CME : Tendo-Achilles Injury And Its Management-

7/31/2019 CME : Tendo-Achilles Injury And Its Management-

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Eorcfst tfhkmh bh taf

gmky

Mrbcbh drm`

costrmihf`bus ohk

smefus `usiefs Bhsfrtbmh mh ioeiohfoe

tugfrmsbty


3/39

Eoins o truf syhmvboe

safota-

\orotfhmh aos vbsifroe

ohk porbftoe eoyfrs

Oeemws dmr ?.6i` md

tfhkmh cebkf


4/39

\orotfhmh

Ohtfrbmr rbiaey vosiueorbzfk

[af rf`obhkfr `uetbpef tabh

`f`grohfs


5/39

Gemmk suppey

?) @usiuemtfhkbhmus juhitbmh

7) Mssfmus bhsfrtbmh mh ioeiohfus

9) @uetbpef `fsmtfhoe vfssfes mh

ohtfrbmr surdoif md porotfhmh (bh

okbpmsf)

[rohsvfrsf vbhiueo Dfwfst L 7 tm 4 i` prmxb`oe tm

mssfmus bhsfrtbmh


6/39

Wf`ornogef rfspmhsf tm strfss

Fxfribsf bhkuifs tfhkmh kbo`ftfr

bhirfosf Bhoitbvbty mr b``mgbebzotbmh iousfs

ropbk otrmpay

Ocf-rfeotfk kfirfosfs bh ifee

kfhsbty, imeeocfh dbgrbe kbo`ftfr ohk

kfhsbty

Mekfr otaeftfs aovf abcafr bhjury

susifptbgbebty


7/39

Costrmihf`bus-smefus-Oiabeefs

im`pefx

Ypohs 9 jmbhts Defx nhff

\eohtor defx tbgbmtoeor jmbht

Yupbhotf sugtoeor jmbht

Vp tm ?< tb`fs gmky wfbcat tarmucatfhkmh wafh ruhhbhc


8/39

?. Iemsf bhjury/rupturf7. Mpfh bhjury/rupturf

Oiutf bhjury

Hfcefitfk bhjury


9/39

?. Oiibkfhtoe iut bhjury

(gota rmm` bhjury, rmok

troddbi bhjury)

7. Ymiboe/pmebtbioe

Tbmefhif


10/39

?. Kbochmsbs ohkossfss`fht md fxtfhk

md bhjury.

7. \rb`ory iorf9. Mpfrotbvf trfot`fht


11/39

\otampaysbmemcy

Wfpftbtbvf `birmtrou`o

bh o rfeotbvfeyaypmvosiueor orfo.

Wfporotbvf prmifss

uhogef tm nffp up @oy gf mh taf

goincrmuhk md okfcfhfrotbvf tfhkmh


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Ohtfifkfht tfhkbhbtbs/tfhkbhmsbs bh ?6% 36% md spmrts-rfeotfk rupturfs aoppfh

bh potbfhts gftwffh 9


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Abstmry

Dffes ebnf gfbhc nbinfk bh taf efc Iosf rfpmrts md deumrmqubhmemhf usf,

stfrmbk bhjfitbmhs

@fiaohbs`

Fiifhtrbi emokbhc (ruhhbhc goinworks bh

tfhhbs)

Yukkfh uhfxpfitfk kmrsbdefxbmh md ohnef

(Kbrfit gemw mr eoifrotbmh)


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\rmhf potbfht wbta dfft mvfr fkcf md

gfk\oepotbmh md fhtbrf efhcta md `usief-

tfhkmh uhbt kurbhc oitbvf ohk

possbvf WM@

Im`porf tfhkmh wbkta tm mtafr sbkf

Hmtf tfhkfrhfss, irfpbtotbmh,wor`ta, swfeebhc, hmkueorbty,

poepogef kfdfits


17/39

\ortboe

Emioebzfk tfhkfrhfss +/-

hmkueorbty

Im`peftfKfdfit

Iohhmt affe robsf

\msbtbvf [am`psmh tfst


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Kbochmstbi \btdoees

79% `bssfk gy \rbòry \aysbiboh (Bhcebs& Yiueim)

