Obukodyo obupya obw’okunyweza pulati ya volar radius okumenya radius .

Okukutuka kw’omusuwa gwa extensor oluvannyuma lw’okunyweza pulati ya volar kusigala nga kizibu kinene mu kuddaabiriza okumenya kwa radius okw’ewala. Omusuwa ogusinga okukosebwa ye extensor pollicis longus (EPL) tendon, nga bwe gusibirwa mu EPL groove. Ebirungo ebitegeezeddwa mu kukutuka kw’omusuwa gwa EPL oluvannyuma lw’okusiiga volar 0.29%–5.7%.

Obulabe bw’okulwawo kw’omusuwa gwa EPL bweyongera nga waliwo okufuluma kwa sikulaapu y’omugongo, okulumwa okuva mu kusima obutereevu mu kulongoosebwa, n’ebitundutundu by’akasolya eky’omugongo naddala mu kumenya kw’ebizinga by’ekifuba kya Lister. Okukebera kwa radiographic okw’okufuluma kwa sikulaapu mu kumenya kwa radius okw’ewala kizibu olw’ensengekera enzibu eya radius ey’ewala n’obusobozi bw’okumenya okw’omugongo okw’omugatte. Entunula y’omugongo (dorsal tangential view) y’engeri yokka esoboka mu mubiri (intravital view) ey’ekitundu ky’omugongo (dorsal radial cortex) okufuna okwekenneenya okwesigika okw’ebanga wakati w’ensonga ya sikulaapu n’ekitundu ky’omugongo.

Obukodyo obw’okwewala obuvune bw’omusuwa obugaziya (extensor tendon injury) mulimu okukozesa sikulaapu za monocortical n’okwewala okuyingira ku ngulu okw’omugongo; Wabula obukodyo buno buyinza okukendeeza ku bunywevu bw’ebyuma mu kuddaabiriza okumenya. N’olwekyo, okunyweza ebitundu bibiri (bicortical fixation) oluusi kyetaagisa. Okukendeeza ku bulabe bw’okulumwa omusuwa ogw’okugaziya, ebigendererwa ebikulu eby’okunyweza okumenya n’okutebenkera tebirina kukosebwa.

Obukodyo obupya obw'okulongoosa .

Tunnyonnyola enkola empya okukendeeza ku bulabe bw’okukutuka kw’omusuwa gwa EPL oluvannyuma lw’okunyweza pulati ya volar radius emenyeka awatali kukendeeza buwanvu bwa sikulaapu oba okuggyawo ebitundu by’akasolya eky’omugongo. Mu bufunze, akakodyo kano kalimu okuggulawo ekisenge eky’okusatu nga kiyita mu kusalako akatono ak’omugongo.

Singa sikulaapu yali eyingidde mu kitundu ky’omugongo n’efulumira mu kisenge eky’okusatu: twaggyamu omusuwa gwa EPL mu kisenge kyagwo ne tuggalawo ekisenge nga tutungibwa ekitundu ky’amaaso ekiyitibwa retinaculum ekiva mu EPL tendon ku retinaculum eyaddaabiriziddwa.

Singa sikulaapu tegaziyizibwa mu kisenge eky’okusatu: tuleka omusuwa gwa EPL mu kisenge eky’okusatu. Ekiraga enkola yaffe kiri mu balwadde abalina okumenya kwa distal radius abajjanjabwa n’ebipande ebisiba volar, okumenya n’obutundutundu oba sikulaapu ez’omugongo eziyinza okuyingira mu kitundu ky’omugongo oba okwonoona omusuwa gwa EPL okwetoloola ekikuta kya lister. Mu balwadde abalina okumenya kwa radius n’obutundutundu bwa dorsomedial, tusima ebituli okuyingira mu kitundu ky’omugongo ne tulonda sikulaapu ez’obuwanvu obumala okutereeza ebitundu by’omugongo ebitali binywevu.

Okugabana emisango .

