ʻO ka hōʻeha ligament cruciate mua (ACL)

ʻO kahi ʻeha ligament cruciate mua kahi o ka hoʻolōʻihi a haehae ʻana paha o ka ligament cruciate mua (ACL) i ke kuli. Māhele paha kahi waimaka a i ʻole piha.

Aia ke ami o ke kuli kahi e hui ai ka hopena o ka iwi ʻūhā (femur) me ka piko o ka iwi shin (tibia).

ʻEhā mau liga nui e hoʻohui i kēia mau iwi ʻelua:

• Holo ka ligament liʻiliʻi medial (MCL) ma loko o ka kuli. Pale ia i ke kuli mai ke kūlou ʻana.
• ʻO ka ligament collal lateral (LCL) holo ma waho o ke kuli. Pale ia i ke kuli mai ke kūlou ʻana.
• ʻO ka ligament cruciate mua (ACL) ma waenakonu o ke kuli. Pale ia i ka iwi shin mai ka heʻe ʻana i mua o ka iwi ʻūhā.
• Hana pū ka ligament cruciate posterior (PCL) me ka ACL. Pale ia i ka iwi shin mai ka heʻe hope ʻana ma lalo o ka femur.

Loaʻa paha ka waimaka ACL ma mua o nā kāne.

Hiki i kahi ʻeha ACL ke hana inā ʻoe:

• Pā ikaika loa ma ka ʻaoʻao o kou kuli, e like me ka wā o ke kīpeku
• Hoʻohui nui i kou hui kuli
• Hoʻoki koke i ka neʻe ʻana a hoʻololi i ke ʻaoʻao ʻoiai e holo ana, e pae ana mai kahi lele a i ʻole ke huli ʻana

ʻO ka kinipōpō hīnaʻi, ke kinipōpō hīnaʻi, ke kinipōpō hīnaʻi, a me ka heʻe nalu kahi haʻuki maʻamau i pili i nā waimaka ACL.

Kū pinepine nā hōʻeha ACL me nā ʻeha ʻē aʻe. ʻO kahi laʻana, hele pinepine kahi waimaka ACL me nā waimaka i ka MCL a me ka cartilage ʻoluʻolu i loko o ke kuli (meniskus).

ʻO ka hapanui o nā waimaka ACL i waenakonu o ka ligament, a i ʻole huki ʻia ka ligament mai ka iwi ʻūhā. Hoʻokumu kēia mau ʻeha i kahi āpau ma waena o nā lihi weluwelu, a mai hoʻōla iā lākou iho.

Nā ʻōuli mua:

• Kani "kani" i ka manawa ʻeha
• Hoʻohuli ke kukuli i loko o 6 mau hola o ka ʻeha
• ʻEha, keu hoʻi e hoʻāʻo e kau i ke kaupaona ma ka wāwae ʻeha
• Ka paʻakikī i ka hoʻomau ʻana me kāu haʻuki
• Manaʻo o ka luhi ʻole

ʻO ka poʻe i loaʻa kahi ʻeha palupalu e nānā paha i ke kuli o ke kuli a manaʻo paha e "hāʻawi i ke ala" ke hoʻohana ia.

E ʻike i kāu mea mālama ola inā manaʻo ʻoe he ʻeha ACL kāu. Mai pāʻani i nā haʻuki a i ʻole nā ​​hana ʻē aʻe a ʻike ʻoe i kahi mea hoʻolako a mālama ʻia.

E hoʻouna paha kāu mea hāʻawi iā ʻoe no kahi MRI o ke kuli. Hiki i kēia ke hōʻoia i ke kuhi. Hōʻike paha ia i nā ʻeha ʻeha ʻē aʻe.

ʻO ke kōkua mua no kahi hōʻeha ACL e komo pū paha:

• Ke hāpai nei i kou wāwae ma luna o ka pae o ka puʻuwai
• Ke kau nei i ka hau i ke kuli
• Nā mea hōʻeha ʻeha, e like me nā lāʻau anti-inflammatory nonsteroidal (e like me ka ibuprofen)

Pono paha ʻoe:

• ʻO nā koʻokoʻo e hele a hiki i ka wā e maikaʻi ai ka pehu a me ka ʻeha
• E hoʻopaʻa e hāʻawi i kou kuli i kahi kūpaʻa
• Hoʻoikaika kino e kōkua i ka hoʻomaikaʻi ʻana i ka neʻe ʻana a me ka ikaika o ka wāwae
• Hana ʻoki kino e hana hou i ka ACL

Hiki i kekahi poʻe ke noho a hana maʻamau me ka ACL i haehae ʻia. Eia naʻe, namunamu ka hapa nui o ka poʻe no ka paʻa ʻole o ko lākou kuli a "hāʻawi" paha me ka hoʻoikaika kino. Hiki i ke kuli kūpaʻa ʻole ma hope o ka waimaka ACL ke alakaʻi i ka hōʻino hou o ke kuli. ʻAʻole paha ʻoe e hoʻi i ka pae like o nā haʻuki me ka ʻole o ka ACL.

