ʻO Fovea Capitis: kahi ʻāpana nui o kāu Hip

Anter

• He aha ka capitis fovea?
• He aha ka hana a ka fovea capitis?
• He aha nā hōʻeha pinepine fovea capitis?
• He aha nā mea e hōʻeha ai i ka fovea capitis?
• Pehea e ʻike ʻia ai nā ʻeha o ka fovea capitis?
• He aha ka lāʻau no nā ʻeha fovea capitis?
• Aia he 3 mau koho lapaau:
• ʻO ka lawe lawe ʻana

He aha ka capitis fovea?

ʻO ka fovea capitis kahi wahi liʻiliʻi, oval-shaped dimple ma ka hopena poepoe (poʻo) ma luna o kāu femur (ʻūhā iwi).

ʻO kou uha he hui poepoe a me ke kumu. ʻO ke poʻo femoral ke kinipōpō. Kūpono ia i loko o kahi "kumu" kīʻaha i kapa ʻia ʻo ka acetabulum i ka ʻaoʻao haʻahaʻa o kou iwi pelvic. Hoʻopili pū ke poʻo male a me ka acetabulum i kou hui pūhaka.

ʻO "Fovea capitis" i kekahi manawa huikau me ka huaʻōlelo "fovea capitis femoris." ʻO ia kekahi inoa no ka poʻo male wahine.

Hoʻohana pinepine ʻia ka fovea capitis ma ke ʻano he palena ʻāina ke loiloi nā kauka i kou pūhaka ma nā kukuna X a i ʻole i nā wā o ka hōʻemi ʻana i nā ʻūhā huhū i kapa ʻia ʻo arthroscopy hip

He aha ka hana a ka fovea capitis?

ʻO ka fovea capitis kahi pūnaewele kahi e noho ai nā ligamentum teres (LT). ʻO ia kekahi o nā ligament nui e hoʻohui i ka poʻo male i ka pelvis.

Kapa ʻia kēia ligament ʻo ka ligament āpau a i ʻole ka ligament capitis femoris.

Hoʻohālike ʻia e like me ka triangle. Hoʻopili ʻia kahi wēlau o kona kumu i kekahi ʻaoʻao o ke kumu o ka uha. Hoʻopili ka hopena i kekahi ʻaoʻao. ʻO ke poʻo o ka triangle he ʻano like me ka paipu a pili i ke poʻo femoral ma ka fovea capitis.

Hoʻoikaika ka LT a hāpai i ka hāʻawi o ke koko i ka poʻo femoral i nā keiki hānau hou. Manaʻo nā kauka ua nalowale kēia mau hana ʻelua i ka manawa a mākou i hiki ai i ke kanaka makua. ʻO ka ʻoiaʻiʻo, ua hemo pinepine ka LT i ka wā o ka ʻoki ākea e hoʻoponopono i kahi dislocation o ka pūhaka.

Ua ʻike nā kauka i kēia manawa me nā ligament ʻekolu e hoʻopuni ana i kāu hui pūhaka (i kapa ʻia ʻo ka capsule hip), kōkua ka LT i ka paʻa o kou pūhaka a mālama iā ia mai ka huki ʻana i waho o kāna kumu (subluxation) no ka nui o kou mau makahiki.

He mea nui ia ma ke ʻano he stabilizer hip he mea nui ke loaʻa ka pilikia me kou iwi iwi a i ʻole nā ​​hale e pili ana. ʻO kekahi o kēia mau pilikia:

• Ka hoʻopili ʻana o femoroacetabular. Hoʻopili pū kou mau iwi hui pūhā no ka mea hoʻokahi a ʻelua paha kahi ʻano kaulike ʻole.
• Pākuʻi Hip. Hiki wawe ka huki o kou hip ma muli o ka papakū o ke kumu e paʻa pono ai ke poʻo wahine.
• Laxity laulā. E hoʻokuʻu ʻia ka capsule, a hiki i ka overstretching o ka LT.
• Hypermobility hui. ʻOi aku ka nui o ka neʻe o nā iwi i kou hui pū ʻana ma mua o ka mea.

Loaʻa i nā LT nā aʻalolo e ʻike i ka ʻeha, no laila hana ia i ka ʻeha hip. ʻO nā aʻalolo ʻē aʻe e kōkua iā ʻoe e hoʻomaopopo i ke kūlana o kou kino a me kāu neʻe.

Kōkua pū ka LT i ka hana ʻana i ka wai synovial e lubrica i ka hui pūhaka.

He aha nā hōʻeha pinepine fovea capitis?

I ka a, kuhi ka poʻe noiʻi a hiki i ka 90 pākēneka o ka poʻe i loaʻa i ka maʻi o ka hope i loaʻa iā lākou kahi pilikia LT.

Ma kahi o ka hapalua o nā pilikia LT he waimaka, a i ʻole piha a hapa paha. Hiki i ka LT ke lilo i fray ma mua o ka haehae.

ʻO ka Synovitis, a i ʻole ka mumū ʻeha o ka LT ke hana i ka hapalua ʻē aʻe.

