Iimvavanyo zeHip Labral Tear: El Paso Back Clinic

I-hip joint yi-ball-and-socket joint ehlanganiswe yintloko ye-femur kunye ne-socket, eyingxenye ye-pelvis. I-labrum yindandatho ye-cartilage kwinqanaba le-socket ye-joint hip enceda ukugcina i-fluid edibeneyo ngaphakathi ukuze kuqinisekiswe ukuhamba kwe-hip frictionless kunye nokulungelelaniswa ngexesha lokuhamba. Ukukrazula kwe-labral ye-hip kukulimala kwi-labrum. Ubungakanani bomonakalo bunokwahluka. Ngamanye amaxesha, i-hip labrum ingaba neenyembezi ezincinci okanye i-fray emaphethelweni, ngokuqhelekileyo ibangelwa ukuguga kunye nokukrazula. Kwezinye iimeko, icandelo le-labrum linokwahlula okanye liqhawulwe kwithambo le-socket. Ezi ntlobo zokonzakala zidla ngokuba ngenxa yokwenzakala. Kukho iimvavanyo ze-hip labral ze-conservative hip labral ukumisela uhlobo lokulimala. The Injury Medical Chiropractic kunye ne-Functional Medicine Clinic iqela linokunceda. 

iimpawu

Iimpawu ziyafana nokuba luhlobo luni lokukrazuka, kodwa apho zivakala khona kuxhomekeke ekubeni ukukrazuka kungaphambili okanye ngasemva. Iimpawu eziqhelekileyo zibandakanya:

• Ukuqina kwe-Hip
• Uluhlu oluthile lokunyakaza
• Ukucofa okanye ukutshixa imvakalelo kwi-hip joint xa uhamba.
• Ubuhlungu kwi-hip, i-groin, okanye iimpundu, ngakumbi xa uhamba okanye ubaleka.
• Ukukhathazeka ebusuku kunye neempawu zentlungu xa ulele.
• Ezinye iinyembezi zinokubangela ukuba kungabikho zimpawu kwaye zinokungaqatshelwa iminyaka.

Iimvavanyo zeenyembezi zeHip Labral

I-hip labral tear ingenzeka naphi na ecaleni kwe-labrum. Zinokuchazwa njengangaphambili okanye ngasemva, kuxhomekeke ukuba yeyiphi inxalenye yelungu elichaphazelekayo:

• Iinyembezi zangaphambili ze-hip labral: Uhlobo oluqhelekileyo lwe-hip labral tear. Ezi nyembezi zenzeka phambi kwe-hip joint.
• Iinyembezi ze-hip labral zangasemva: Olu hlobo luvela ngasemva kwe-hip joint.

tests

Olona vavanyo luqhelekileyo lwe-hip labral tear lubandakanya:

• Uvavanyo lwe-Hip Impingement
• Uvavanyo Lokuphakamisa Umlenze Othe ngqo
• The FABER Uvavanyo – lumele iFlexion, Abduction, kunye nokujikeleza kwangaphandle.
• The ISITHATHU Uvavanyo - imele i-Hip Internal Rotation kunye nokuphazamiseka.

Iimvavanyo ze-Hip Impingement

Kukho iintlobo ezimbini zovavanyo lwe-hip impingement.

I-Anterior Hip Impingement

• Olu vavanyo lubandakanya isigulane silele emqolo kunye nedolo labo ligobe kwii-degrees ze-90 kwaye emva koko lijikelezwe ngaphakathi emzimbeni.
• Ukuba kukho intlungu, uvavanyo luthathwa njengolulungileyo.

Ukunyanzeliswa kweHip yangasemva

• Olu vavanyo lubandakanya isigulane silele emhlane kunye ne-hip yabo yandisiwe kwaye idolo labo liguquguquka kwaye ligobile kwii-90 degrees.
• Umlenze ke ujikeleziswa ngaphandle emzimbeni.
• Ukuba kubangela intlungu okanye uloyiko, kuthathwa njengelungileyo.

Uvavanyo lokuphakamisa umlenze othe ngqo

Olu vavanyo lusetyenziswa kwiimeko ezahlukeneyo zonyango ezibandakanya intlungu emva.