[fhkmh kfdfit ioh gf òsnfk gy afòtmò

\eohtor-defxbmh pmwfr md fxtrbhsbi dmmt defxmrsrftobhfk

[am`psmh tfst ioh prmkuif o doesf-hfcotbvfbd oiifssmry ohnef defxmrs oesm squffzfk


22/39

[abs eotfroe x-roy md taf

ioeiohfus samws oh

ovuesbmh droiturf ot taf

bhsfrtbmh md taf Oiabeefs

tfhkmh, wbta `ornfk

sfporotbmh md droc`fhts.

.


23/39

Bhfxpfhsbvf, dost, rfprmkuiogef,

kyho`bi fxo`bhotbmh pmssbgef

Mpfrotmr kfpfhkfht

Gfst tm `fosurf tabinhfss ohk cop

Cmmk sirffhbhc tfst dmr im`peftf

rupturf


24/39

Fxpfhsbvf, hmt kyho`bi

Gfttfr ot kftfitbhc portboe

rupturfs ohk stocbhc

kfcfhfrotbvf iaohcfs,

(`mhbtmr afoebhc)


25/39

Wfstmrf

`usiuemtfhkbhmus efhcta

ohk tfhsbmh.

Mptb`bzf costrm-smefmus

strfhcta ohk duhitbmh

Ovmbk ohnef stbddhfss


26/39

IO@ Soenfr mr iost wbtapeohtordefxbmh q 7 wns7 wns

Oeemw prmcrfssbvf wfbcat-gforbhc bh rf`mvogef iost

Wf`mvf iost ohk woen wbta samf

ebdt. Ytort wbta 7i` x ? `mhta,

tafh ?i` x? `mhta tafh K/I

; wffns

Ytort paysbm dmr WM@fxfribsfs

Safh SGO[ ohk

dmmt bs peohtbcrokf

Ytort o strfhctafhbhc

prmcro`

7- ; wffns


27/39

\rfsfrvf ohtfrbmr porotfhmh gemmksuppey

Gfworf md suroe hfrvf

Kfgrbkf ohk opprmxb`otf tfhkmh fhks

Vsf 7-; strohkfk eminfk suturf

tfiahbquf @oy ouc`fht wbta ogsmrgogef suturf

Iemsf porotfhmh sfporotfey


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Oiutf iosf : usuoeey fhk

tm fhk rfpobr bs fhmuca

Hfcefitfk iosf:

Okvohif`fht peosy (T-R)mr rfimhstruitbmh gy

mtafr tfhkmhs


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Ossfss strfhcta md rfpobr, tfhsbmh ohk

WM@ bhtro-mp.

Oppey emhc efc iost wbta ohnef bh taf efosto`muht md peohtfrdefxbmh(crovbty fqubhus)

& nhff 4< kfcrff defxbmh wbta wbhkmw ot

mpfrotfk sbtf.

Ytbtia rf`mvoe odtfr 7 wns. Yamrt efc iost odtfr 9 wns wbta portboe

fqubhus imrrfitbmh


34/39

7 wffney peostfr iaohcf wbta

crokuoe fqubhus imrrfitbmh (;-4

fpbsmkf ).

Soenbhc wbta affe robsfk samf &

rfcueor paysbmtafropy.

Wfvfrsf ohnef stmp groif up tm 4

`mhtas.


35/39

Oiutf rupturf md tfhkmh Oiabeefs. O prmspfitbvf rohkm`bsfk

stuky mdim`porbsmh gftwffh surcbioe ohk hmh-surcbioe trfot`fht.@meefr @, ft oe. J Gmhf Jmbht Yurc Gr. 7


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Documents

CME : Tendo-Achilles Injury And Its Management-