Likotsi Tsa Bohareng ba Bojoa Bosiung ba ho Lahla baatlelete
Tommy John a ka tsejoa hamolemo ke bashebelli ba bacha ba baseball eseng bakeng sa seo a se finyeletseng setsing sa pitcher, empa bakeng sa mokhoa oa ho buuoa o nang le lebitso la hae. Ho tšaba li-baseball le li-athlete tse ling tsa ho lahlela li kotsi ho limela tsa ulnar tsa likoti. The ulnar collateral ligament ea sethapo e ka lehlakoreng le ka hare (hare) le kopane, 'me le thusa ho fana ka botsitso ho motsoako oa sefahleho.
Ha ho lahlela, khatello ea bohlokoa e behoa ka lehlakoreng le leng, 'me likotsi li ka hlaha ho ligament.
Lilemong tsa morao tjena, likotsi ho lihlopha tsa ulnar ligament, 'me tlhokahalo ea Tommy John ho buuoa, e se e tloaelehile haholo. Ho na le ts'oaetso har'a lingaka hore litefello tsa kotsi li eketseha, mohlomong ka lebaka la lipapali tsa baseball tse lahlelang haholo, hangata. Le hoja makoetlisi a mangata a tseba bohlokoa ba ho fokotsa litekanyetso, ho thata ho tseba hore na ho hongata hakae. Ho feta moo, lihlahisoa tsa lihlahisoa tsa lehlabula li fetohile mosebetsi oa nako e telele bakeng sa baatlelete ba bangata ba bacha, ho feta moo ho behoang khatello ea kelello.
Matšoao a Mahlomola a UCL
Letšoao le tloaelehileng ka ho fetisisa la ho hlaseloa ke lignaral ligament ke bohloko ka ho toba holim'a ligament ka lehlakoreng le ka hare la setsoe. Leha ho le joalo, hase bohloko bo bong le bo bong ho baatlelete ba lahlehang ke ho hlaseloa ha UCL, 'me ke habohlokoa ho hlahloba ka hloko ke ngaka e nang le tsebo ea ho lahla likotsi ho fumana hore na sesosa sa bohloko ba setsoe ke sefe.
Matšoao a tloaelehileng ka ho fetisisa likotsi tsa ulnar tsa matlo a kenyelletsa:
- Bohloko, hangata boemong ba 'ho qeta nako e khutšoanyane' ea ho lahlela (ha bolo e phahame, le ka morao)
- Ho utloa bohloko ha 'bohloko' ha bohloko bo qala
- Bonngoe kapa ho pata ka letsohong le menoana
- Fokotsa ho pota velocity
Joalokaha ho boletsoe, ho na le lisosa tse ling tsa matšoao.
Ha e le hantle, tendinitis ea mesifa e ka lehlakoreng le ka hare la lerako (mesifa ea fensetere ea letsoho) ke bothata bo tloaelehileng haholo ho baka matšoao a tšoanang. Hangata tendinitis e qala butle-butle ho feta likotsi tsa UCL, empa hangata li ferekanngoa. Mathata a methapo ea ulnar a ka baka le bohloko le matšoao a methapo sebakeng se le seng.
Ho thibela likotsi tsa UCL
Terie ea John Tommy e ka hloka nako e fetang selemo ea ho hlaphoheloa, 'me hase tiiso ea ho khutlela ntlheng e tšoanang ea ho lahla, kahoo bohlokoa ba ho thibela likotsi tsa UCL ke tsa bohlokoa. Komiti ea Boeletsi ea Bongaka ea Basebetsi ea Amerika Baseball e entse litlhahiso tse tobileng mabapi le hore na lipapali tse kae tse fapaneng le lipapali tsa baatlelete li lokela ho fokotsa ho bapala papali le beke, 'me ba lokela ho phomola hakae ka mor'a ho lahlela. Bakoetlisi bohle ba mefuta eohle ea lilemo ba lokela ho tseba meeli ena.
Matšoao leha e le afe a pele a khohlopo a sa lokelang a tšoaroa ka potlako. Ba lahlelang bolutu ba lokela ho tlosoa tlhōlisanong hang-hang 'me ba hlahlojoe ke motho ea koetlisitsoeng ka mabaka a tloaelehileng a bohloko ba setsoe. Ntho e lokelang ho etsoa hangata e lokela ho etsoa pele e khutlela hohle, esita le haeba sesosa se nahana hore ha se amane le kotsi ho UCL.
UCL Phekolo ea Bohlatsoa
Batho ba bangata baatlelete ba tsoelang pele ho tsoa likotsi tse mpe ho UCL ba tla leka kalafo kalafo ea pele. Ho phomola ha sekoahelo se bohloko ka mor'a nakoana, ho lateloa ke phekolo ea 'mele e hlahlojoang ka hloko e lokela ho tsoela pele. Tlhahlobo ea 'mele e lokela ho kenyelletsa tlhahlobo e hlokolosi ea ho lahla mechine ho fumana mekhoa ea ho fokotsa khatello e behiloeng holim'a leleme le lemetseng.
Kalafo ea ho phekola ho etsa ts'ebetso ea Tommy John e etsoa ka ho tsosolosa li-ligament e ncha, eseng ho lokisa taelo e senyehileng (e tšoanang le ho tsosolosoa ha ACL ). UCL e ncha e entsoe ka tendon e ka pele holimo e bitsoang palmaris longus tendon.
Boholo ba rona, empa eseng bohle, ba na le palmaris longus tendon, empa ha re e hloke. Haeba u se na palmaris longus tendon, ho na le li-tendon tse ling tse ka sebelisetsoang ho etsa motsoako o mocha.
Hang ha sefofane se fumanoe, ngaka ea hao e buoang e tla etsa likoti tse nyenyane tse ka hodimo le tlase ho motsoako oa setsoe moo UCL e ikopanya le lesapo. The tendon graft e tla huloa ka likoti, 'me e phuthetsoe ka mokhoa oa setšoantšo oa 8 le ho tlosoa ka morao holim'a eona ka boeona bakeng sa ho bopa lejoe le lecha.
Ho tsosolosoa ka mor'a hore Tommy John a buuoe ka nako e nka selemo. Baatlelete ba bangata ha ba qale ho lahla ho fihlela bonyane likhoeli tse 4 ka mor'a ho buuoa, 'me tsoelo-pele e lieha. Baatlelete ba bang ba khutlela matla a feletseng ka likhoeli tse 9, le hoja ba bangata ba nka nako e fetang selemo ho hlaphoheloa ka botlalo.
Lisebelisoa:
Bruce JR le Andrews JR. "Litholoana tsa Ligament tsa Ligament tsa Ligament ho Moatlelete ea Senyang" J Am Acad Orthop Surgery May 2014; 22: 315-325 .; doi: 10.5435 / JAAOS-22-05-315