim sai dua.
Yog tias thaum lub sijhawm raug mob muaj cov khoom tawg, kev phais phais yog qhov tseem ceeb. Thaum lub sijhawm ua haujlwm, tus kws kho mob qhib qhov chaw tawg thiab sib piv cov khoom tawg, thiab tom qab ntawd kho lawv nrog cov koob tshwj xeeb knitting lossis screws. Tom qab ntawd plaster yog thov mus txog rau lub lis piam. Tus neeg mob raug txwv tsis pub nce mus rau ntawm txhais ceg raug mob. Koj tuaj yeem pib taug kev tom qab rau lub lis piam. Cov koob raug tshem tawm tom qab peb lub hlis, cov ntsia hlau tom qab plaub. Tus neeg mob raug qhia kom hnav khau orthopedic lossis insoles.
Ntawm Jones pob txha, cov ntaub qhwv plaster yog siv los ntawm cov ntiv taw mus rau nruab nrab ntawm peb ceg qis rau txog li ob lub hlis. Tsis txhob hla tus ceg raug mob.
Txhawm rau txo qhov kev thauj khoom ntawm tus ceg ceg raug mob thaum taug kev, koj yuav tsum tau siv cov cuab yeej cuab tam. Tus neeg mob yuav tsum raug soj ntsuam los ntawm tus kws kho mob uas yuav xaiv txoj kev kho kom zoo kom rov qab ua haujlwm tsis zoo ntawm ko taw raug mob.
Lub sijhawm rov qab los rau kev puas tsuaj ntawm cov pob txha metatarsal yog ntev heev thiab suav nrog kev kho lub cev, zaws,siv lub koov txhawb nqa, kho lub cev.
Yog tias qhov kev raug mob no tsis kho lossis kho tsis raug, ces cov teeb meem xws li arthrosis, deformity, qhov mob tas li thiab qhov tsis zoo ntawm pob txha yuav tshwm sim.
Fractures of the phalanges of the toes
hom ko taw pob txha no tuaj yeem tshwm sim los ntawm kev cuam tshuam ncaj qha rau ntawm cov ntiv tes (piv txwv li, nrog lub tshuab muaj zog lossis hnyav poob). Yog hais tias lub ntsiab phalanges tsis loj hlob ua ke kom raug, kev ua haujlwm ntawm ko taw yuav tsis zoo. Tsis tas li ntawd, tej zaum yuav muaj mob thaum taug kev thiab tsis muaj kev txav mus los ntawm cov ceg pob txha raug mob. Raws li qhov tshwm sim ntawm kev tawg ntawm nruab nrab thiab ntsia thawv phalanges, qhov kev tshwm sim tsis tshwm sim.
Symptoms
Muaj qhov xiav ntawm tus ntiv tes tawg, o, hais lus mob thaum txav mus los. Nrog xws li kev raug mob, qee zaum subungual hematoma yog tsim. Txhawm rau kom paub meej qhov kev kuaj mob, nws raug nquahu kom kuaj X-ray hauv ob qhov kev kwv yees.
Kev kho mob
Nyob rau hauv rooj plaub ntawm cov pob txha tsis muaj kev hloov pauv, lub pob zeb plaster tom qab yog siv rau cov ntiv tes cuam tshuam. Nyob rau hauv lub xub ntiag ntawm kev hloov pauv, yuav tsum tau kaw qhov txo qis. Cov pob txha tawg yog tsau nrog cov koob knitting.
Fractures ntawm tus ntsia thawv phalanges tsis xav tau kev kho tshwj xeeb, kho nrog cov ntaub nplaum nplaum feem ntau txaus. Lub sijhawm immobilization yog los ntawm 4 mus rau 6 lub lis piam.
Yog tias koj kho ko taw pob txha kom zoo thiab ua raws li txhua tus kws kho mob cov lus pom zoo, nws tuaj yeem ua tsis tau tsuas yog ua kom lub sijhawm rov zoo xwb, tab sis kuj los tiv thaiv cov teeb meem tshwm sim.
