Hoʻoneʻe Kneecap

Kū ka neʻe kneecap ke neʻe a paheʻe paha ka iwi triangle-like e uhi ana i ke kuli (patella) ma waho o kahi. Kū pinepine ka dislocation i waho o ka wāwae.

Kū pinepine ʻo Kneecap (patella) ma hope o ka hoʻololi koke ʻana i ke kuhikuhi ke kanu ʻia kou wāwae. Kau kēia i kou kneecap ma lalo o ke koʻikoʻi. Hiki i kēia ke pāʻani i kekahi mau haʻuki, e like me ka kinipōpō hīnaʻi.

Hiki ke hana i ka dislocation ma muli o ka trauma pololei. Ke hoʻoneʻe ʻia ka kneecap, hiki iā ia ke heʻe ʻaoʻao i waho o ke kuli.

Nā ʻōuli o ka hoʻokuli kneecap me:

• ʻIke ʻia ke kuli
• Kūlou ke kuli a ʻaʻole hiki ke hoʻopololei ʻia
• Kneecap (patella) neʻe i waho o ke kuli
• ʻEha kukuli a palupalu
• Huʻe kuli
• "Sloppy" kneecap - hiki iā ʻoe ke neʻe i ka kneecap he nui mai ka ʻākau a hema (hypermobile patella)

ʻO nā manawa mua i kū ai kēia, ʻike ʻoe i ka ʻeha a hiki ʻole ke hele. Inā hoʻomau ʻoe i nā dislocations, ʻaʻole ʻeha paha kou kukuli a ʻaʻole kīnā ʻoe. ʻAʻole kēia he kumu e hōʻalo ai i ka lāʻau. Hoʻopōʻino ke kīpē kneecap i kou hui kuli. Hiki iā ia ke alakaʻi i nā hōʻeha cartilage a hoʻonui i ka makaʻu o ka hoʻomōhala ʻana i ka osteoarthritis i ka wā ʻōpio.

Inā hiki iā ʻoe, hoʻopololei i kou kuli. Inā paʻa a ʻeha hoʻi e neʻe, hoʻokūpaʻa (ʻoki) i ke kuli a loaʻa i ka lāʻau lapaʻau.

E nānā kāu mea mālama ola i kou kuli. E hōʻoia paha kēia ua hemo ka kneecap.

E kauoha paha kāu mea hāʻawi i kahi x-ray kukuli a i ʻole he MRI. Hiki i kēia mau hoʻāʻo ke hōʻike inā hemo ka iwi i haki ka iwi a i ʻole ka pōʻino o ka cartilage. Inā hōʻike nā hōʻike ʻaʻohe ou ʻino, e hoʻokomo ʻia kou kuli i kahi immobilizer a i ʻole e hoʻolei ʻia e pale iā ʻoe i ka neʻe ʻana. Pono ʻoe e komo i kēia ma kahi o 3 mau pule.

Ke pau hou ʻole i ka mea hoʻolei, hiki i ke olakino kino ke kōkua i ke kūkulu ʻana i kou ikaika i nā mākala a hoʻomaikaʻi i ke kaʻina o ke kuli.

Inā loaʻa ka ʻino o ka iwi a me ka cartilage, a i ʻole hoʻomau ka paʻa o ke kneecap, pono ʻoe i ke ʻoki e hoʻopaʻa i ka kneecap. Hana ʻia kēia i ka hoʻohana ʻana i ka arthroscopic a i ʻole ke ʻoki ākea.

Kāhea i kāu mea hāʻawi inā hōʻeha ʻoe i kou kuli a loaʻa nā ʻōuli o ka dislocation.

Kāhea i kāu mea hāʻawi inā mālama ʻia ʻoe no kahi kuli dislocated a ʻike ʻoe:

• Hoʻonui i ka paʻa ʻole i kou kuli
• E hoʻi ka ʻeha a i ʻole ka pehu ʻana ma hope o ka hele ʻana
• ʻAʻole maikaʻi ka maikaʻi o kou ʻeha me ka manawa

Kāhea pū i kāu mea hāʻawi inā hōʻeha hou ʻoe i kou kuli.

E hoʻohana i nā ʻenehana kūpono ke hoʻohana a pāʻani paha i nā haʻuki. E mālama i kou mau kuli ikaika a maʻalahi.

ʻAʻole hiki ke pale ʻia kekahi mau hihia o ka hoʻoluli ʻana o ke kuli, keu hoʻi inā ʻo nā mea kūlohelohe e hoʻoiho ai i kou kuli.

Hoʻoneʻe - kneecap; Hoʻoneʻe Patellar a i ʻole kūmau

• Lapaʻau ʻōkū
• Hoʻoneʻe Patellar
• Kukuna arthroscopy - moʻo

Mascioli AA. Nā dislocations huikau. I: Azar F, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 60.

Napela RM, Ufberg JW. Ka mālama ʻana i nā dislocations maʻamau. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 49.

Sherman SL, Hinckel BB, Farr J. Patellar instability. I: Miller MD, Thompson SR, eds. ʻO DeLee lāua ʻo Drez's Orthopedic Sports Medicine. 5th lā. Piladelapia, PA: Elsevier; 2020: chap 105.