Indololwane (kusuka kwelesiLatini elithi ulna) iyilunga lengalo engenhla elihlanganisa ingalo nomphambili.

Ukwakheka. Indololwane yakha ukuhlangana phakathi:

• isiphetho esikude se-humerus, ithambo elilodwa engalweni;
• iziphetho eziseduze ze-radius ne-ulna (noma i-ulna), amathambo amabili engalo.

Umkhawulo oseduze we-ulna wenza i-bone protrusion, ebizwa ngokuthi i-olecranon, futhi yakha iphuzu lendololwane.

amalunga omzimba. Indololwane yakhiwe amalunga amathathu (1):

• i-humero-ulnar joint, ehlanganisa i-humeral trochlea, ngendlela ye-pulley, kanye ne-throchlear notch ye-ulna (noma i-ulna). Lezi zindawo ezimbili zimbozwe uqwanga;
• i-humeral-radial joint ehlanganisa i-capitulum ye-humerus kanye ne-radial dimple;
• i-proximal joint radio-ulnar ehlanganisa iziphetho ezimbili zerediyasi kanye ne-ulna eceleni.

Ukufaka. Isifunda sendololwane siyindawo yokufakwa kwemisipha eminingi nemisipha evumela ukunyakaza kwendololwana nokugcina ukwakheka.

Ukunyakaza kwendololwane. Indololwane ingenza ukunyakaza okubili, ukugoba, okusondeza ingalo engalweni, kanye nesandiso, okuhambisana nokuhlehla. Lokhu kunyakaza kwenziwa ikakhulukazi ngejoyinti ye-humero-ulnar futhi kancane kancane ngokuhlanganyela kwe-humero-radial. Lesi sakamuva sibandakanyeka ekuqondeni kokunyakaza naku-amplitude, engafinyelela ku-140 ° ngokwesilinganiso. (2)

Ukunyakaza kwengalo. Amalunga endololwane, ikakhulukazi ijoyinti lomsakazo-ulnar kanye nezinga elincane elihlangene le-humero-radial, ahileleke ekunyakazeni kwe-pronosupination yengalo. I-Pronosupination yakhiwe ukunyakaza okubili okuhlukene (3):

- Ukunyakaza kwe-supination okuvumela intende yesandla ukuthi ibheke phezulu

- Ukunyakaza kokuphimisela okuvumela intende yesandla ukuthi ibhekiswe phansi

ukuphuka. Indololwane ingaba nokuphuka, okunye okuvame kakhulu ukuthi i-olecranon, etholakala ezingeni le-proximal epiphysis ye-ulna futhi yakha iphuzu lendololwane. Ukuphuka kwekhanda le-radial nakho kuvamile.

kwamathambo. Le pathology ihlanganisa ukulahlekelwa ukuminyana kwamathambo okuvame ukutholakala kubantu abaneminyaka engaphezu kuka-60. Igqamisa ubuthakathaka bamathambo futhi ikhuthaze izikweletu (4).

AmaTendinopathies. Baqoka wonke ama-pathologies angenzeka kuma-tendon. Izimpawu zalawa ma-pathologies ikakhulukazi ubuhlungu be-tendon ngesikhathi sokuzikhandla. Izimbangela zalezi pathologies zingahlukahluka. I-epicondylitis, ebizwa nangokuthi i-epicondylalgia, ibhekisela ebuhlungu obuvela ku-epicondyle, isifunda sendololwane (5).

I-Tendinitis. Babhekisela kuma-tendinopathies ahambisana nokuvuvukala kwamathenda.

Ukwelashwa. Ngokuya nge-pathology etholakele, ukwelashwa okuhlukile kungase kubekwe ukulawula noma ukuqinisa izicubu zamathambo, kanye nokunciphisa ubuhlungu nokuvuvukala.

Ukwelapha okuhlinzwa. Ngokuya ngohlobo lokuphuka, ukuhlinzwa kungenziwa, isibonelo, ukufakwa kwepuleti e-screwed, izipikili noma ngisho ne-fixator yangaphandle.

I-arthroscopy. Le ndlela yokuhlinza ivumela ukuthi amalunga abhekwe futhi ahlinzwe.

Ukwelashwa ngokomzimba. Izindlela zokwelashwa ngokomzimba, ngokusebenzisa izinhlelo ezithile zokuzivocavoca, zivame ukubekwa njenge-physiotherapy noma i-physiotherapy.

Ukuhlolwa komzimba. Ukuxilongwa kuqala ngokuhlolwa kobuhlungu bengalo ukuze kutholakale izimbangela zabo.

Ukuhlolwa kwe-imaging yezokwelapha. I-X-ray, i-CT, i-MRI, i-scintigraphy noma ukuhlolwa kwe-bone densitometry kungasetshenziswa ukuqinisekisa noma ukujulisa ukuxilongwa.

I-epicondylitis yangaphandle, noma i-epicondylalgia, yendololwane nayo ibizwa ngokuthi “indololwane yethenisi” noma “indololwane yomdlali wethenisi” njengoba ivela njalo kubadlali bethenisi. (6) Azivamile kakhulu namuhla ngenxa yesisindo esilula samarakhethi amanje. Ukungajwayelekile, i-epicondylitis yangaphakathi, noma i-epicondylalgia, kubangelwa “indololwane yegalofu”.