ʻO ka lima (mai ka Leta Latina, "ʻaoʻao o ke kino") kahi lālā i hana ʻia me 27 mau iwi, e komo pū ana i kona maʻalahi a me ka neʻe.

ʻO ka iwi o ka lima he iwakāluakūmāhiku iwi (1):

• ʻO ka carpus, i ʻelua mau lālani o nā iwi pōkole ʻehā, me ke kahamaha a me ka ulna e hana ai i ka hui pūlima (2)
• Hana ʻia ka pastern i ʻelima mau iwi lōʻihi, hana i ka iwi o ka pāma a hoʻokomo ʻia i ka hoʻolōʻihi o kēlā me kēia manamana
• ʻO nā phalanges he ʻumikumamāhā e hana i nā manamana ʻelima o ka lima

Nā neʻe lima. Hoʻonohonoho ʻia nā iwi, pili ʻia e nā hono, i ka neʻe i ka mahalo i nā olonā he nui a me nā mākala e pili ana i nā leka nerve ʻokoʻa. ʻAe ka lima i nā neʻe ʻana o ka ʻaoʻao, hoʻolōʻihi (i luna), flexion (lalo).

Kāhiki. ʻO ka hana nui o ka lima ka paʻa, ka hiki o kahi ʻōpala ke hopu i nā mea (3).

fractures. Mālama maʻalahi nā iwi o ka lima i ka hopena a me nā haki. Pono e hoʻokaʻawale i nā haʻihaʻi extra articular mai nā haʻihaʻi pili e pili ana i ka ami a koi i ka loiloi piha o nā leona.

• ʻO ka haki o nā phalanges. ʻO nā iwi haʻi o nā manamana lima ka mea e hoʻonā i ka neʻe ʻana o nā manamana (4).
• ʻO ka haki o nā metacarpals. Aia i loko o ka poho o ka lima, hiki i kēia mau iwi ke haki i ka hanana o ka hāʻule ʻana me kahi pūlima paʻa a i ʻole kahi pā ikaika me ka lima (4).
• Uha Scaphoid. ʻO ka iwi Carpal, hiki i ka scaphoid ke haki i ka hanana o ka hāʻule ma ka pulima lima a lima paha (5) (6).
• Uha haʻi lima. ʻO ka pinepine, koi kēia haki i kahi immobilization wikiwiki o ka pulima e pale i ka neʻe.

Nā pathology iwi.

• Maʻi Kienbock. ʻO kēia maʻi he necrosis o kekahi o nā iwi carpal ke keʻakeʻa ʻia ka lako pono o ke koko (7).
• ʻO ka osteoporosis iwi palupalu a me ka makaʻu o nā haki i hopena ʻia e ka nalo ʻana o ka nui o ka iwi i ʻike ʻia i nā poʻe mai ka makahiki 60 ma ka awelika.

Nā maʻi musculoskeletal (MSDs). ʻO ka pulima kekahi o nā lālā o luna e pili ana i nā maʻi musculoskeletal, ʻike ʻia ma ke ʻano he maʻi ʻoihana a kū aʻe i ka wā kaumaha, repetitive a i ʻole hikiwawe paha i kahi lālā.

• ʻO Tendonitis o ka pulima (de Quervain). Kūlike ia i ka hoʻā o nā kukuna i ka pulima (9).
• Carpal tunnel Syndrome: pili kēia maʻi i nā maʻi e pili ana i ka kaomi ʻana o ke aʻalolo waena ma ka pae o ke alawai carpal, i hana ʻia me nā iwi carpal. Hōʻike ia e like me ke kani ʻana i nā manamana lima a me ka nalo ʻana o ka ikaika o nā mākala (10).

Pākuʻi Kūlike ia i nā ʻano i hōʻike ʻia e ka ʻeha ma nā hono, nā liga, nā aʻa a me nā iwi. Hoʻohālikelike ʻia e ka ʻaukā a me ka waimaka o ka cartilage e pale ana i nā iwi o nā hono, ʻo ka osteoarthritis ka ʻano maʻamau o ka arthritis. Hiki ke hoʻopili ʻia nā hono o nā lima a me nā pūlima lima e ka mumū i ka hihia o ka rheumatoid arthritis (11). Hiki i kēia mau kūlana ke alakaʻi i ka deformity o nā manamana lima.

Kāohi i ka haʻalulu a me ka ʻeha ma ka lima. E kaupalena i nā haʻihaʻi a me nā maʻi musculoskeletal, pale ʻia e ka pale ʻana a i ʻole ke aʻo ʻana i nā neʻe kūpono kūpono.

Hoʻomaʻo Orthopedic. Kaukaʻi ʻia i ke ʻano o ka haki, e hoʻokō ʻia ana ka plaster a i ʻole kahi kēpau e hoʻoliʻiliʻi ai ka pulima oʻu.

Nā lāʻau lapaʻau. Aia i ka maʻi, kauoha ʻia nā ʻano lāʻau like ʻole e hoʻoponopono a hoʻoikaika paha i ka iwi o ka iwi.

Lapaʻau ʻoki kino. Kaukaʻi ʻia i ke ʻano o ka haki, hana ʻia paha ke kaha me ke kau ʻana o nā pine a i ʻole nā ​​papa hoʻohewa. ʻO ka mālama ʻana i ka maʻi o Kienböck e koi ai i ka lāʻau ʻoki lāʻau.

ʻImi hoʻokolohua kiʻi. Hoʻohui pinepine ʻia ka hoʻokolohua hoʻokolohua e kahi x-ray. I kekahi mau hihia, e hoʻohana nā kauka i kahi MRI, CT scan, a i ʻole arthrography e nānā a ʻike i nā leona.

Mea hana kamaʻilio. Hoʻohui pinepine ʻia nā ʻōkuhi lima me ka ʻōlelo.