Femoral head fracture

**Feccere hoore femoral** ko sifaa feccere hippoode nde heewaani yiyeede, tawi ina waɗi taƴre feccere gonnde e ƴiyal ɓalndu (femur) jokkondirnde e soket hippoode. Eɗe limtaa ko ina tolnoo e 1% e denndaangal mborosaaji hippoode, tawi heen tataɓe ɗiɗi ko sukaaɓe mawɓe. Ɗeeɗoo gaañanɗe ina keewi heɓtaade e nder kewuuji baɗɗi batte mawɗe, ko wayi no aksidaaji otooji walla diƴƴe ummoraade e tooweeki mawki.

Maandeeji e maandeeji
Ko ɓuri heewde e ko yiytaa ko ina addana neɗɗo mette e nder reedu, yantude e ɓuuɓri e ɓuuɓri saraaji reedu. Ñawɓe ɓee ina keewi waasde yahde walla jogaade teddeendi e koyngal gonngal e ñawu nguu. Feccere hoore femoral kadi ina heewi waɗde e jokkondirde e ɓuuɓri ɓalndu caggal. E nder ɗeen caɗeele, koyngal gonngal e mum ngal ina heewi wonde e mbaydi ɓuuɓndi, addi, e nder mum ina yirloo. Koyngal gonngal e ñawu nguu ina waawi feeñde ina juuti so renndinaama e koyngal ngal ɓuuɓnaaka. Gaañannde nerve sciatique ina waawi kadi waɗde, haa teeŋti noon e ɓuuɓri gonndi e ɓuuɓri. Ɗum ina waawi feeñde e ŋakkere walla ustaare refleks e tampere nde ɓuuɓnata koppi walla diwta koyngal.

## Ñawu nguu

## Natal
Rajo-graafiiji laaɓtuɗi pelɓondiral ƴettaaɗi e yeeso (AP view) ko feere ƴeewndo adannde cuɓaande ngam ñawanɗe ceertuɗe. Yiyngooji ɓeydotooɗi ina mbaawi wallude e anndude ñawanɗe jokkondirɗe, ko wayi no ɓuuɓri asetabular. CT scans ina heewi huutoreede e ñawɓe trauma wonduɓe e gaañanɗe keewɗe teeŋtuɗe walla caggal nde ustaama ngam ɓeydaade ƴeewtaade jokkondire hippoode. MRI ina waawi huutoreede so tawii ina tuumaa bonneede e ɓalndu nduu walla ina tuumaa ko osteonekrosis arano.

## Senngo
Ko senngo Pipkin woni feere ɓurnde huutoreede ngam renndinde ɓuuɓri hoore feso, yuɓɓiniraa ko nii :

Pipkin renndinde sifaa Sifaa
I Feccere les fovea; tawa ina jeyaa heen teddungal-jogorngal dow hoore
II Feccere dow fovea; ina jeyaa heen teddungal-jogorngal dow hoore
III Feccere sifaa I walla II e feccere wuddu femoral jokkondirnde
IV Feccere sifaa I walla II e feccere asetabulum jokkondirnde
Ndeeɗoo feere renndinde ina wallita e ardude e njuɓɓudi e teskaade batte mum.

## Hurgol
Wiɗto ɓanndu adanngo ina foti waɗde ƴeewndo cirkulaasiyoŋ e golle nerve e nder koyngal gonngal e ñawu nguu, haa teeŋti noon e peccitagol nerve sciatique. E nder ñawɓe ɓuuɓri hippoode, ustude ko yaawi ina ɗaɓɓi, tawa ko adii fof ina waawi teskaade ko ɓuri moƴƴude. Njuɓɓudi laaɓtundi e nder ñawɓe tokosɓe ina waawi waɗde feere seppooji ko wayi no ustude udditaare e fiɓnde nder walla ittude feccere. E ko feewti heen, lomtingol hippoode total ina heewi yiɗeede e ñawɓe mawɓe.

## Teskagol
Won laabi limtooji keewɗi kuutorteeɗi ngam ƴeewde batte caggal cellal, ina heen limtooji batte Thompson e Epstein, limtooji Merle d’Aubigné e Postel, e limtooji Oxford Hip. Huutoraade ɗeen peeje toɓɓere, batte moƴƴe haa moƴƴe ina keɓee e ko ina wona tataɓe ɗiɗi e geɗe ɗee. Kono tan, jokkondiral ñawu nguu e nafoore, e ɓuuɓri jokkondire, e ŋakkeende golle ina addana mbayliigu e batte safaara. Ko ɓuri heewde e caɗeele juutɗe ina njeyaa heen : ɓuuɓri ɓalndu caggal mboros, osteonekrosis hoore feso, e ossifikaasiyoŋ heterotopik.

## Epidemiyoloji
Hay so tawii haa jooni ina famɗi, ŋakkeende hoore feso ina ɓeydoo e ɗii duuɓi cakkitiiɗi. Ndeeɗoo feere ina sikkaa ko batte geɗe ɗiɗi mawɗe : ɓeydagol aksidaaji otooji e yahrude yeeso e kisal otooji jamaanu, ko ɗum addani nguurndam ɓeydaade heewde, addani ɗum en ɓeydaade heewde anndude ɗeen caɗeele.

## Ƴeew kadi
Wuddu feso

## Tuugnorgal