Whati te waewae i roto i te rohe hip. whakamārama poto o te kino

Waewae whati i roto i te rohe femoral he waitohunga pai i roto i te take o te repositioning wawe o wheua whatiwhatinga te uta o te umeraa ranei.

Ka rerekē i runga i te wāhi, he nunui:

- whara mata o runga;

- whati o te diaphysis;

- whati o te metaepiphysis distal proximal ranei.

Kei te āhuatanga e etahi fifi i roto i te maimoatanga pāpaka Tata. Ite i teie mau wharanga tika ki taka i tiketike nui. taka tika Strike i runga i te pae o te trochanter nui, whakapataritari he waewae whati.

Tohu rite mamae i roto i te tahi hip, he uaua te manawanui ki haea atu i te waka rererangi whakapae o te rekereke. I tua atu, heke te e alangá raro kei te me paku koané waho. I roto i tenei take, te trochanter nui i roto i whētuki wāhikē he ki runga ake i te raina-roselle Nelatona. whakamana displacement tohu whakamahine o wheua whatiwhatinga me te āhua o te whati e whakamātautau radiological.

Ko te medial (waha) whara o te pūkaka me upoko epifizelioz e pā ana ki te kino kōtuitui-articular. whētuki lateral Ko te lesion periarticular, engari i roto i ētahi wā i reira he kătahi o te waka rererangi whati o te kōhao tahi.

Waewae whati i roto i te kaki, me te matenga femoral whētuki epiphysiolysis ki kahore wāhikē tā immobilization auroa i pahi putanga ranei te maka te raima o te whitiki i runga i te rohe papatoiake superimposed i te hurihanga i roto, me te retraction. Ko e rua ki te toru marama, aru e (mō marama e wha e ono ranei) rere i wā Immobilization.

He waewae whati i te wheua hope ki displacement o wheua whatiwhatinga tā te whakamahi o te pamu kōhiwi rite mehua haumanu.

Ko te pōauautanga tino noa ko te hanganga o te necrosis avascular i roto i te matenga femoral. I roto i te take o te kore o mehua momo tā hāparapara maimoatanga waewae whati.

whati taratahi o te take e - whara ka hinga, me te patu, kei roto i te rohe o te trochanter nui o te wheua huha. āhuatanga tēnei kino e iti te mamae i runga i palpation me te kaupapa, me te tetere pāmamae rohe. Tikanga, haere tahi te taua whati waewae e te ofatiraa iti o te mahi.

Ka rite ki te maimoatanga i whakaritea immobilization i roto i te kiri te raima mo toru ki te wha wiki.

Ko te wharanga te nuinga noa o te pūkaka ngā whati diaphyseal. Tūkino paetata i roto i te toru o waenganui e taea te meinga e te whētuki autaki hāngai ranei. Tikanga, tenei tupu ka he waewae whati hinga i te teitei kēmu pūkoro ranei.

Homai te taumata o iti, me te tiketike wehewehe kino diaphyseal, me te te tuatoru waenganui o te whara. I roto i te runga ki a raro ki te matahao, hake, piere comminuted me helical.

Te nuinga wāhikē kongakonga wheua e pā ana ki te tohu o te tōpana, te taumata o te kino, kia rite ki te pai kia rite ki te whakaiti o nga rōpū uaua e hāngai ana.

Wheua whati pūkaka proximally retracted tūranga āhuatanga whatiwhatinga, huringa waho me te flexion tika ki iliopsoas whakaiti me te kōtere. kawea te displacement o te kongakonga distal te whakamuri, whekau, me te maha atu.

āhuatanga whati o te toru o waenganui e te pā ana tahi taua o otaota. Ko te kupu te ine anteriorly me retraction o kongakonga proximal ko iti korerotia ina te tūponotanga o nui displacement o te roa kongakonga distal me posteriorly.

maimoatanga tika o te pūkaka whara whakarato he hononga kahore shortening.

I te mutunga o te kawenga wā imobilizatsionnogo i runga i te e alangá whakaaetia te kore mua atu i te rua, e toru wiki. tauturu whakaora whakatere ki te whakamahi i pati mahana me te tua.