Hiki i nā ʻeha LT ke kū hoʻokahi (kaʻawale) a i ʻole me nā hōʻeha i nā hale ʻē aʻe i kou ʻūhā.

He aha nā mea e hōʻeha ai i ka fovea capitis?

Hiki i nā hōʻeha hōʻeha koʻikoʻi ke kumu i kahi ʻeha LT, keu hoʻi inā he kumu ia e hemo ai ka hip. ʻO nā laʻana me:

• kahi ulia kaʻa
• he hāʻule ʻana mai kahi kiʻekiʻe
• nā hōʻeha mai nā haʻuki pili kiʻekiʻe e like me ka pīpeka, hockey, skiing, a me nā haʻuki

ʻO ka microtrauma pinepine, hoʻi pinepine ma muli o ka laxity capsular, hypermobility hui, orfemoroacetabular impingement hiki ke hihia i kahi ʻeha LT.

Pehea e ʻike ʻia ai nā ʻeha o ka fovea capitis?

He paʻakikī nā hōʻeha LT ke hōʻoia me ka ʻole o ka ʻike maoli ʻana iā ia me ka arthroscopic a i ʻole ke ʻoki wehe. ʻO kēia no ka mea ʻaʻohe mau hōʻailona kikoʻī a i ʻole nā ​​hōʻailona kikoʻī ke kū ʻia ke loaʻa ia.

ʻO kekahi mau mea e noʻonoʻo ai i kāu kauka i kahi ʻeha LT:

• kahi ʻeha i hana ʻia i ka wili ʻana o kou wāwae a i ʻole hāʻule ʻoe i kahi kuli i ʻōwili ʻia
• ʻeha ʻeha e hoʻomālamalama i loko o kou ʻūhā a i ʻole kou ʻūhā
• ʻeha kou uha a laka, kaomi a hāʻawi paha
• ʻike ʻole ʻoe i ka paʻa ʻole i ka wā e squatting ana

ʻAʻole kōkua nui nā hoʻokolohua kiʻi no ka loaʻa ʻana o nā ʻeha LT. Ma kahi wale nō e ʻike ʻia ai no ka mea ua ʻike ʻia lākou ma kahi scan MRI a i ʻole MRA.

ʻIke pinepine ʻia nā ʻeha LT ke ʻike ka kauka iā ia i ka wā o ka arthroscopy.

He aha ka lāʻau no nā ʻeha fovea capitis?

Aia he 3 mau koho lapaau:

• steroid injection i loko o kou pūhaka no ka manawa pōkole e hoʻomaha ai, keu hoʻi no ka synovitis
• ka hoʻoneʻe ʻana i nā olonā LT i hōʻino ʻia a i ʻole nā ​​wahi o ka synovitis, i kapa ʻia he debridement
• kūkulu hou i kahi LT haehae loa

Hana pinepine ʻia nā hoʻoponopono ʻokiʻoki iā arthroscopically, kahi mea e hana maikaʻi me nā mea āpau i hōʻeha ʻia ai.

ʻO ka mālama ʻana āu e pono ai ma ka ʻano ʻeha.

Mālama mau ʻia nā waimaka ʻāpana a me nā LT fraded me ka drosidement arthroscopic a i ʻole ka hoʻopau ʻana o radiofrequency. Hoʻohana kēlā i ka wela e "wela" a luku i nā kiko o nā olonā i hōʻino ʻia.

Ua hōʻike ʻia kekahi ma mua o 80 pākēneka o ka poʻe me kahi ʻeha LT kaʻawale i hoʻomaikaʻi ʻia me ka drosidement arthroscopic. Ma kahi o 17 pākēneka o nā waimaka i hoʻi hou a pono i ka lua o ka ʻōpala.

Inā pau ka waimaka, hiki i ka LT ke kūkulu hou ʻia me ka ʻokiʻoki.

Mālama pū ʻia ke kumu o ka ʻeha inā hiki. ʻO kahi laʻana, hiki i ka hoʻopaʻa ʻana i nā ligament capsule ke pale aku i kahi waimaka ʻē aʻe inā i hoʻokumu ʻia e nā ligament hohola, nā pūhaka leʻaleʻa, a i ʻole hypermobility.

ʻO ka lawe lawe ʻana

ʻO ka fovea capitis kahi dimple liʻiliʻi, ʻano oval ma ka hopena kinipōpō o ka piko o kou iwi ʻūhā. ʻO ia kahi kahi e hoʻopili ai kahi ligament nui (LT) i kou iwi ʻūhā i kou pelvis.

Inā ʻoe e ʻike i kahi hanana traumatic e like me kahi ulia kaʻa a i ʻole hāʻule nui, e hōʻeha paha ʻoe i kāu LT. He paʻakikī kēia ʻano ʻeha i ke kuhi lima a koi paha i ke ʻōpala arthroscopic e kuhikuhi a hoʻoponopono.

I ka manawa e mālama ʻia me ka debridement a i ʻole ke kūkulu hou ʻana, maikaʻi kāu nānā.