Ukuqhekeka kwe-Clavicle kuhlangene ne-IPSIlateral AcromiocLavicular Dislomicular Dislomication ukulimala okungavamile ngokujwayelekile emtholampilo. Ngemuva kokulimala, i-distal France of the Clavicle iselula, futhi ukuhlukaniswa kwe-acromioclavicular okuhlobene ngeke kubonise ukuthunyelwa okusobala, okwenza kube lula ukuncipha kwe-misdiagnosis.
Ngalolu hlobo lokulimala, kunezindlela ezimbalwa zokuhlinza, kufaka phakathi ipuleti elide le-hook, inhlanganisela yepuleti ye-clavicle nepuleti ye-clavicle, neplate ye-clavicle ehlanganiswe nokulungiswa kwesikulufa kwinqubo ye-coracoid. Kodwa-ke, amapuleti e-hook athambekele ekubeni amafushane kakhulu ngobude obuphelele, okungaholela ekuhlelweni okunganele ekugcineni kwezezimali. Inhlanganisela yepuleti ye-clavicle nepuleti ye-hook ingahle iholele ekugxiliseni ingcindezi emhlanganweni, yandisa ingozi yokubuya.
Ukuqhekeka kwe-clavicle yangakwesobunxele kuhlangene ne-IPSILLATIL AcromiocLavicular asloalication, izinzinzi ezizinzile kusetshenziswa inhlanganisela yepuleti ye-hook kanye nepuleti ye-clavicle.
Ukuphendula lokhu, ezinye izazi zihlongoze indlela yokusebenzisa inhlanganisela yepuleti ye-clavicle kanye nezikulufo zehange ukuze zilungiswe. Isibonelo siboniswe kulesi sithombe esilandelayo, esibonisa isiguli esine-midsaft clavicle fracture ehlanganiswe nohlobo lwe-IPSILATARL IV Acromioclavicular Dislomickuva:
Okokuqala, kusetshenziselwa ipuleti ye-anatomical ye-clavicular ukulungisa ukwaphuka kwe-clavicle. Ngemuva kokunciphisa okuhlanganisiwe kwe-acromioclavicular ebekiwe, izikulufo ezimbili zensimbi zensimbi ezifakiwe zifakwa kwinqubo ye-coracoid. Ama-sutures anamathiselwe kwizikulungi zehange avele athambekele ezimbozweni ze-clavicle, futhi amafindo ahlanganiswe ukuze abavikele ngaphambili nangemuva kwe-clavicle. Ekugcineni, ama-ligaments we-acromioclavicular kanye nama-coracoclavicular ligaments asuswe ngokuqondile kusetshenziswa ama-suture.
Ukuqhekeka kwe-Clavicle okuqinile noma ukwahlukaniswa kwe-acromioclavicular okukodwa kungukulimala okuvame kakhulu emtholampilo. I-Clavicle Fractures Akhawunti ye-2.6% -4% yawo wonke ama-fractures, ngenkathi i-acromioclavicular dislocations enza ama-12% -35% wokulimala kokulimala. Kodwa-ke, inhlanganisela yokulimala kobabili ayivamile. Iningi lezincwadi ezikhona ziqukethe imibiko yamacala. Ukusetshenziswa kohlelo lweTighTrope ngokuhlangana nokulungiswa kwe-clavicle Plate kungaba indlela yenoveli, kepha ukubekwa kwe-clavicle Plate kungaphazamisa ukubekwa kokufakwa kweTightrope, kubeka inselelo edinga ukubhekiswa.
Ngaphezu kwalokho, ezimweni lapho ukulimala okuhlanganisiwe kungahloliswa khona ngokusebenza ngokuzihlaziya, kunconyelwa ukuthi kuhlolwe njalo ukuqina kokuhlanganiswa kwe-acromioclavicular ngesikhathi sokuhlola ukulungiswa kwe-clavicle. Le ndlela isiza ukuvikela ukulimala kokungenisa okufanayo.
Isikhathi sePosi: Aug-17-2023
