Izindaba - Ukulimala Kwe-tendon ejwayelekile

I-tendon ukugqabhuka futhi izici ziyizifo ezijwayelekile, ikakhulukazi ezibangelwa ukulimala noma i-lesion, ukuze zibuyise umsebenzi we-limb, i-tendon ephukile noma enephutha kufanele ilungiswe ngesikhathi. I-tendon stuving iyindlela eyinkimbinkimbi kakhulu futhi ethambile yokuhlinzwa. Ngoba i-tendon ihlanganiswa ikakhulukazi imicu emihle, ukuphela okuphukile kuthambekele ekuhlukaniseni noma ekuqedeni kwe-suture ngesikhathi sokufunwa. Ukusukelwa kungaphansi kwengxabano ethile futhi kusasele kuze kube yilapho i-tendon ipholisa, futhi ukukhethwa kwe-suture nakho kubaluleke kakhulu. Namuhla, ngizokwabelana nawe ukulimala kwe-tendon evamile nemigomo, isikhathi, izindlela kanye namasu wokulungiswa kwama-tendon weTendon Stutere.
I.Cuffear
1.Pakogeny:
Ukulimala okungapheli kwehlombe;
I-Trauma: Ukulimala ngokweqile kwe-rotator cuff tendon noma ukuwa ngemthobe ephezulu kunwetshiwe futhi kufakwe emhlabathini, kubangele ubudlova engxenyeni ephakeme ye-rotator cuff;
Imbangela yezokwelapha: Ukulimala kumjikelezo we-rotator cuff tendon ngenxa yamandla ngokweqile ngesikhathi sokwelashwa ngesandla;
Isici esithi:
Izimpawu: Ubuhlungu be-post-ukulimala ehlombe, izinhlungu ezibunjiwe.
Izimpawu: I-60º ~ 120º vula i-arc yobuhlungu uphawu; ukuthwala amahlombe kanye nobuhlungu bokuqina kwangaphakathi nangaphandle; ingcindezi ubuhlungu emngceleni wangaphandle we-angomion ne-tumerosity enkulu ye-humerus;
Ukuthayipha kwe-3.climonical:
Thayipha I: AKUKHO BONAKALAYO OBUCHWEPHESHE NOMSEBENZI JEJEGE, Ubuhlungu Lapho uphonsa noma ujika ihlombe. Ukuhlolwa kungokwenzelwe ubuhlungu be-retro-arch;
Uhlobo II: Ngaphezu kobuhlungu lapho uphinda inhlangano elimele, kukhona ama-rotator cuff ukumelana nobuhlungu, futhi ukunyakaza okujwayelekile kwehlombe kujwayelekile.
Uhlobo lwe-III: Izimpawu ezijwayelekile, izimpawu zifaka izinhlungu zehlombe kanye nomkhawulo wokunyakaza, futhi kunokucindezela kanye nokumelana nobuhlungu bokuhlolwa.

4.Retator cuff tendon ukuqhuma:
① Qupture ngokuphelele:
Izimpawu: Ubuhlungu obukhulu basendaweni ngesikhathi sokulimala, ukukhululeka kwezinhlungu ngemuva kokulimala, kulandelwa ukukhuphuka okuhamba kancane kwezinga lobuhlungu.
Izimpawu Zomzimba: Ubuhlungu bokucindezela obubanzi ehlombe, ubuhlungu obukhali engxenyeni ye-tendon;
I-FISISURE ephelele ephelele nomsindo wokuhlikihla amathambo angejwayelekile;

Ubuthakathaka noma ukungakwazi ukuthumba ingalo ephezulu kuya ku-90º ohlangothini oluthintekile.
Ama-X-ray: Izigaba zokuqala zivame ukungabi nezinguquko ezingejwayelekile;
Isephuze sesikhathi esibonakalayo se-Shularal Truboluty Osteosclerosis cystic degeneration noma i-tendon ossification.

② Ukuqhekeka okungaphelele: I-Arthrography yehlombe ingasiza ekuqinisekiseni ukuxilongwa.
I-5
①1% ukuvalwa kwe-proint eyi-10 ml.
② Ukuhlolwa kwe-Upper Arm Drop Test.

