ʻO ka poho lima ka wahi i loaʻa ma ka ʻaoʻao o loko o ka lima a ʻae ʻia i ka hopu ʻana.

Kūlana. Aia ka poho lima ma loko o ka lima, ma waena o ka pulima lima a me nā manamana lima (1).

Hui iwi. Hana ʻia ka pālima me ka pastern, i hana ʻia me ʻelima mau iwi lōʻihi i kau ʻia ma ka hoʻonui ʻana o kēlā me kēia manamana lima (2).

Hoʻolālā ʻili. Hana ʻia ka poho lima (1):

• ligaments;
• ʻo nā ʻiʻo i loko o ka lima, ʻo ia ka thenar a me ka hypothenar eminences, nā lumbricals, ka interossei, a me ka ʻiʻo adductor o ka manamana lima;
• nā tendon mai nā ʻiʻo o ka ʻāpana mua o ka forearm;
• o ka aponeurosis palmar.

Envelope. Ua uhi ʻia ka poho lima e ka ʻili mānoanoa. ʻO ka hope he lauoho ʻole a he nui nā ʻili hou. Hōʻailona ʻia ʻo ia e nā wrinkles hohonu ʻekolu i kapa ʻia ʻo "palmar flexion folds".

Innervation a me ka vascularization. Hoʻokomo ʻia ka poho lima e nā aʻalolo waena a me ulnar (3). Hāʻawi ʻia ke koko e ka radial a me ulnar arteries.

Ke kuleana ʻike. He ikaika ko ka poho lima e hiki ai ke loaa ka nui o ka ike o waho (4).

Hana hoʻokō. ʻO ka poho lima e hiki ai ke hoʻopaʻa, ʻo ia ka hoʻonohonoho o nā hana e ʻae ai i ka paʻa (4).

Nā kuleana ʻē aʻe. Hoʻohana ʻia ka poho lima i ka ʻōlelo a i ʻole ka hānai ʻana (4).

Hiki ke ala mai nā pilikia like ʻole ma ka poho lima. He ʻokoʻa ko lākou kumu a hiki i ka iwi, ka makaʻu, ka ʻiʻo a i ʻole ke kumu articular.

Nā pathology iwi. Hiki i ka iwi iwi ke loa'a ka ha'iha'i akā hiki ke loa'a i kekahi mau ma'i iwi. No ka laʻana, ʻo ka osteoporosis ka nalowale o ka iwi iwi i loaʻa maʻamau i ka poʻe ma mua o 60 mau makahiki.

Nā maʻi aʻalolo. Hiki ke hoʻopilikia i ka poho lima o nā ʻano maʻi aʻalolo like ʻole, no ka laʻana, ʻo ka carpal tunnel syndrome e pili ana i nā maʻi e pili ana i ke kaomi ʻana o ke aʻalolo waena ma ka pae o ka tunnel carpal, ʻoi aku ka pololei ma ke kiʻekiʻe o ka pulima. ʻIke ʻia e like me ke kani ʻana o nā manamana lima a me ka nalo ʻana o ka ikaika o ka ʻiʻo, ʻoi aku ka nui o ka pāma (6).

ʻO nā maʻi maʻi a me ka tendon pathologies. Hiki ke hoʻopilikia ʻia ka pāma e nā maʻi musculoskeletal, i ʻike ʻia he maʻi ʻoihana a hiki ke loaʻa i ka wā nui, hoʻihoʻi hou a i ʻole ke koʻikoʻi koke ma kahi lālā.

Nā pathologies hui. Hiki i ka poho lima ke noho no na ma'i hui e like me ka ma'i arthritis, ka hui pu ana i na eha e pili ana i na hono, ligaments, tendons a me na iwi. ʻO ka osteoarthritis ke ʻano maʻamau o ka maʻi o ka maʻi a ua ʻike ʻia e ka ʻaʻahu a me ka waimaka o ka cartilage e pale ana i nā iwi ma nā ami. Hiki ke hoʻopili ʻia nā hui pāma e ka mumū i ka hihia o ka rheumatoid arthritis (7).

Kāohi i ka haʻalulu a me ka ʻeha ma ka poho lima. I mea e kaupalena ʻia ai nā haʻihaʻi a me nā maʻi musculoskeletal, pono ka pale ʻana ma ke kau ʻana i ka pale a i ʻole ke aʻo ʻana i nā hana kūpono.

Hōʻailona hōʻailona. I mea e hōʻemi ai i ka ʻehaʻeha, hiki i ke kumuhana ke hoʻokomo i ka splint i ka pō. Manaʻo ʻia kēia, no ka laʻana, i ka hihia o ka carpal tunnel syndrome.

Lapaʻau Orthopedic. Ma muli o ke ʻano o ka haʻihaʻi, e hana ʻia ka hoʻokomo ʻana i kahi plaster a i ʻole resin e hoʻopaʻa ʻole i ka pāma.

Nā lāʻau lapaʻau. Ma muli o ka pathology i ʻike ʻia, ua kuhikuhi ʻia nā ʻano lapaʻau like ʻole e hoʻoponopono a hoʻoikaika paha i ka ʻiʻo iwi. Hiki ke kuhikuhi ʻia kekahi mau lāʻau e kōkua i ka hoʻohaʻahaʻa ʻana i ke aʻalolo.

Lapaʻau ʻoki kino. Ma muli o ka pathology i ʻike ʻia a me kona hoʻomohala ʻana, hiki ke hana ʻia kahi hana ʻoki.

Ke kaulike. ʻO ka mea mua, hana ʻia kahi hoʻokolohua lapaʻau i mea e nānā ai a loiloi i nā hōʻailona sensory a me nā kaʻa i ʻike ʻia e ka mea maʻi ma ka poho lima.

ʻImi hoʻokolohua kiʻi. Hoʻohui pinepine ʻia ka hoʻokolohua lapaʻau e kahi x-ray. I kekahi mau hihia, e hoʻohana nā kauka i kahi MRI a i ʻole CT scan e loiloi a ʻike i nā ʻeha. Hiki ke hoʻohana ʻia ka Scintigraphy a i ʻole ka iwi densitometry e nānā i nā pathologies iwi.

ʻImi electrophysiological. Hiki i ka electromyogram ke aʻo i ka hana uila o nā aʻalolo a me ka ʻike ʻana i nā ʻeha.