ʻO ka kuʻekuʻe lima (mai ka Latin ulna) he hui o ka lālā luna e hoʻopili ana i ka lima a me ka lima.

'ole. Hoʻokumu ka kuʻekuʻe i ka hui ma waena o:

• ka wēlau o ka humerus, ka iwi wale nō ma ka lima;
• nā ʻaoʻao pili o ka radius a me ka ulna (a i ʻole ulna), nā iwi ʻelua o ka forearm.

ʻO ka ʻaoʻao kokoke o ka ulna he ʻano iwi i kapa ʻia ʻo ka ʻolecranon, a ʻo ia ka lae o ka kuʻekuʻe.

ami. Aia ka ku'e lima me ekolu ami (1):

• ka hui humero-ulnar, e pili ana i ka humeral trochlea, ma ke ano o ka pulley, a me ka throchlear notch o ka ulna (a i ole ulna). Ua uhi ʻia kēia mau ʻili ʻelua i ka cartilage;
• ka hui humeral-radial e pili ana i ka capitulum o ka humerus a me ka dimple radial;
• ka hui radio-ulnar proximal e pili ana i na welau elua o ka radius a me ka ulna ma ka aoao.

Nā Hoʻohui. ʻO ka ʻāpana kuʻekuʻe kahi kahi o nā ʻiʻo he nui a me nā ligaments e ʻae ai i ka neʻe ʻana o ka kuʻekuʻe a mālama i ke ʻano.

Nā ʻoni kuʻekuʻe lima. Hiki i ke kuʻekuʻe ke hana i ʻelua neʻe ʻana, ʻo ka flexion, kahi e hoʻokokoke ai ka forearm i ka lima, a me ka hoʻonui ʻana, e pili ana i ka neʻe ʻana. Hana ʻia kēia mau neʻe ʻana ma o ka hui humero-ulnar a i kahi liʻiliʻi ma o ka hui humero-radial. Hoʻopili ka hope i ke kuhikuhi o ka neʻe ʻana a me ka amplitude, hiki ke hiki i 140 ° ma ka awelika. (2)

Nā neʻe mua. ʻO nā hui kuʻekuʻe, ka nui o ka hui radio-ulnar a me ka liʻiliʻi o ka hui humero-radial, pili i nā neʻe pronosupination o ka forearm. Hana ʻia ka pronosupination i ʻelua mau neʻe ʻokoʻa (3):

- Ka neʻe ʻana o ka supination e hiki ai i ka poho lima ke kuhikuhi i luna

- Ka neʻe ʻana o ka pronation e hiki ai i ka poho lima ke kuhikuhi i lalo

fractures. Hiki i ke kuʻekuʻe ke loaʻa i nā haʻihaʻi, ʻo kekahi o nā mea pinepine o ka olecranon, aia ma ke kiʻekiʻe o ka epiphysis proximal o ka ulna a hana i ke kiko o ka kuʻekuʻe. He mea maʻamau nō hoʻi nā haʻihaʻi o ke poʻo radial.

osteoporosis. ʻO kēia maʻi maʻi ka nalowale o ka iwi iwi i loaʻa i nā poʻe ma mua o 60 mau makahiki.

ʻO Tendinopathies. Hoʻonohonoho lākou i nā pathologies āpau i hiki ke hana i nā tendons. ʻO nā hōʻailona o kēia mau pathologies ka nui o ka ʻeha i ka tendon i ka wā hoʻoikaika. Hiki ke ʻokoʻa nā kumu o kēia mau pathologies. ʻO ka epicondylitis, i kapa ʻia ʻo epicondylalgia, pili i ka ʻeha e kū mai ana ma ka epicondyle, kahi ʻāpana o ka kuʻekuʻe (5).

Tendinitis. Hōʻike lākou i nā tendinopathies e pili ana me ka mumū o nā tendon.

ʻO ka lāʻau lapaʻau. Ma muli o ka pathology i ʻike ʻia, hiki ke kuhikuhi ʻia nā lāʻau lapaʻau like ʻole e hoʻoponopono a hoʻoikaika i ka iwi iwi, a me ka hōʻemi ʻana i ka ʻeha a me ka mumū.

ʻO keʻano maʻamau. Ma muli o ke ʻano o ka haʻihaʻi, hiki ke hana ʻia kahi hana ʻokiʻoki me, no ka laʻana, ka hoʻokomo ʻana i kahi pā screwed, nā kui a i ʻole kahi fixator waho.

ʻO Arthroscopy. Hāʻawi kēia hana ʻoki lāʻau i nā ami e nānā a hana ʻia.

Lapaʻau kino. ʻO nā lāʻau lapaʻau kino, ma o nā papahana hoʻoikaika kino, ua kuhikuhi pinepine ʻia e like me ka physiotherapy a i ʻole physiotherapy.

Ke kaulike. Hoʻomaka ka hōʻike ʻana me ka loiloi ʻana i ka ʻeha forearm e ʻike i nā kumu.

ʻImi hoʻokolohua kiʻi. Hiki ke hoʻohana ʻia nā hoʻokolohua X-ray, CT, MRI, scintigraphy a i ʻole densitometry iwi e hōʻoia a hohonu paha i ka maʻi.

ʻO ka epicondylitis o waho, a i ʻole epicondylalgia, o ka kuʻekuʻe wāwae, ua kapa ʻia ʻo ia he "tennis elbow" a i ʻole "tenis player's elbow" no ka mea e hana mau lākou i nā mea pāʻani tennis. (6) ʻAʻole maʻamau lākou i kēia mau lā no ka māmā o ke kaumaha o nā rackets o kēia manawa. ʻO ka liʻiliʻi pinepine, ka epicondylitis kūloko, a i ʻole epicondylalgia, pili i ka "kuʻe lima o ka golfer".