Tugabana ensonga nga omusuwa gwa EPL gwaggyibwa mu kisenge eky’okusatu olw’okufuluma kwa sikulaapu mu kisenge eky’okusatu mu kiseera ky’okunyweza pulati y’okumenya kwa radius okw’ewala okw’ekitundu n’obutundutundu bwa dorsomedial. Twakakasa nti EPL tendon yali tekyuse emyaka 7 oluvannyuma lw’okulongoosebwa, wadde nga sikulaapu yali emanyiddwa nnyo mu kisenge eky’okusatu.

Omusango gwali mukyala wa myaka 67 ng’azudde okumenya kwa radius okw’ewala okutali kwa nkalakkalira nga kulina okumenya okw’omu makkati okw’omugongo okwa ddyo (Figure 1A-E). Tewali byafaayo bya kunywa ssigala, sukaali oba okunywa omwenge. Asobola okutambula nga talina mutambuze yenna.

Ekifaananyi 1. Okukuba ebifaananyi nga tebannaba kulongoosa kwalaga okumenya wakati w’ekitundu ky’omubiri ekiyitibwa radius eky’ewala.

A ne B: X-rays nga tebannaba kulongoosa, .

C ne D: Okulaba ebifaananyi eby’omubiri (sagittal and axial views) ku bifaananyi bya kompyuta (computed tomography images), .

E: Ekifaananyi kya 3D computed tomography. Dorsal medial lunate facet fragments n’ebitundu by’omugongo eby’omugongo (enjuki enjeru) birabika.

Enkola y'okulongoosa .

Enkola eno ey’okumenya twagirongoosa n’ekyuma ekisiba eky’ekika kya volar locking plate. Mu kulongoosa, twasima okuyita mu kitundu ky’omugongo (dorsal cortex) ne tulonda sikulaapu empanvu ekimala okunyweza ekitundu ky’omugongo kubanga ekitundu ky’omugongo kyali tekinywevu (Ekifaananyi 2).

• Okulongoosa kwakolebwa okuggulawo ekisenge eky’okusatu oluvannyuma lw’okunyweza sikulaapu.

• Okuva sikulaapu bwe yayingira mu kisenge eky’okusatu n’efuluma (Ekifaananyi 3A), ggulawo mu bujjuvu ekisenge eky’okusatu era oggye omusuwa gwa EPL okuva mu kisenge kyagwo (Figure 3b).

• Olwo ekisenge eky’okusatu kyaggalwa nga kitunga ekitundu ky’amaaso ekiyitibwa retinaculum (Fig. 3C,D), era omusuwa gwa EPL ne guteekebwa waggulu w’ekitundu eky’omu maaso ekyaddaabiriziddwa (Fig. 3 E).

• Oluvannyuma lw’okulongoosebwa, omulwadde yagenda mu ddwaaliro ly’abalwadde abatali balwadde okutuusa eggumba lwe lyawona. Omulwadde tayagala kuggyawo hardware.

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Okuwona oluvannyuma lw'okulongoosebwa .

Nga wayise emyaka musanvu bukya alongoosebwa, omulwadde yaddayo mu ddwaaliro okuddamu okwekenneenya olw’obulwadde bw’amagumba. Omukono ogwa ddyo tegulema. Ekifaananyi kya X-ray ekiraga okumenya okuwonye nga kifulumye emabega wa sikulaapu ey’ewala ey’okusiba. Engalo y’omulwadde yali egaziyiziddwa mu bujjuvu, era omusuwa gwa EPL gwali tegulina busaale obw’olwatu.

Ku kuteesa kwaffe, omulwadde yakkiriza okuggyawo ebikozesebwa n’okwekenneenya emisuwa egy’okugaziwa. Mu kulongoosa, twekenneenya omusuwa gwa EPL nga tuyita mu kusalako omugongo era ekitundu ne tuggulawo ekitundu eky’okusatu n’eky’okuna.

Omusuwa gwa EPL gwali wabweru w’ekisenge eky’okusatu mu kifo kye kimu nga bwe kyali mu kikwekweto ekyayita, era omusuwa gwali tegunyiiga.

Twakakasa nti sikulaapu yayingira mu kisenge eky’okusatu nga emisuwa egy’okugaziwa egy’engalo gizzeemu.

