· I-Anatomy Esetshenziswayo
Ubude bonke be-clavicle buyi-subcutaneous futhi kulula ukububona ngeso lengqondo.Isiphetho esimaphakathi noma isiphetho esingemuva se-clavicle simahhadlahhadla, futhi indawo yayo ye-articular ibheke ngaphakathi naphansi, yenza i-sternoclavicular joint with notch clavicular of the sternal handle;isiphetho esiseceleni noma isiphetho se-acromion simahhadlahhadla futhi siyisicaba futhi sibanzi, ne-acromion articular surface surface ovoid nangaphandle naphansi, sakha i-acromioclavicular joint ne-acromion.I-clavicle iyisicaba ngenhla futhi iyindilinga ngokusobala maphakathi nemajini yangaphambili.Kukhona ukuhlehla okuqinile kwe-costoclavicular ligament ohlangothini oluphakathi ngezansi, lapho i-costoclavicular ligament inamathela khona.I-lateral kuya ngaphansi kukhona i-conical node kanye ne-oblique line ne-conical ligament ye-rostroclavicular ligament kanye ne-oblique ligament attachment, ngokulandelana.
· Izinkomba
1. Ukuphuka kwe-clavicle kudinga ukusika nokunciphisa ukulungiswa kwangaphakathi.
2. I-osteomyelitis engapheli noma isifo sofuba se-clavicle sidinga ukususwa kwamathambo afile.
3. Isimila se-clavicle sidinga ukukhishwa kabusha.
· Ukuma komzimba
Ukuma kwe-Supine, namahlombe aphakeme kancane.
Izinyathelo
1. Yenza ukusika eduze kwe-clavicle emise okuka-S, futhi unwebe ukusika eduze konqenqema olungenhla lwe-clavicle emaceleni angaphakathi nangaphandle ngokuma kwesilonda njengophawu, kanye nesayithi nobude bokusika. izonqunywa ngokwesilonda kanye nezidingo zokuhlinzwa (Umfanekiso 7-1-1(1)).
Umfanekiso 7-1-1 I-Anterior Clavicular Manifestation Pathway
2. Gcoba isikhumba, izicubu ezingaphansi kwesikhumba kanye ne-fascia ejulile eduze kwe-incision futhi ukhulule i-flap yesikhumba phezulu naphansi ngokufanelekile (Umfanekiso 7-1-1(2)).
3. Faka i-vastus cervicis muscle endaweni engaphezulu ye-clavicle, imisipha inothile emithanjeni yegazi, qaphela i-electrocoagulation.I-periosteum ifakwe eduze kwendawo yamathambo ukuze i-subperiosteal dissection, ne-sternocleidomastoid clavicle engxenyeni engaphezulu engaphakathi, i-pectoralis enkulu ye-clavicle engxenyeni engezansi engaphakathi, imisipha ye-trapezius engxenyeni engaphezulu engaphandle, ne-deltoid ye-deltoid engxenyeni engaphandle engezansi. .Lapho ususa i-subclavian yangemuva, ukuchithwa kufanele kwenziwe ngokuqinile ngokumelene nethambo, futhi i-stripper yokulawula kufanele iqine ukuze ingalimazi imithwalo yegazi, izinzwa, ne-pleura ye-clavicle yangemuva (Umfanekiso 7-1-2).Uma kuhlongozwa ukusebenzisa ukulungiswa kwesikulufu sepuleti, izicubu ezithambile ezizungeze i-clavicle ziqale zivikelwe nge-periosteal stripper, futhi imbobo yokubhoboza kufanele iqondiswe ngaphambili phansi, hhayi ngemuva phansi, ukuze ingalimazi i-pleura ne-pleura. umthambo we-subclavian.
Umfanekiso 7-1-2 Uveza I-Clavicle
Isikhathi sokuthumela: Nov-21-2023
