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Fracture of
metatarsals
‫کننده‬ ‫ترتیب‬:‫مجیب‬ ‫سلطان‬(‫دبیری‬)
‫کسر‬ ‫علل‬
‫های‬ ‫استخوان‬ ‫کسر‬ ‫علل‬ ‫از‬ ‫یکی‬Metatarsal‫میباشد‬ ‫پا‬ ‫باالی‬ ‫وزن‬ ‫افتادن‬ ‫اثر‬ ‫از‬ ‫قوی‬ ‫ضربه‬ ‫شدن‬ ‫وارد‬.
‫بلند‬ ‫ارتفاع‬ ‫از‬ ‫پا‬ ‫کف‬ ‫بروی‬ ‫افتادن‬.
‫در‬ ‫همچنان‬ ‫کسر‬ ‫این‬Dancer‫که‬ ‫های‬Demi-pointe‫را‬ ‫وزن‬ ‫تمام‬ ‫آنها‬ ‫چون‬ ‫است‬ ‫معمول‬ ‫میکنند‬
‫باالی‬metatarsal‫میکنند‬ ‫وارد‬.
‫خستگی‬ ‫باعث‬ ‫که‬ ‫معمول‬ ‫حد‬ ‫از‬ ‫زیادتر‬ ‫گشتن‬ ‫پیاده‬metatarsal‫میگردد‬ ‫آن‬ ‫کسر‬ ‫باعث‬ ‫و‬ ‫شده‬.
‫هموار‬ ‫نا‬ ‫سطح‬ ‫بروی‬ ‫دویدن‬.
‫نوت‬:‫های‬ ‫استخوان‬ ‫کسر‬metatarsal‫پنجمین‬ ‫در‬ ‫معموال‬metatarsal‫میپیوندد‬ ‫وقوع‬ ‫به‬.
‫کسر‬ ‫انواع‬metatarsal
‫کسر‬ ‫نوع‬ ‫دو‬metatarsal‫دارد‬ ‫وجود‬:
Acute fracture‫میشود‬ ‫واقع‬ ‫حاد‬ ‫ضربه‬ ‫علت‬ ‫به‬ ‫که‬.
Stress fracture‫باالی‬ ‫هم‬ ‫پی‬ ‫و‬ ‫متمادی‬ ‫های‬ ‫ضربه‬ ‫علت‬ ‫به‬ ‫که‬metatarsal‫میشود‬ ‫واقع‬.
‫میشود؟‬ ‫داده‬ ‫تشخیص‬ ‫چگونه‬
 X-Ray
 C.T scan
‫کسر‬ ‫عالیم‬
‫ضربه‬ ‫موقع‬ ‫در‬ ‫ناگهانی‬ ‫و‬ ‫شدید‬ ‫درد‬ ‫احساس‬.
‫میکند‬ ‫حس‬ ‫را‬ ‫شکستگی‬ ‫همان‬ ‫صدای‬ ‫مریض‬ ‫اوقات‬ ‫گاهی‬.
‫لنگش‬‫شدید‬ ‫درد‬ ‫علت‬ ‫به‬ ‫رفتن‬ ‫راه‬ ‫در‬ ‫ناتوانی‬ ‫یا‬.
‫و‬ ‫تورم‬‫پندیدگی‬‫کسر‬ ‫ناحیه‬ ‫در‬.
‫میگردد‬ ‫بیشتر‬ ‫درد‬ ‫کسر‬ ‫محل‬ ‫دادن‬ ‫فشار‬ ‫با‬.
‫کسر‬ ‫محل‬ ‫شکل‬ ‫تغییر‬
‫تداوی‬
Non surgical
‫نزد‬ ‫مریض‬ ‫اینکه‬ ‫از‬ ‫قبل‬‫داکتر‬‫از‬ ‫باید‬ ‫شما‬ ‫برسد‬‫میتود‬R.I.C.E‫درد‬ ‫کردن‬ ‫کم‬ ‫برای‬ ‫نماید‬ ‫استفاده‬.
•R:rest‫دهید‬ ‫استراحت‬ ‫را‬ ‫مریض‬.
•I:Ice‫همان‬ ‫باالی‬ ‫یخ‬ ‫گذاشتن‬‫موقیعت‬.
•C:Compression‫از‬ ‫جلوگیری‬ ‫برای‬ ‫تکه‬ ‫توسط‬ ‫محل‬ ‫همان‬ ‫محکم‬ ‫پوشاندن‬‫پندیدگی‬.
•E:Elevation‫باال‬‫نگهداشتن‬‫گذاشتن‬ ‫یا‬ ‫و‬ ‫پا‬‫بالشت‬‫پا‬ ‫زیر‬ ‫در‬.
Surgical
‫برای‬ ‫جراحی‬ ‫در‬ ‫که‬ ‫دیده‬ ‫شدیدی‬ ‫ضربه‬ ‫یعنی‬ ‫باشد‬ ‫داشته‬ ‫جراحی‬ ‫به‬ ‫ضرورت‬ ‫کسر‬ ‫اگر‬fixation‫پیچ‬ ‫از‬
‫میشود‬ ‫استفاده‬ ‫جراحی‬ ‫های‬.
