Ua wehewehe pinepine ʻia ʻo Hallux rigidus e like me ka osteoarthritis o ka manamana wāwae nui. ʻO ka hui ʻana o ka manamana wāwae nui e ʻeleʻele a ʻoʻoleʻa ma muli o ka emi ʻana o ka cartilage. Hiki ke noʻonoʻo ʻia kekahi mau lāʻau lapaʻau.

Ka wehewehe o hallux rigidus

I ke anatomy, pili ka hallux i ka manamana nui. Hiki i kēia ke ʻike i nā maʻi like ʻole me ka hallux rigidus i hōʻike ʻia e ka deformation a me ka ʻoʻoleʻa o ka hui metatarsophalangeal o ka manamana wāwae nui. Hoʻopili kēia hui i nā phalanges i ka metatarsus (ka iwi i waenakonu o ka wāwae).

Ma mua o kahi hallux rigidus, loaʻa pinepine kahi liminus hallux i hōʻike ʻia e ka liʻiliʻi o ka neʻe ʻana o ka hui metatarsophalangeal o ka manamana wāwae nui.

ʻO ke kumu o ka hallux rigidus

Hoʻomaʻamaʻa pinepine mākou e wehewehe i ka hallux rigidus e like me ka osteoarthritis o ka manamana wāwae nui no ka mea ma muli o ka hōʻino ʻana o ka cartilage articular. ʻO ka ʻeha a me ka waimaka o ka cartilage ke kumu o ka hakakā ʻana ma waena o nā iwi a me ka ulu ʻana o nā iwi i kapa ʻia ʻo osteophytes a i ʻole "parrot beaks". ʻO kēia mau ulu e hoʻololi i ka hui a hoʻoulu i ka ʻeha a me ka ʻeha.

Diagnostic de l'rigid tow

Hoʻopiʻi ʻia ʻo Hallux rigidus, a i ʻole arthritis o ka manamana wāwae nui e ka hoʻokolohua lapaʻau. Hoʻomaopopo ke kauka i ka deformation, stiffness a me ka emi ʻana o ka neʻe ʻana o ka hui metatarsophalangeal o ka manamana wāwae nui. No ka hōʻoia ʻana i ka hōʻoia, hiki i ke kauka ke kauoha i nā hoʻokolohua kiʻi olakino e like me ka x-ray, MRI (magnetic resonance imaging), CT scan, a i ʻole scintigraphy.

Nā kumu pilikia no ka hallux rigidus

E like me nā ʻano osteoarthritis ʻē aʻe, hiki ke makemake ʻia ka manamana wāwae nui e nā kumu he nui. No ka laʻana, ua ʻike ʻia kekahi mau mea mechanical e hiki ke alakaʻi i ka ulu ʻana o hallux rigidus:

• nā micro-traumas i hiki ke kumu ma muli o ka hoʻomaʻamaʻa ʻana i kekahi mau haʻuki e like me ka pôpeku a i ʻole ka hula;
• ke kaomi i ka manamana wāwae lōʻihi, e like me ka wāwae o ʻAigupita;
• e komo ana i na kamaa ololi a i ole na kamaa kiekie.

Kāne hana hoʻonaninani

ʻO ka Hallux rigidus ka hopena o ka hoʻololi ʻana o ka hui metatarsophalangeal o ka manamana wāwae ma muli o ka ulu ʻana o ka iwi. Aia ke ʻano o kahi puʻupuʻu ma ka manamana wāwae nui, ma ke kiʻekiʻe o ka hui metatarsophalangeal.

ʻOʻoleʻa hui

Hoʻopili ʻia ka deformity o ka hui me ka ʻoʻoleʻa o ka hui. Hoʻonui ka ʻoʻoleʻa i ka manawa me ka nui a i ʻole ka nui o ka nalowale o ka neʻe ʻana o ka hui. 

ʻEha manamana wāwae nui

ʻO ka deformation o ka hui pū kekahi ke kumu o ka ʻeha ma ka manamana wāwae. Hiki i kēia mau mea ke lilo i mea ʻoi aku ka ikaika a me ka pilikia nui.

I ka hopena o ka hallux rigidus, hiki ke kuhikuhi ʻia nā analgesics a i ʻole nā ​​​​lāʻau anti-inflammatory. Hiki ke hoʻohana ʻia nā injections intra-articular.

He mea aʻoaʻo nō hoʻi i ka wā o ka hallux rigidus e hoʻololi i kou mau kāmaʻa a kaupalena i kekahi mau hana e hoʻokūpaʻa i ka deformation o ka hui (e laʻa i ka pôpeku, ka hula, etc.).

Nā hana ʻoki kino

Inā maikaʻi ʻole nā ​​lāʻau ma mua, hiki ke hāʻawi ʻia ke ʻoki. Hiki ke noʻonoʻo ʻia kekahi mau ʻenehana:

• ʻo ka metatarsophalangeal arthrodesis e pili ana i ka pale ʻana i ka hui;
• ke kau ʻana o kahi prosthesis metatarsophalangeal;
• ʻo ka osteotomy a i ʻole arthrolysis, nā hana e pili ana i ka hoʻoponopono ʻana i nā iwi a me nā deformations hui.

ʻO ka pale ʻana i ka hallux rigidus ʻo ia ka kaupalena ʻana i ke kaomi a me nā micro-traumas i ka manamana wāwae nui. No kēia mea, ʻoi aku ka maikaʻi o ka loaʻa ʻana o nā kāmaʻa kūpono a hoʻololi iā ia i kāu hana.