huddy koo dhakelen

capitate huddy maanav kalaai mein ack huddy haye joe carple huddy kshetra key kendra mein paaee jaati haye, joe trijya aur alna haddiyon key doorasth chhor parr sthit hoti haye. yeh teesari metacarple huddy (beach kii ungli) key saath spasht hotaa haye aur teesara carpometarple jodd banaata haye. capitate huddy maanav haath mein carple haddiyon mein sabse badee haye. yeh oopar, ack goal bhaag yaa sir prastut kartaa haye, joe scafied aur lunut haddiyon dwara banaai gaee avtalta mein praapt hotaa haye; ack sankuchit bhaag yaa gardan; aur isake neeche, shareer.
huddy kaee anya standhaariyon mein bhee paaee jaati haye, aur sarisripon aur ubhaycharon key "teesare doorasth carple" key saath samroop haye.
sanrachana.
capitate haath key bheetar paaee jaane vaali sabse badee carple huddy haye. capitate carple haddiyon kii door kii pankti key bheetar paaya jaataa haye. capitate apani doorasth satah parr ring finger key metacarple key seedhe buggle mein sthit haye, isaki alnar satah parr hammett aur isaki radial satah parr trapezoid haye, aur lunut aur scaffoid koo nikatata seey jodata haye. 
satah.
sameepasth satah" goal, chikani hoti haye aur lunut huddy key saath spasht hoti haye.
doorasth satah" koo dou katakon dwara teen pahaluon mein vibhajit kiya gayaa haye, dusare, teesare aur chauthe metacarple haddiyon key saath abhivyakti key liye, joe kii teesare key liye sabse badaa haye.
prishthiya satah" chaudi aur khurdari hoti haye.
asthibandhan key lagaav aur adductor policis maanspeshiyon key ack hisse key liye "pamar satah" sankeern, goal aur khurdara hoti haye.
parshviya satah" apane poorvavarti nimn konn parr ack chhote seey pahalu dwara cumm bahubhujaakaar key saath vyakt hoti haye, jisake peechhe ack antar-snayubandhan key lagaav key liye ack khurdara avasaad hotaa haye. isake oopar ack gahari, khurdari naali haye, joe gardan kaa hissa banati haye, aur ligaments key lagaav key liye kaam karati haye; yeh scaffoid huddy key saath abhivyakti key liye ack chikani, uttal satah seey behtar roop seey bandhi hoti haye.
madhya satah" hammett huddy key saath ack chikani, avtal, aaytaakaar pahalu dwara vyakt hoti haye, joe isake peechhe aur behtar hisson parr kabja curr letee haye; yeh ack antar-snayubandhan key lagaav key liye saamane khurdara hotaa haye.
bhinnata.
capitate huddy tarjani key metacarple key saath bhinn roop seey spasht hoti haye. haalaanki, isaki samanya abhivyakti beach kii ungli key saath hoti haye.
vikas.
capitate kaa ausification 1-5 maheene seey shuru hotaa haye.
kaary.
carple haddiyaan haath key liye ack asthi adhirachana pradaan karane key liye ack ikai key roop mein kaary karati hain. way kalaai koo ack taraf seey doosari taraf (madhya seey paarshv) key saath-saath oopar aur neeche (poorv seey pashch) kii gati kii anumati dete hain. aich. aeye. harris ney 1944 mein "british medical journal" mein likhaa kii "ack aadami mein haath key nirmaan kii taakat trijya, angoothe, aur tarjani aur beach kii ungaliyon mein kendrit haye."isaliye, madhya ungli kii taakat aur tanaav koo puuraa karane key liye capitate badaa hotaa haye.
naidaanik mahatva.
capitate fracture sabhi kalaai fracture kaa 1.3% haye. capitate key alag-alag fracture mein kewal 0.3% shamil hotey hain aur aksar gair-visthaapit hotey hain. aisaa isaliye haye kyonki capitate carple kshetra key kendra mein haye aur isaliye kaafee achchi tarah seey sanrakshit haye.
capitate fracture ack anya carple huddy, scaffoid key fracture key saath ack saath hotey hain.
capitate key fracture key liye vibhinn tantron koo postulated kiya gayaa haye. adler aur anya. teen tantron kaa varnan kiya gayaa haye-pahala huddy kii prishthiya satah parr seedha aghaat haye, doosara jabaran vistaar mein kalaai key saath hatheli parr girna haye aur teesara balpurvak flex kiye gaye haath parr girna haye; doosara sabse adhik baar aur teesara durlabh haye.
ack teevra capitate fracture key mamle mein jahaan fracture key tukadon key utkrisht sanrekhan kaa aiks-ray pramaan haye, upasthit doctor ack plaster yaa halke kalaai key brace mein kalaai koo sthir curr dega. ack baar cast koo hataa diye jaane key baad rogi kalaai key jodd kii gati aur shamil maanspeshiyon mein taakat kii seema koo phir seey hassil karane key liye physiotherapy shuru kartaa haye.
yadi aiks-ray seey pataa chalata haye kii capitate fracture key tukade sanrekhan seey baahar hain, tou sergery kaa sanket diyaa jaataa haye. ack shalya chikitsak huddy key dou tukadon koo ekjut karane key liye chhote sampeedan shikanja yaa key-taaron kaa upayog curr sakata haye. headless compression screw kaa key-wire parr laabh haye kyonki yeh fracture site parr sampeedan pradaan kartaa haye aur jaldi gati kii anumati detaa haye. yeh mamla hoe sakata haye kii sapitate aur scafied huddy key beach kaa ligament bhee ghayal hoe gayaa haye; yadi aisaa haye, tou isaki marammat usee samay kii jaayegi.
kyonki capitate mein rakt kii aapoorti kharaab hoti haye, kabhi-kabhi upchaar prakriya key saath jatilataaen hoti hain. yeh gatividhi parr kalaai mein ack fail dard key roop mein prakat hoe sakata haye, aur kaee maheenon taka banaa reh sakata haye. yeh rakt kii aapoorti aur upchaar (avascular necrosis) kii kamee key kaaran capitate key tootane key kaaran hotaa haye. gair-sangh koo sabse aam jatilata key roop mein report kiya gayaa haye; 19.6% seey 56 pratishat alag-alag capitate fracture mein. ise rokane key liye praarambhik nidan mahatvapurna haye.
vyutpatti.
huddy kaa naam 'sir honah' seey nikla haye, 'sir' seey.

