I-Posterior Cruciate Ligament Injuries: El Paso Back Clinic

Umzimba unamalunga ne-1,000 ligaments edibanisa amathambo kunye namalungu. I-Ligaments ziindibaniselwano eziqinileyo zezicubu ezixhasa ukuhamba ngokubambisana kunye nokuzinzisa imisipha kunye namathambo. Ukulimala kwi-ligaments enye okanye ngaphezulu kunokubangela ukuvuvukala, ukuvuvukala, ukungahambi kakuhle kunye nokungazinzi. I-PCL ibhekisa kwi-posterior cruciate ligament ebaleka ngasemva kwedolo elihlangeneyo. Le ligament idibanisa i-femur / ithambo lethanga kwi-tibia / shinbone. Nabani na unokubandezeleka ngenxa yokulimala kwi-posterior cruciate ligament. Inokubangelwa ukuba idolo libethe ideshibhodi kwingozi yemoto, umsebenzi ojijayo okanye awe phantsi ngedolo eligobileyo okanye ukulimala koqhagamshelwano lwezemidlalo. I-Chiropractic yezoNyango zeChiropractic kunye neQela leKliniki yeMithi eSebenzayo ibonelela ngomsebenzi wezicubu ezithambileyo, i-trigger point therapy, kunye nonyango olujoliswe kuyo olungenalo utyando ngokusebenzisa iindlela zonyango oluphezulu kunye nobuchwepheshe.

I-Ligament yangasemva yeCruciate

I-posterior cruciate ligament - i-PCL ifumaneka ngaphakathi kwedolo, emva nje kwe-anterior cruciate ligament - ACL. Ngomnye wemigqaliselo emininzi edibanisa i-femur / thighbone kwi-tibia / shinbone. I-posterior cruciate ligament igcina i-tibia ukuba ihambe ngasemva.

ukwenzakala

Ukulimala kwe-posterior cruciate ligament kunqabile kakhulu kune-ACL - iinyembezi zangaphambili. Ukulimala kwe-PCL kwenza ngaphantsi kwe-20% yazo zonke ukulimala kwamadolo. Kuqhelekile ukuba iinyembezi ze-PCL zenzeke kunye nokulimala kwe-ligament. Ukulimala kwe-PCL kunokubangela umonakalo omncinci, ophakathi, okanye onzima kwaye ulinganiswe kwiindidi ezine ezahlukeneyo:

IBakala I

• Ukukrazula inxalenye ikhona kwiligament.

IBakala II

• Kukho ukukrazula inxalenye.
• Umsipha unokuziva ukhululekile.

IBakala III

• Umsipha uqhawuke ngokupheleleyo.
• Idolo alizinzanga.

IBanga lesi-IV

• I-PCL yenzakele.
• Amanye amadolo awonakele.

Abantu abanokulimala kwe-posterior cruciate ligament banokuba neempawu ezimfutshane okanye ezide. Ngokuqhelekileyo, iimpawu zexesha elide zenzeke xa ukwenzakala ngokukhawuleza kukhula ngokuhamba kwexesha. Kwiimeko ezincinci, abantu basenokukwazi ukuhamba, kwaye iimpawu zabo zisenokungabonakali. Iimpawu eziqhelekileyo ezinxulumene nokulimala kwe-PCL ziquka:

• Ubunzima bokubeka ubunzima kwidolo elenzakeleyo.
• Ukuqina.
• Ubunzima bokuhamba.
• Ubunzima bokuhla kwizinyuko.
• Imvakalelo eshukumayo ngaphakathi kwedolo.
• Ukudumba kunye nokudumba kunokuba mnene ukuya kubukhali.
• Iintlungu zamadolo.
• Iintlungu ezibuhlungu ngokuhamba kwexesha.
• Ngokuhamba kwexesha, iinyembezi zingakhokelela ekuphuhliseni osteoarthritis.

Kukho ingozi eyongeziweyo yomonakalo omkhulu kunye neemeko ezibuhlungu ezingapheliyo ukuba zishiywe zingaphathwanga.

Ukhathalelo lweChiropractic

Ukuqhubeka nokuthatha inxaxheba emsebenzini okanye kumsebenzi emva kokulimala kancinci sesona sizathu siphambili sokuba abantu bafumane unyango, inaliti, okanye ukulungiswa kotyando.. Ukulimala emadolweni kufuna ingqwalasela ekhawulezileyo ukuthintela ukonakala okanye umonakalo ongakumbi. I-chiropractor iya kuhlola idolo, khangela uluhlu lwentshukumo kwaye ubuze malunga neempawu. Basenokucela iimvavanyo zemifanekiso ukujonga ubungakanani bomonakalo. Olu vavanyo lungabandakanya oku kulandelayo:

• X-ray.
• Imagnetic resonance imaging.
• CT scan.

