Femoral head fracture

Femoral head fracture

Subclass of	hip fracture, femoral fracture
Anatomical location	head of femur

 

 From Wikidata

Feccere hoore femoral ko sifaa feccere hippoode nde heewaani yiyeede, tawi ina waɗi taƴre feccere gonnde e ƴiyal ɓalndu (femur) jokkondirnde e soket hippoode. Eɗe limtaa ko ina tolnoo e 1% e denndaangal mborosaaji hippoode, tawi heen tataɓe ɗiɗi ko sukaaɓe mawɓe. Ɗeeɗoo gaañanɗe ina keewi heɓtaade e nder kewuuji baɗɗi batte mawɗe, ko wayi no aksidaaji otooji walla diƴƴe ummoraade e tooweeki mawki.

Maandeeji e maandeeji Ko ɓuri heewde e ko yiytaa ko ina addana neɗɗo mette e nder reedu, yantude e ɓuuɓri e ɓuuɓri saraaji reedu. Ñawɓe ɓee ina keewi waasde yahde walla jogaade teddeendi e koyngal gonngal e ñawu nguu. Feccere hoore femoral kadi ina heewi waɗde e jokkondirde e ɓuuɓri ɓalndu caggal. E nder ɗeen caɗeele, koyngal gonngal e mum ngal ina heewi wonde e mbaydi ɓuuɓndi, addi, e nder mum ina yirloo. Koyngal gonngal e ñawu nguu ina waawi feeñde ina juuti so renndinaama e koyngal ngal ɓuuɓnaaka. Gaañannde nerve sciatique ina waawi kadi waɗde, haa teeŋti noon e ɓuuɓri gonndi e ɓuuɓri. Ɗum ina waawi feeñde e ŋakkere walla ustaare refleks e tampere nde ɓuuɓnata koppi walla diwta koyngal.

Natal

Rajo-graafiiji laaɓtuɗi pelɓondiral ƴettaaɗi e yeeso (AP view) ko feere ƴeewndo adannde cuɓaande ngam ñawanɗe ceertuɗe. Yiyngooji ɓeydotooɗi ina mbaawi wallude e anndude ñawanɗe jokkondirɗe, ko wayi no ɓuuɓri asetabular. CT scans ina heewi huutoreede e ñawɓe trauma wonduɓe e gaañanɗe keewɗe teeŋtuɗe walla caggal nde ustaama ngam ɓeydaade ƴeewtaade jokkondire hippoode. MRI ina waawi huutoreede so tawii ina tuumaa bonneede e ɓalndu nduu walla ina tuumaa ko osteonekrosis arano.

Senngo

Ko senngo Pipkin woni feere ɓurnde huutoreede ngam renndinde ɓuuɓri hoore feso, yuɓɓiniraa ko nii :

Pipkin renndinde sifaa Sifaa I Feccere les fovea; tawa ina jeyaa heen teddungal-jogorngal dow hoore II Feccere dow fovea; ina jeyaa heen teddungal-jogorngal dow hoore III Feccere sifaa I walla II e feccere wuddu femoral jokkondirnde IV Feccere sifaa I walla II e feccere asetabulum jokkondirnde Ndeeɗoo feere renndinde ina wallita e ardude e njuɓɓudi e teskaade batte mum.

Hurgol

Wiɗto ɓanndu adanngo ina foti waɗde ƴeewndo cirkulaasiyoŋ e golle nerve e nder koyngal gonngal e ñawu nguu, haa teeŋti noon e peccitagol nerve sciatique. E nder ñawɓe ɓuuɓri hippoode, ustude ko yaawi ina ɗaɓɓi, tawa ko adii fof ina waawi teskaade ko ɓuri moƴƴude. Njuɓɓudi laaɓtundi e nder ñawɓe tokosɓe ina waawi waɗde feere seppooji ko wayi no ustude udditaare e fiɓnde nder walla ittude feccere. E ko feewti heen, lomtingol hippoode total ina heewi yiɗeede e ñawɓe mawɓe.

Teskagol

Won laabi limtooji keewɗi kuutorteeɗi ngam ƴeewde batte caggal cellal, ina heen limtooji batte Thompson e Epstein, limtooji Merle d’Aubigné e Postel, e limtooji Oxford Hip. Huutoraade ɗeen peeje toɓɓere, batte moƴƴe haa moƴƴe ina keɓee e ko ina wona tataɓe ɗiɗi e geɗe ɗee. Kono tan, jokkondiral ñawu nguu e nafoore, e ɓuuɓri jokkondire, e ŋakkeende golle ina addana mbayliigu e batte safaara. Ko ɓuri heewde e caɗeele juutɗe ina njeyaa heen : ɓuuɓri ɓalndu caggal mboros, osteonekrosis hoore feso, e ossifikaasiyoŋ heterotopik.

Epidemiyoloji

Hay so tawii haa jooni ina famɗi, ŋakkeende hoore feso ina ɓeydoo e ɗii duuɓi cakkitiiɗi. Ndeeɗoo feere ina sikkaa ko batte geɗe ɗiɗi mawɗe : ɓeydagol aksidaaji otooji e yahrude yeeso e kisal otooji jamaanu, ko ɗum addani nguurndam ɓeydaade heewde, addani ɗum en ɓeydaade heewde anndude ɗeen caɗeele.

Ƴeew kadi

Wuddu feso