• Mai neʻe i kou kuli inā he ʻeha koʻikoʻi kou.
• E hoʻohana i kahi mālamalama e mālama pono i ke kuli a ʻike ʻoe i ke kauka.
• Mai hoʻi hou i ka pāʻani a i nā hana ʻē aʻe a hiki i ka wā i mālama ʻia ai ʻoe.

Kāhea koke i kāu mea hāʻawi inā loaʻa iā ʻoe kahi maʻi ʻeha koʻikoʻi i ke kuli.

E kiʻi i ka lāʻau lapaʻau inā anuanu a polū ka wāwae ma hope o ka hōʻeha o ke kuli. ʻO ke kumu o kēia e hemo ai ka ami kuli, a ʻeha ʻia nā kīʻaha koko i ka wāwae. He pilikia olakino kēia.

E hoʻohana i nā hana kūpono ke pāʻani i nā haʻuki a haʻuki paha. Aʻo kekahi o nā papahana haʻuki koleke i ka poʻe haʻuki pehea e hoʻoliʻiliʻi ai i ke koʻikoʻi i kau ʻia ma ka ACL. Hoʻopili kēia i kahi papa o nā hoʻomehana hoʻomehana a me nā lele lele. Aia nā lele a me nā hana pae i hōʻike ʻia e hōʻemi i nā hōʻeha ACL.

ʻO ka hoʻohana ʻana i nā pale kuli i ka wā o ka hana haʻuki ikaika (e like me ka pôpeku) he hakakā. ʻAʻole hōʻike ʻia e hoʻemi i ka helu o nā ʻeha o ke kuli, akā ʻaʻole kikoʻī ACL mau ʻeha.

ʻO ka hōʻeha ligament Cruciate - mua; Waimaka ACL; Ka hōʻeha kukuli - ligament cruciate mua (ACL)

• Hana hou ʻo ACL - hoʻokuʻu

• Lapaʻau ʻōkū
• Nā kekelē ACL
• ʻEha ACL
• Anatomy kukuli maʻamau
• ʻO ka hōʻeha ligament cruciate mua (ACL)
• Hoʻoponopono ligament cruciate mua - Series

ʻO Bolgla LA. Nā pilikia o ke kāne a me ka ʻeha ACL. I: Giangarra CE, Manske RC, eds. Hoʻoponopono Orthopedic Clinical: He Hoʻokele Kime. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 49.

ʻO Brotzman SB. Nā hōʻeha ligament cruciate mua. I: Giangarra CE, Manske RC, eds. Hoʻoponopono Orthopedic Clinical: He Hoʻokele Kime. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 47.

ʻO Cheung EC, McAllister DR, Petrigliano FA. Nā hōʻeha ligament cruciate mua. I: Miller MD, Thompson SR, eds. ʻO DeLee, Drez, & Miller's Orthopedic Sports Medicine. 5th lā. Piladelapia, PA: Elsevier; 2020: chap 98.

Kalawadia JV, Guenther D, Irarrazaval S, Fu FH. ʻO Anatomy a me biomekanika o ka ligament cruciate mua. I: Prodomos CC. ʻO ka Ligament Anterior Cruciate: hana hou a me ka ʻepekema maʻamau. ʻElua ed. Piladelapia, PA: Elsevier; 2018: chap 1.

ʻO Miller RH, ʻo Azar FM. Nā hōʻeha kuli. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 45.

Nyland J, Mattocks A, Kibbe S, Kalloub A, Greene JW, Caborn DN. ʻO ke kūkulu hou ʻana o ligament cruciate, hoʻoponopono hou, a hoʻi i ka pāʻani: 2015 hōʻano. Wehe i J Sports Med. 2016; 7: 21-32. PMID: 26955296 pubmed.ncbi.nlm.nih.gov/26955296/.