Ngethuba lokuhlolwa komzimba, baya kujonga zonke izakhiwo zedolo elimele kwaye baqhathanise nedolo elingenakulimala. Idolo elenzakeleyo lisenokubonakala lihlehla ngasemva xa ligobile okanye linokutyibilika umva kakhulu, ngakumbi xa lingaphaya kwe-engile ye-90-degree. Unyango luxhomekeke kubunzima bokulimala. Unyango oluqhelekileyo luquka:

Iinduku

• Iinduku zinokucetyiswa ukunciphisa ubunzima obubekwe emadolweni.

Idolo Brace

• I-brace ekhethekileyo inokujongana nokungazinzi kwaye incede ukukhusela ithambo le-tibia ukuba lihlehle ngasemva.
• Umxhuzulane uthande ukutsala ithambo ngasemva xa lilele.

I-Chiropractic kunye noNyango loMzimba

• Njengoko ukudumba kwehla, inkqubo yokubuyisela kwimeko yesiqhelo ngononophelo inokuqalisa.
• A irejimeni ye-chiropractic iya kusetha kwakhona kwaye iphinde iqeqeshe i-ligament.
• Ukunyangwa kwe-massage kuya kunciphisa izicubu ezibomvu kunye nokwandisa ukujikeleza.
• Ukuzivocavoca okuthe ngqo kuya kuzinzisa idolo, ukubuyisela umsebenzi, kunye nokuqinisa imisipha yomlenze oyixhasayo.
• Ukomeleza imisipha phambi kwethanga / i-quadriceps yinto ephambili ekubuyiseleni ngempumelelo.

Ukuhlinzwa

• Kwiimeko ezinzima, utyando lunokufuneka ukuze ubuyiselwe ngokupheleleyo.
• Idolo le-arthroscopy kwenziwa ukwakhiwa kwakhona kwe-ligament.
• Le nkqubo ayihlaseli kangako xa ithelekiswa neendlela zotyando lwesintu.

Ixesha lokuchacha liyahluka kumntu nomntu. Ukuba umonzakalo uphakathi, kunokuthatha malunga neentsuku ezilishumi kuphela ukuphola. Ukuba kufuneka utyando, ukuchacha kwakunokuthabatha malunga neenyanga ezintandathu ukuya kwezisithoba. Ukuchacha ngokupheleleyo kufuna iinyanga ezi-6 ukuya kwezili-12.

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I-Chiropractor engcono kakhulu yeKnee Injury

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Ucaphulo

I-American Academy ye-Orthopedic Surgeons. Ukwenzakala kwiLigament yangasemva kweCruciate. (orthoinfo.aaos.org/en/diseases-conditions/posterior-cruciate-ligament-injuries) Ifikeleleke nge-7/26/21.

Bedi A, Musahl V, Cowan JB. Ulawulo lwe-Posterior Cruciate Ligament Injuries: Ukuphononongwa okusekelwe kubungqina. Ijenali yeAmerican Academy of Orthopedic Surgery. 2016 May;24(5):277-89. Ifikeleleke ngo-7/26/21.

Lu, Cheng-Chang, et al. "Iiveki ezilishumi elinesibini zeNkqubo yoQeqesho oluQhelekileyo kunye noQeqesho lwamandla luphucula amandla e-Muscle, iProprioception, kunye noMsebenzi weKlinikhi kwizigulane ezinokulimala kwe-Isolated Posterior Cruciate Ligament." Ijenali yamazwe ngamazwe yophando lokusingqongileyo kunye nempilo yoluntu vol. 18,23 12849. 6 Dec. 2021, doi:10.3390/ijerph182312849

Pierce, uCasey M et al. "Iinyembezi ze-Posterior cruciate ligament: ukulungiswa okusebenzayo kunye nokubuyisela emva kokusebenza." Utyando lwamadolo, i-traumatology yezemidlalo, i-arthroscopy: ijenali esemthethweni ye-ESSKA vol. 21,5 (2013): 1071-84. doi:10.1007/s00167-012-1970-1

Schüttler, KF et al. "I-Verletzungen des hinteren Kreuzbands" [Ukulimala kwe-Posterior cruciate ligament]. Der Unfallchirurg vol. 120,1 (2017): 55-68. doi:10.1007/s00113-016-0292-z

UZsidai, uBálint, et al. "Iindlela ezahlukeneyo zokulimala zikhona phakathi kwezigulane ezifumana unyango olusebenzayo lwe-PCL eyedwa, i-PCL / ACL edibeneyo, kunye nokulimala kwe-ACL okukodwa: isifundo esivela kwi-Swedish National Knee Ligament Registry." Utyando lwamadolo, i-traumatology yezemidlalo, i-arthroscopy: ijenali esemthethweni ye-ESSKA vol. 30,10 (2022): 3451-3460. doi:10.1007/s00167-022-06948-x