Advanced Knee Recovery Solutions

Meniscal Injury

Kukuvara kweMeniscal kunoitika mumitambo yakasiyana-siyana, kunyanya mitambo yekuonana, uye inowanzojairika mumabasa ezuva nezuva nebasa, kazhinji inosanganiswa nemamwe maronda emakumbo. Meniscus yepakati inokuvadzwa nyore nyore apo gumbo rezasi rinotenderera kunze kune femur, nepo lateral meniscus inonyanya kukuvadzwa mukati mekutenderera kwemukati wetibia. Kukuvara kweMeniscal kunogonawo kuitika nekuda kwe hyperflexion kana hyperextension yemabvi kana kukanganisa kwakananga pakati pe femur uye tibia. Mishumo inobva kune dzimwe nyika inoratidza kuti kukuvara kwemukati memeniscus kwakapetwa kashanu kudarika kukuvara kwe lateral meniscus, nepo mishumo yepamba inoratidza kuwanda kwepamusoro kwekukuvara kwe lateral meniscus.

Medial Collateral Ligament (MCL) Kukuvara

Iyo MCL ine yekumusoro uye yakadzika mitsara isina musiyano pakati pawo. Iyo yepamusoro-soro inotangira pedyo ne-adductor tubercle uye inoisa mukati mechikamu chemukati chepamusoro chetibia, apo iyo yakadzika inotanga pa-medial epicondyle uye inoisa mukati memucheto wepamusoro wetibia, zvichiita kuti pave nejojo ​​capsule. uye kubatanidza kune medial meniscus. Kukuvara kuMCL kunobva kumasimba anoshanda kubva kunze, akadai setibial abduction uye kutenderera kwekunze kana kuderedzwa kwechikadzi uye kutenderera kwemukati.

Lateral Collateral Ligament (LCL) Kukuvadza

Kukuvara kweLCL hakuwanzoitiki uye kunowanzoitika kubva mukushandiswa kwechisimba kusvika mukati memabvi akabatanidzwa kana zvimwe zvikonzero zvinotungamirira kumabvi akabatanidzwa varus kukuvara, kazhinji kunoperekedzwa nekukuvara kujojo capsule, peroneal muscles, biceps femoris, hamstring muscles, kana kunyange. the common peroneal nerve.

Anterior Cruciate Ligament (ACL) Kukuvara

Iyo ACL inotanga pakati penzvimbo dzepamberi dzetibial condyle uye anterior horn ye lateral meniscus, ichiguma nechomukati chikamu che lateral femoral condyle. Inosanganisira posterior lateral bundle uye anterior medial bundle. Kukuvara kwe ACL kunowanzoitika, kazhinji chikamu chekukuvara kwakasanganiswa, asi kunogonawo kuitika sekukuvara kwega.

Posterior Cruciate Ligament (PCL) Kukuvara

Iyo PCL inonamatira kumusana wepamusoro wetibial joint surface, inosvika kumucheto wepamusoro wepamusoro wetibia, inomhanya shure kwemashure epakati pepakati pepakati pekutanga, uye inopera pachikamu chekupedzisira chemukati we femoral condyle. Iyo PCL yakasimba, uye nokudaro kukuvadzwa hakuwanzoitiki, kazhinji kunokonzerwa nemasimba makuru ekunze uye kazhinji kunoperekedzwa nekumwe kukuvadzwa.

Clinical Examination: Inosanganisira kucherechedzwa kwechiratidzo, kuongorora kugadzikana kwekubatana, kuyerwa kwekubatana kwekufamba, nezvimwe.

Kufungidzira Zvidzidzo: X-rays, MRI, CT scans, nezvimwewo, inoshandiswa kuona zvimiro zvemapfupa, zvinyoro zvinyoro, uye kuwanda kwekukuvara.

Arthroscopic Examination: Yakananga inocherekedza mamiriro emukati memubatanidzwa, ichibatsira mukuongororwa uye kurapwa.

Meniscal Injury

Varwere vanowanzova nenhoroondo yekushungurudzika, pakarepo mushure mekukuvadzwa kurwadziwa, kunotevera kupfugama kwemabvi akabatanidzwa, marwadzo asina kunaka emunharaunda, uye gare gare, marwadzo chaiwo epaiti. Mushure mekukuvara, kuputika kwemajoini kunoitika, pamwe nekuvhara majoini uye kutaridzika kwe "kupa nzira" panguva yemabvi akabatana kufamba, achiperekedzwa nekudzvanya, uye palpable localized unyoro munzvimbo yakabatana. Muedzo waMcMurray unowanzo kuve wakanaka uye ndiyo nzira yebvunzo inonyanya kushandiswa. Iyo Apply Test inogona kukonzera marwadzo padivi rakakuvara uye inoongorora mamiriro panguva ye squatting pasi pemutoro. Vamwe vanoitawo bvunzo yekuzunguza, vachiisa chigunwe chimwe chete munzvimbo yejoint side uye zvinyoro nyoro gumbo, vachinzwa meniscus ichipinda nekubuda munzvimbo, zvinova zvakanaka kana zvichiperekedzwa nemarwadzo.