Mu kusembayo, twatereeza ebisiba ebiwanirira ne tuggyawo ebikozesebwa. Mu kwekenneenya okusembayo nga wayise emyezi 2 oluvannyuma lw’okuggyawo ebikozesebwa, omulwadde yali talina bulumi era nga alina engalo ensajja ezijjuvu.

Okwogerako

Mu nkola yaffe, oluvannyuma lw’okunyweza pulati ya volar radius fractures, twaggulawo ekitundu ekitundu eky’okusatu nga tuyita mu kutema nga 2 cm obuwanvu ulnar ku tubercle ya lister. Twazuula butereevu omusuwa gwa EPL ne wansi w’ekisenge kya extensor eky’okusatu nga tuzzaayo mpola omusuwa gwa EPL.

Singa sikulaapu yayingira mu kitundu ky’omugongo mu kisenge eky’okusatu oba yalina ebisasiro eby’omugongo, tetwakola kukyusa sikulaapu mu kulongoosebwa oba okusalako akatundu, wabula ne tuggulawo ddala ekisenge eky’okusatu ne tuggyayo omusipi gwa EPL mu kisenge kyagwo. Awo twaggalawo ekisenge nga tutunga ekitundu ky’amaaso ekiyitibwa retinaculum nga tuddamu okuteeka mu kifo kya EPL ku kisenge eky’okusatu.

Singa sikulaapu teyali egaziyiziddwa mu kisenge eky’okusatu, twalekawo omusuwa gwa EPL mu kisenge eky’okusatu ekyaggulwawo ekitundu.

Enkola yaffe ey’okulongoosa ekkiriza okwanguyirwa okwekenneenya obuvune bw’omusuwa gwa EPL n’okulaba obutereevu mu ddakiika ntono nnyo ng’eddakiika 10 ez’okwongerako. Singa omusuwa gwa EPL gufuna obuvune, gusobola okuddaabirizibwa butereevu. Enkola eno eyamba okuziyiza okukutuka kw’omusuwa gwa EPL ogw’okubiri oluvannyuma lw’okunyweza pulati ya distal radial. EPL tendon bowstring eyinza okubaawo, naye tezaaliwo mu mbeera yaffe.

mu kumaliriza .

Twafuna ensonga nga EPL tendon yali tekyuse emyaka 7 oluvannyuma lw’okulongoosebwa, wadde nga sikulaapu ezikozesebwa okutereeza volar plate zaali zimanyiddwa nnyo mu kisenge eky’okusatu. Enkola yaffe ey’okulongoosa ekendeeza ku bulabe bw’okukutuka kw’omusuwa gwa EPL oluvannyuma lw’okunyweza pulati ya vola olw’okumenya kwa radius okw’ewala.

Engeri y'okugulamu amagumba agateekebwamu amagumba n'ebikozesebwa mu kuzimba amagumba) .

A CZMEDITECH , tulina ekintu ekijjuvu ennyo eky'ebintu ebiteekebwa mu kulongoosa amagumba n'ebikozesebwa ebikwatagana, ebintu omuli Ebisimbibwa omugongo ., Emisumaali egy'omu lubuto ., Ekipande ky’okulumwa obuvune ., Essowaani y’okusiba ., Omutwe-Maxillofacial ., Prosthesis ., Ebikozesebwa mu maanyi ., Abatereeza eby’ebweru ., Okukebera ebinywa ., Obulabirizi bw’ebisolo n’ebikozesebwa byabwe ebibayamba.

Okugatta ku ekyo, twewaddeyo okukola ebintu ebipya obutasalako n’okugaziya layini z’ebintu, okusobola okutuukiriza ebyetaago by’okulongoosa eby’abasawo n’abalwadde abawera, era n’okufuula kkampuni yaffe okuvuganya ennyo mu nsi yonna ey’amagumba n’amakolero g’amagumba.

Tufulumya ebweru mu nsi yonna, kale osobola . Tukwasaganye ku email address song@orthopedic-china.com okufuna quote ey'obwereere, oba weereza obubaka ku WhatsApp okufuna eky'okuddamu eky'amangu +86- 18112515727 .

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