
flexer hallusis longus peshi

flexer hallusis longus peshi (efl) valia kaalviralinte faalnaaksinte plaantar uparithalathil gadippikkukayum aaa calviral valaykkunnathin kaaranamaakukayum cheiyunnu. kaalinte pinbhaagathe compartmentinte moonnu aazhathilulla peshikalil onnaanu efl, mattullava flexer dijittoram longus, tbialis pinbhagam ennivayaanu. eee aazhathilulla peshikalil ettavum shakthiyeriyathaanu tbialis pinbhagam. siyatik nadiyude pakuthi ulkkollunna tbl naadi moonnu peshikaleyum aswasthamaakkunnu.
ghadana.
kaalukalude faibular bhagathaanu flexer hallusis longus sthithi cheiyunnathu. 2. 5 centimeter ozhike fibulayude shareerathinte pinbhaagathe uparithalathinte moonnil rund bhaagathil ninnaan ithu undaakunnath. athinte ettavum thaazhnna bhaagath; interosius membraninte thaazhathe bhaagath ninnu; athinum peroneous pesikalkkum edayilulla oru intermescular septtathil ninnu, vashathayi, tbialis pinbhaagathe moodunna faasiyayil ninnu, madhyamaayi.
naarukal charinjukondu thaazhekkum pinnotum kadannupokunnu, avide athu kaalinte madhyabhaagathulla tarsal tanaliloode kadannupokukayum peshikalude pinbhaagathe uparithalathinte muzhuvan neelavum ulkkollunna oru tendonil avasaanikkukayum cheiyunnu.
eee tendon tbyayude thaazhathe attatthinte pinbhaagathe uparithalam kadakkunna oru kuzhiyilaanu sthithicheyyunnathu, taalasinte pinbhaagathe uparithalathinte madhya, parshwa kizhanguvargangalkkum kaalkkaaniyasinte sustentaakulam thaaliyude thaazhathe uparithalathinum idayil; kaalinte attambhaagathu ithu flexer hallusis breevisinte rund thalakalkkidayil munnott oodunnu, koodaathe valia kaalviralinte avasana faalanksinte adithattil cherkkunnu. peshikalude tendon adangiyirikkunna talasileyum calcaniusileyum kuzhalukal tendinus naarukal upayogichu mucus sheeth kondu varacha prathyeka kanalukalaayi parivartthanam cheiyunnu.
tendon kaalinte althattil munnott pookumbool, athu mukalil sthithicheyyunnu, koodaathe flexer dijittoram longasinte tendoninte paarshwabhaagathu ninnu madhyabhaagathekku kadakkunnu, athilekku oru fiber slip bandhippichirikkunnu.
vyathiyaanam.
saadhaaranayaayi oru slip flexer digittorathilekku oodunnu, palappozhum oru adhika slip flexer digittorathil ninnu flexer haaloosisilekku oodunnu. apoorvamaaya peronocalcinius intenasu, fibulayude pinbhaagathu ninnu flexer halousisinu thaazheyo purattho uthbhavikkukayum flexer hallusis upayogichu sustentaakulam thaaliyiloode kadannupokukayum kaalkkeniyathilekku cherkkukayum cheiyunnu.
pravartthanam.
flexer dijittoram longus, tbialis posteeriyar peshikal ennivaykku samaanamaayi, flexer hallusis longus peshi plaantaar flexilake call vipareethamaakkaanum pravartthikkunnu. ennirunnaalum, ithu valia calviral valaykkaanum kanankaalinu mangal nalkaanum sahayikkunnu ennathilum ithu savisheshamaan.
parikkum chikitsa.
tenosynovitis, tendinopathy, peshi strain ennivayaanu efl tendonumayi bandhapetta saadhaarana parikkukal. efl peshi cheruthaanu ennathinaal, eee pesiyumaayum athinte tendonumaayum bandhapetta parikkukal palappozhum avaganikkappedunnu. efl tendoninte kaaranavum avasthayum vilayiruthaan oru emri upayogikkaam. eee reethi upayogichu kaneerum impingment eriyakalum kandethaam. peshikalude chalanavum impimentinte saadhyathayulla pradeshangalum kaanikkunnathinal efl parikkukal nirnnayikkaan diagnostic ultraasoundu upayogikkaam. yaadhaasthithikamaayi, efl peshi moolamundaakunna chalanagal akathe kanankaalilo valia calviralino thaazheyo vedanayundaakkunnundo ennu nirnnayikkunnathiloode oru efl parikk vilayiruthaam.
tarsal thurankatthiloode kadannupoya sesham, flexer hallusis longus tendon sustantaakulam thaali ennariyappedunna asthi landmarkinu chuttum valanjirikkanam. eee sthalathe gharshanam kanankaalinte posteromedial bhaagath vedanayundaakkaan saadhyathayund. saadhaaranayaayi "nartthakarude tendinitis" ennu vilikkappedumbol, baale narthakar, jimnaastukal, oottakkaar ennivaril saadhaaranayaayi sambhavikkunnath efl tendinitis aanu. calviral valarchayude amithamaya upayogam kaaranam, eee cheria peshikalilum tendonilum avarude shareerabhaarathinte pathiratti prayogikkaan kaaranamakunnathinaal, sustentaakulam thaaliyude sthalathu veekkavum prakopanavum saadhaaranamaanu.
efl peshikalude amita upayogathinte falamaayi vikasikkunna oru avasthayaanu hallex saltons. eee avasthayil, efl tendoninoppam oru nodule vikasikkunnu, ithu sangocha samayat oru popping prabhavam undakkaam, kaaranam ithu chuttumulla tissukaliloode valichidunnu. chikilsikkaathe thudarchayaayi prakopippikkukayaanenkil, tendoninte stenosis sambhavikkam, athinte falamaayi valia calviral kattiyullathum thaarathamyena nischalavumaanu. eee avasthaye hallex rigidus ennu vilikkunnu.
mikka efl parikkukalum yaadhaasthithika chikilsayiloode kaikaaryam cheyyaan kazhiyum. saadhaaranayaayi cheria efl parikkukalkkulla aadya soochanayaanu vishramam. aise, ultraasoundu therapy ennivayum veekkathinum vedanaykkum sahayikkum. physical therapy vyaayaamangalum strechukalum peshikaleyum tendon punaradhivasippikkanum tendonile veekkathinum micro tearinum kaaranamakunna biomechanical pishakukal pariharikkanum sahayikkum. chila efl parikkukal vishramam, physical therapy, splints, aanti-inflammatory marunnukal ennivayiloode chikilsikkaam. ennirunnaalum, kooduthal gurutharamaayatho vittumaaraathatho aaya parikkukalkk sasthrakriya aavashyamaayi vannekkaam. sasthrakriya soochippichittundengil, eflle kannuneer nannaakkukayum pradeshathu ninnu avashishtangal neekkam cheyyukayum cheyyum. oru oesu trigonum efl tendinitis allengil tenosynovitis moolamundaakunna samanamaaya lakshanangalkk kaaranamaakumennath sradhikkendathaanu. eee avastha thallikkalayaan oru radiograph edukkanam.