Knee joint arthrography chinhu chinowanzoshandiswa chekuongorora, chinobatsira mukukuvara kwenzvimbo. Kunyangwe ichiri kushandiswa mune dzimwe nguva, yakatsiviwa zvishoma nezvishoma nenzira itsva dzebvunzo. Ongororo yeArthroscopic ine chiyero chekusimbisa kusvika ku90% uye inogona kushandiswa pakuvhiyiwa asi ine painogumira pakucherechedza nyanga yekumashure yemukati memeniscus. MRI yakakosha pakuongorora kukuvara kwemajoini nyoro.

Medial Collateral Ligament (MCL) Kukuvara

Mushure mekukuvara, kurwadziwa kwakanyanya kunoitika padivi repakati pemabvi akabatanidzwa, kusunungurwa uye kunowedzera, zvichiita kuti kuve nekuzvimba kwepakati uye ecchymosis. Pa 30 ° yekuchinjika kwemabvi, isina kujairika yejoint space yekuvhura sensation inogona kunzwika, yakaderedzwa MCL tension, uye yakanaka valgus stress test. Kuita valgus stress X-rays yekuenzanisa kweviri kunoratidza kuwedzera kwakabatana nzvimbo padivi rakakanganiswa nepamusoro pe10 °, zvichiratidza kuputika kwakakwana kweMCL, pamwe chete nekugona kweanterior cruciate ligament kukuvara. MRI inopa kuongororwa kwakajeka.

Lateral Collateral Ligament (LCL) Kukuvadza

Varwere vanowanzova nenhoroondo yesimba remukati pamabvi akabatanidzwa, mushure mekukuvara kwepashure marwadzo emabvi, kuzvimba, uye hunyoro hunokosha hwemunharaunda, kazhinji nefibular head fractures. Kana ichiperekedzwa nekukuvara kune zvivako zviri pedyo, zviratidzo zvinowirirana zvinoitika. Kushushikana kweValgus kwakanaka, kwakaderedza kushushikana kweLCL, uye kupfava kunonzwika uye kunzwa kusinganzwisisike kwekuvhura. Valgus stress X-rays inoratidza yakawedzera nzvimbo yakabatana padivi rakakanganisika.

Anterior Cruciate Ligament (ACL) Kukuvara

Kukuvara kwe ACL kunowanzoitika nekuda kwekukuvara kwakanyanya kwemabvi, kunzwisiswa kubvarura kunzwa, kurwadziwa kwemabvi, kusagadzikana, kusakwanisa kudzokorora mafambiro, kana kuramba uchiita. Kutevera kuzvimba kwemajoini uye hemarthrosis kunoitika, uye bvunzo yedhirowa yakanaka. Kurwadza kwakanyanya kwakanyanya kunowanzoita kuti kuongororwa kwakadzama kuve kwakaoma, asi bvunzo dzinogona kuitwa mushure meanesthesia kana mushure menguva yakaoma. Positive anterior drawer test, Lachman test, pivot shift test, uye jerk test inoratidza ACL kukuvara. Muedzo weLachman wakaitwa negumbo remurwere rakarembera zvakanaka, zvichiratidza kukuvara kwe ACL. X-rays yekuona kuti avulsion fractures ane chirevo chekuongorora. Panguva imwecheteyo anterior drawer test X-rays inoratidza anterior tibial displacement, zvichiratidza ACL kukuvara. MRI inopa kuongororwa kwakaringana.

Posterior Cruciate Ligament (PCL) Kukuvara

Zviratidzo zvekukuvara kwePCL zvakafanana nekukuvara kweAACL uye zvine nhoroondo yakajeka yekushungurudzika kwakanyanya. Iyo posterior dhirowa bvunzo yakanaka, uye X-ray inogona kuitwa kuongororwa. Varwere vakarara pasi nemakumbo ose patafura yekuongorora pane inenge 90 ° yemabvi anoputika vanogona kuwana posterior tibial sag; apo muongorori akabata femu yemurwere kure uye anoshandura chiuno nemabvi, kufamba kwemashure kweproximal tibia kunonyanya kutaurwa, zvichiratidza PCL kuputika. X-rays inoratidza PCL avulsion fractures. MRI yakanyatsonaka yekuongorora kukuvara kwePCL.