Ufulu wa ultrasound "

Chithandizo chofala kwambiri chofatsa ma racractures ndi njira ya nelar Henry pogwiritsa ntchito mbale zotsekera ndi zomangira za kukonzekera kwamkati. Panthawi yosintha, sikofunikira kutsegula radiocarpal yolumikizana. Kutsitsa kolumikizana kumatheka kudzera mu njira yakunja yakunja, komanso ma flurative fluoroscopy amagwiritsidwa ntchito poyesa kuwunika kolumikizana. Panthawi yau intra-ya intra-articular akuvutika maganizo, monga kupukutira kwa punch, komwe kutsuka ndi kuwunika kumakhala kovuta, kungakhale kovuta kugwiritsa ntchito njira yobwereketsa ndikuchepetsa chithunzicho).

Zingwe za Interrinstic ndi zingwe zophatikizira za radiocarpal zolumikizira zimawerengedwa kuti ndizofunikira kuti mukhalebe ogwirizana. Patsogolo pa kafukufuku wa anatomical, zapezedwa kuti, posunga umphumphu wa Radiolinsate Ligaments, kudula zingwe za exprinic sikuti zimapangitsa kusakhazikika kwa curning.

Chifukwa chake, nthawi zina, kukwaniritsa gawo labwino la kulumikizana, ndikofunikira kuti tigwiritse ntchito zingwe zamimba zamitundu, ndipo izi zimadziwika kuti chowongolera cha Volar intrarticular omwe adakweza pa intaneti. Monga taonera m'chiwerengero pansipa:

Chithunzi AB: M'nthawi ya Henry njira yodziwitsa za mafupa osokoneza bongo, kuti mupeze gawo logawika la stalsius ndi scaphoid nkhope yolumikizira, kapisozi yolumikizira yoyambirira. Wovota amagwiritsidwa ntchito kuteteza matenda ofupikitsa. Pambuyo pake, likulu la radioloulsetete limapangidwa kuchokera ku showe yayikulu kupita kumbali ya ulnar ya scaphoid. Pakadali pano, kuona mwachindunji kwa kulumikizana komwe kumatha.

Chithunzi CD: Pambuyo poti atulutsire pamalopo, kuchepetsa kwa mapulani a sigittitt omwe ali pachiwopsezo kumachitidwa molunjika. Anthu okwera mafupa amagwiritsidwa ntchito pochepetsa zidutswa za mafupa, ndi 0.9m maslesner kapena omaliza kugwiritsidwa ntchito kwakanthawi kapena komaliza. Kulumikizana kolumikizira kuli kokwanira, njira zokwanira za mbale ndi zomata zimatsatiridwa. Pomaliza, zovuta zomwe zimapangidwa m'mphepete mwa radioloulsing za radioloulsin ndipo kapisozi wogwirizanitsa watha.

Maziko a mawonekedwe a malingaliro (Volar intrarticular Filly Fay) pakumvetsetsa komwe akumvetsetsa kuti ndi zingwe zolumikizira zamphamvu sizitanthauza kusakhazikika kwa dzanja. Chifukwa chake, tikulimbikitsidwa kuti ikhale yopanda mphamvu yopanda ma radius osokoneza bongo omwe fluoroscopic pamtunda wodulira ndi wovuta kapena pomwe masheya amakhalapo. Njira yowonetsera ikulimbikitsidwa kwambiri kuti ikwaniritse kuwona bwino pakuchepetsa nthawi ngati izi.