• Uvavanyo luqala ngesigulana sihleli okanye silele phantsi.
• Kwicala elingathintekiyo, uluhlu lwesindululo luhlolwe.
• Emva koko i-hip iguquguquka ngelixa idolo lithe tye kwimilenze yomibini.
• Isigulane sinokucelwa ukuba siguqule intamo okanye sandise unyawo ukuze lunwebe imithambo-luvo.

Uvavanyo lweFABER

Imele iFlexion, Abduction, kunye nokujikeleza kwangaphandle.

• Uvavanyo luqala ngesigulana silele ngomqolo imilenze yayo ithe tye.
• Umlenze ochaphazelekayo ubekwe kwisimo sesine.
• Ugqirha uya kuthi ke afake uxinzelelo olunyukayo kwidolo eligobileyo.
• Ukuba kukho intlungu ye-hip okanye i-groin, uvavanyo luhle.

Uvavanyo lweSITHATHU

Oku kuthetha - i Ukujikeleza kwangaphakathi kwe-Hip kunye Ukuphazamiseka

• Uvavanyo luqala ngesigulana silele ngomqolo.
• Emva koko isigulane siguqula idolo kwii-90 degrees kwaye siphendulela ngaphakathi malunga ne-10 degrees.
• I-hip ke ijikelezwe ngaphakathi kunye noxinzelelo oluphantsi kwi-joint hip.
• I-Maneuver iphinda iphindwe kunye nelungu eliphazamisekile / litsalwe ngaphandle.
• Kuthathwa njengelungileyo ukuba intlungu ikhona xa i-hip ijikeleza kwaye iyancipha intlungu xa iphazamisekile kwaye ijikelezwe.

Unyango lweChiropractic

Unyango lweChiropractic lubandakanya ukulungiswa kwe-hip ukulungelelanisa amathambo ajikeleze i-hip kunye nokunyuka ngomqolo, unyango lwe-massage ye-massage yokukhulula imisipha ejikeleze i-pelvis kunye nethanga, i-flexible exercises ekujoliswe kuyo ukubuyisela uluhlu lwentshukumo, imithambo yokulawula imoto, kunye nokuzivocavoca ukomeleza ukulungisa ukungalingani kwemisipha.

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Unyango kunye noNyango

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Ucaphulo

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Groh, MM, Herrera, J. Uphononongo olubanzi lweenyembezi ze-hip labral. Curr Rev Musculoskelet Med 2, 105-117 (2009). doi.org/10.1007/s12178-009-9052-9

UKaren M. Myrick, uCarl W. Nissen, uVavanyo lweSITHATHU: Ukuxilongwa kweenyembezi ze-Hip Labral ngeNdlela entsha yoVavanyo loMzimba, iJenali yabaSebenzi boMongikazi, uMqulu 9, ukukhutshwa kwe-8, i-2013, iPhepha 501-505, ISSN 1555-4155, doi.org/10.1016/j.nurpra.2013.06.008. (www.sciencedirect.com/science/article/pii/S155541551300367X)

U-Roanna M. Burgess, u-Alison Rushton, uChris Wright, uCathryn Daborn, Ukunyaniseka kunye nokuchaneka kweemvavanyo zokuxilonga ikliniki ezisetyenziselwa ukufumanisa i-labral pathology ye-hip: Ukuhlaziywa ngokuchanekileyo, i-Manual Therapy, uMqulu 16, i-4, i-2011, i-318-326 , ISSN 1356-689X, doi.org/10.1016/j.math.2011.01.002 (www.sciencedirect.com/science/article/pii/S1356689X11000038)

Su, Tiao, et al. "Uxilongo kunye nonyango lwe-labral tear." Ijenali yezonyango yaseTshayina vol. 132,2 (2019): 211-219. doi:10.1097/CM9.0000000000000020

UWilson, uJohn J, kunye noMasaru Furukawa. "Uvavanyo lwesigulana esinentlungu ye-hip." Ugqirha wosapho waseMelika vol. 89,1 (2014): 27-34.