II.InJory of the Becups Brachii Long Head Tendon
1.Pakogeny:
Ukulimala okubangelwa uhla oluphindwayo oluphindaphindile lokujikeleza kwehlombe kanye nokunyakaza okunamandla kokuhlangana kwehlombe, kubangele ukugqokwa okuphindaphindiwe nokudabula i-tendon ku-un-nodal sulcus;
Ukulimala okubangelwa ukudonsa ngokweqile ngokweqile;
Abanye: Ukuguga, ukuvuvukala kwe-rotator cuff, subscaluris tendon yeka ukulimala, izimpawu zasendaweni eziningi zasendaweni, njll.
Isici esithi:
I-tendonitis kanye / noma i-tenosynovitis yemisipha emide yekhanda le-biceps:
Izimpawu: usizi kanye nokungaphatheki kahle ngaphambili kwehlombe, kukhahlela phansi naphansi kwe-deltoid noma ama-biceps.
Izimpawu Zomzimba:
Sulcus oxhumana naye kanye nama-biceps ekhanda elide te tendon templon;
Uhlaka lwasendaweni lungahle luphile;
Ukwethulwa okungaphezulu kwe-Upper Hork kanye nobuhlungu bokunwebeka kwangemva kokungenwe nakho;
Isibonakaliso se-yargason esihle;
Ububanzi obukhawulelwe bokuhamba kwehlombe elihlanganisiwe.

Ukuqhuma kwe-tendon yekhanda elide lama-biceps:
Izimpawu:

Labo abaphoqa i-tendon ngokuwohloka okukhulu: imvamisa kakhulu akekho umlando osobala wokulimala okuncane noma ukulimala okuncane kuphela, futhi izimpawu azibonakali;

Labo abagqokwa okubangelwa ukuhlukaniswa okuqinile kwama-biceps ngokumelene nokumelana: isiguli sinomuzwa wokudwengula noma ukuzwa umsindo odwetshiwe ehlombe, futhi izinhlungu zehlombe zisobala futhi zikhanyisa ngaphambili kwengalo engenhla.

Izimpawu Zomzimba:

Ukuvuvukala, i-ecchymosis kanye nesisa nesisa esikhungweni se-inter-nodal;

Ukungakwazi ukuguquguquka kwe-elbow noma kwehlisiwe ukuguquguquka kwe-elbow;

I-Asymmetry esesimweni semisipha ye-biceps nhlangothi zombili ngezindawo ezinamandla;

Isikhundla esingajwayelekile semisipha ye-bicep yesisu esihlangothini esithintekile, esingahlehlela phansi esingu-1/3 esingaphansi;

Uhlangothi oluthintekile lunethoni yemisipha ephansi kunohlangothi olunempilo, futhi isisu sesisu sikhuphuke kakhulu kunohlangothi oluphambene phakathi nokuthengiswa okunamandla.

Ifilimu ye-X-ray: Ngokuvamile azikho izinguquko ezingejwayelekile.

III.InJory ofthe becfing brachii tendon

I-toology:

I-HatseePapathy yeTriceps Brachii Tendon (I-Ensashoopathy yeTriceps Brakii Tendon): I-Triceps Brakii Tendon idonswa kaninginingi.

Ukuqhuma kweTriceps Brachii Tendon (ukuqhekeka kweTriceps Brachii Tendon): I-Triceps Brakii Tendon idonswa ngamandla angaphandle nangaphandle kobudlova.

Ukubonakaliswa kwe-2.climonical:

Triceps tendon endopathy:

Izimpawu: Ubuhlungu ngemuva kwehlombe elingakhanyisa i-deltoid, ukulingana kwasendaweni noma okunye ukuhlukunyezwa kwemizwa;

Izimpawu:

Ubuhlungu bengcindezi ku-tendon ende yekhanda ye-triceps brachii ekuqaleni komngcele ophansi we-scapularl glenoid etafuleni elingaphezulu lengalo ephezulu;

Ubuhlungu be-elbow obuhle bokumelana; I-TRIICPS Ubuhlungu obuyelwe yi-Passive Exerthent Proposition yengalo ephezulu.

I-X-ray: Kwesinye isikhathi kuba nesithunzi se-hyperdense ekuqaleni kwemisipha ye-triceps.

I-Triceps tendon futture:

Izimpawu:

Ukunqamula okuningi ngemuva kwe-elbow ngesikhathi sokulimala;

Ubuhlungu nokuvuvukala endaweni yokulimala;

Ubuthakathaka ekunwetshisweni kwe-elbow noma ukungakwazi ukunweba ngentshiseko nge-elbow ngokugcwele;

Ubuhlungu bukhuphuke ngokumelana nokunwetshwa kwe-elbow.