•Fixation with 4-5mm medullary screw
•Fixation with 5.5mm cannulated screw
‫تان‬ ‫توجه‬ ‫از‬ ‫تشکر‬
Sultan Mujib Dabiry
FB Page: futuredoctors16
Website: www.futuredoctors16.blogspot.com

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Metatarsal Fracture

  • 2. ‫کسر‬ ‫علل‬ ‫های‬ ‫استخوان‬ ‫کسر‬ ‫علل‬ ‫از‬ ‫یکی‬Metatarsal‫میباشد‬ ‫پا‬ ‫باالی‬ ‫وزن‬ ‫افتادن‬ ‫اثر‬ ‫از‬ ‫قوی‬ ‫ضربه‬ ‫شدن‬ ‫وارد‬. ‫بلند‬ ‫ارتفاع‬ ‫از‬ ‫پا‬ ‫کف‬ ‫بروی‬ ‫افتادن‬. ‫در‬ ‫همچنان‬ ‫کسر‬ ‫این‬Dancer‫که‬ ‫های‬Demi-pointe‫را‬ ‫وزن‬ ‫تمام‬ ‫آنها‬ ‫چون‬ ‫است‬ ‫معمول‬ ‫میکنند‬ ‫باالی‬metatarsal‫میکنند‬ ‫وارد‬. ‫خستگی‬ ‫باعث‬ ‫که‬ ‫معمول‬ ‫حد‬ ‫از‬ ‫زیادتر‬ ‫گشتن‬ ‫پیاده‬metatarsal‫میگردد‬ ‫آن‬ ‫کسر‬ ‫باعث‬ ‫و‬ ‫شده‬. ‫هموار‬ ‫نا‬ ‫سطح‬ ‫بروی‬ ‫دویدن‬. ‫نوت‬:‫های‬ ‫استخوان‬ ‫کسر‬metatarsal‫پنجمین‬ ‫در‬ ‫معموال‬metatarsal‫میپیوندد‬ ‫وقوع‬ ‫به‬.
  • 3.
  • 4. ‫کسر‬ ‫انواع‬metatarsal ‫کسر‬ ‫نوع‬ ‫دو‬metatarsal‫دارد‬ ‫وجود‬: Acute fracture‫میشود‬ ‫واقع‬ ‫حاد‬ ‫ضربه‬ ‫علت‬ ‫به‬ ‫که‬. Stress fracture‫باالی‬ ‫هم‬ ‫پی‬ ‫و‬ ‫متمادی‬ ‫های‬ ‫ضربه‬ ‫علت‬ ‫به‬ ‫که‬metatarsal‫میشود‬ ‫واقع‬.
  • 5. ‫میشود؟‬ ‫داده‬ ‫تشخیص‬ ‫چگونه‬  X-Ray  C.T scan
  • 6. ‫کسر‬ ‫عالیم‬ ‫ضربه‬ ‫موقع‬ ‫در‬ ‫ناگهانی‬ ‫و‬ ‫شدید‬ ‫درد‬ ‫احساس‬. ‫میکند‬ ‫حس‬ ‫را‬ ‫شکستگی‬ ‫همان‬ ‫صدای‬ ‫مریض‬ ‫اوقات‬ ‫گاهی‬. ‫لنگش‬‫شدید‬ ‫درد‬ ‫علت‬ ‫به‬ ‫رفتن‬ ‫راه‬ ‫در‬ ‫ناتوانی‬ ‫یا‬. ‫و‬ ‫تورم‬‫پندیدگی‬‫کسر‬ ‫ناحیه‬ ‫در‬. ‫میگردد‬ ‫بیشتر‬ ‫درد‬ ‫کسر‬ ‫محل‬ ‫دادن‬ ‫فشار‬ ‫با‬. ‫کسر‬ ‫محل‬ ‫شکل‬ ‫تغییر‬
  • 7. ‫تداوی‬ Non surgical ‫نزد‬ ‫مریض‬ ‫اینکه‬ ‫از‬ ‫قبل‬‫داکتر‬‫از‬ ‫باید‬ ‫شما‬ ‫برسد‬‫میتود‬R.I.C.E‫درد‬ ‫کردن‬ ‫کم‬ ‫برای‬ ‫نماید‬ ‫استفاده‬. •R:rest‫دهید‬ ‫استراحت‬ ‫را‬ ‫مریض‬. •I:Ice‫همان‬ ‫باالی‬ ‫یخ‬ ‫گذاشتن‬‫موقیعت‬. •C:Compression‫از‬ ‫جلوگیری‬ ‫برای‬ ‫تکه‬ ‫توسط‬ ‫محل‬ ‫همان‬ ‫محکم‬ ‫پوشاندن‬‫پندیدگی‬. •E:Elevation‫باال‬‫نگهداشتن‬‫گذاشتن‬ ‫یا‬ ‫و‬ ‫پا‬‫بالشت‬‫پا‬ ‫زیر‬ ‫در‬.
  • 8. Surgical ‫برای‬ ‫جراحی‬ ‫در‬ ‫که‬ ‫دیده‬ ‫شدیدی‬ ‫ضربه‬ ‫یعنی‬ ‫باشد‬ ‫داشته‬ ‫جراحی‬ ‫به‬ ‫ضرورت‬ ‫کسر‬ ‫اگر‬fixation‫پیچ‬ ‫از‬ ‫میشود‬ ‫استفاده‬ ‫جراحی‬ ‫های‬. •Fixation with 4-5mm medullary screw •Fixation with 5.5mm cannulated screw
  • 9. ‫تان‬ ‫توجه‬ ‫از‬ ‫تشکر‬ Sultan Mujib Dabiry FB Page: futuredoctors16 Website: www.futuredoctors16.blogspot.com