I-pastern iyingxenye yohlaka lwamathambo esandla ezingeni lesundu.

Isikhundla. I-pastern ingesinye sezifunda ezintathu zohlaka lwamathambo esandla (1).

Isakhiwo. Ukwakha uhlaka lwamathambo entendeni yesandla, i-pastern yakhiwe ngamathambo amade amahlanu, abizwa ngokuthi i-M1 kuya ku-M5 (2). Amathambo e-metacarpal akhuluma ngemuva ngamathambo e-carpal nangaphambili nama-phalanges, okuvumela ukwakheka kweminwe.

Ukuhlangana. Amathambo namalunga e-pastern azinza ngama-ligaments nama-tendon. Amajoyinti e-metacarpophalangeal ahlanganiswe imigqa eyisibambiso, kanye nepuleti lesundu (3).

Ukunyakaza kwesandla. Exhunywe amalunga, amathambo e-metacarpal aqala ukunyakaza ngenxa yemisipha eminingi nemisipha esabela emilayezweni yemizwa eyahlukene. Ikakhulukazi, zivumela ukunyakaza nokunwebeka kweminwe kanye nokunyakaza kokudonsa nokuthumba kwesithupha (2).

Sihlikihla. Umsebenzi obalulekile wesandla, futhi ikakhulukazi we-pastern, ukubamba, ikhono lesitho ukubamba izinto (4). 

I-Metacarpal fractures. I-pastern ingaba nomthelela futhi iphuke. Ukuphuka kwe-articular extra-articular kufanele kuhluke ekuqhekekeni okuhlangene okubandakanya ukujoyina futhi kudinga ukuhlolwa okuphelele kwezilonda. Amathambo e-metacarpal angaphuka ngenxa yokuwa ngesibhakela esivaliwe noma ukushaywa kanzima ngesandla (5).

kwamathambo. Le pathology ingathinta i-pastern futhi ihlanganisa ukulahlekelwa ukuminyana kwamathambo okuvame ukutholakala kubantu abangaphezu kweminyaka yobudala engama-60. Igcizelela ubuthakathaka bamathambo futhi ikhuthaze izikweletu (6).

Isifo Sokuqaqamba Kwamalunga. Ihambisana nezimo ezibonakaliswa ubuhlungu emalungeni, imigqa, izintambo noma amathambo, ikakhulukazi ku-metacarpus. Ebonakala ngokuguga nokudabuka koqwanga oluvikela amathambo amalunga, i-osteoarthritis iwuhlobo oluvame kakhulu lwesifo samathambo. Amalunga ezandla nawo angathinteka ngenxa yokuvuvukala esimweni se-rheumatoid arthritis (7). Lezi zimo zingaholela ekukhubazekeni kweminwe.

Ukuvimbela ukushaqeka nobuhlungu esandleni. Ukunciphisa ukuphuka nokuphazamiseka kwemisipha, ukuvimbela ngokugqoka isivikelo noma ukufunda ukuthinta okufanele kubalulekile.

Ukwelashwa kwamathambo. Kuye ngohlobo lokuphuka, ukufakwa kwe-plaster noma i-resin kuzokwenziwa ukuze kuvimbe isandla.

Izidakamizwa zokwelapha. Kuye ngesimo esitholakele, izidakamizwa ezithile zingase zinikezwe ukulawula noma ukuqinisa izicubu zamathambo.

Ukwelapha okuhlinzwa. Ngokuya ngohlobo lokuphuka, ukuhlinzwa kungenziwa ngokubeka izikhonkwane noma izikulufu zamapuleti.

Ukuhlolwa komzimba. Ekuqaleni, ukuhlolwa komtholampilo kwenza kube nokwenzeka ukuhlonza nokuhlola ubuhlungu besandla obubonwa isiguli.

Ukuhlolwa kwe-imaging yezokwelapha. Ukuhlolwa komtholampilo kuvame ukwengezwa nge-x-ray. Kwezinye izimo, i-MRI, i-CT scan, noma i-arthrography ingenziwa ukuze kuhlolwe futhi kuhlonzwe izilonda. I-scintigraphy noma i-bone densitometry nayo ingasetshenziswa ukuhlola ama-pathologies amathambo.

Ithuluzi lokuxhumana. Ukushukuma kwezandla kuvame ukuhlotshaniswa nokukhuluma.