Ukwethulwa kwendlela yokuthola i- "radial nerve" endleleni eyangemuva kwe-humerus

Ukwelashwa okuhliswa kwaphakathi kwama-humerus ama-humerus aphakathi (okufana nalokho okubangelwa yi- "Wrist-Wrestling") noma i-Osteomyelitis ethobekile imvamisa idinga ukusetshenziswa kwendlela eqondile engemuva kwendlela eya kwi-Humerus. Ubungozi obukhulu obuhambisana nale ndlela ukulimala kwe-radial nerve. Ucwaningo luveze ukuthi kungenzeka ukuthi ukulimala kwe-Iatrogenic radial nerve okubangelwa indlela engemuva kwendlela eya kuma-humerus asuka ku-0% kuya ku-10%, ngokulimala kwe-radial nerve nerve ye-radial nerve ye-radial nerve ye-radial nerve esukela ku-3%.

Naphezu komqondo wokuphepha kwezinzwa ze-radial, izifundo eziningi zithembele kwizimpawu ze-bony anatomical ezifana nesifunda esiphezulu se-humerus noma i-scapula yokuma kwe-intraperative positioperative. Kodwa-ke, ukuthola i-radial nerve ngesikhathi senqubo ihlala inselele futhi ihlotshaniswa nokungaqiniseki okukhulu.

Umzekeliso wendawo yokuphepha yezinzwa ye-radial nerve. Ibanga eliphakathi nendawo elivela endizeni ye-radial nerve eya e-ateral eyonakalisayo ye-humerus icishe ibe ngu-12cm, lapho kunwebeka indawo yokuphepha nge-10cm ngenhla kwe-condery ephakathi.

Kulokhu, abanye abacwaningi bahlangane nezimo zangempela zokungenelela futhi balinganisa ibanga phakathi kwesihloko se-Triceps tendon fascia kanye ne-radial nerve. Bathole ukuthi leli banga lihlala lihlala njalo futhi linenani eliphakeme lokuma kwe-intraperative. Ikhanda elide le-Triceps Brachii tendon tendon ligijima libheke ngokuqondile, kuyilapho ikhanda lamuva lakha i-arc elinganiselwayo. Ukuhlangana kwalezi zintela kwakha isicucu se-triceps tendon fascia. Ngokuthola u-2,5cm ngaphezulu kwalesi siphuphu, kungakhonjwa izinzwa ze-radial.

 Indlela yokubeka isikhundla

Ngokusebenzisa i-apex ye-triceps tendon fascia njengesethenjwa, i-radial nerve ingatholakala ngokuhambisa cishe i-2.5cm phezulu.

Ngokutadisha okubandakanya isilinganiso seziguli ezingama-60, uma kuqhathaniswa nendlela yokuhlola yendabuko eyathatha imizuzu eyi-16, le ndlela yokubeka yanciphisa ukuvela kwesikhumba ku-radial nerve expression isikhathi sokuvezwa kwemizuzu engu-6. Ngaphezu kwalokho, kwawugwema ngempumelelo ukulimala kwe-radial nerve.

I-Intraperate Operatal FixMation Macroscopic Image of Mail-Distal 1/3 Fracture. Ngokubeka ama-sutures amabili angenamandla ahlangana cishe nge-2,5cm ngaphezulu kwendiza ye-Triceps Tendon Fascia Apex, ukuhlola ngale ndawo yokuhlangana kuvumela ukuvezwa kwe-radial nerve ne-vascular nqwaba.
Ibanga elishiwo lihlobene kakhulu nokuphakama kwesiguli nobude bengalo. Ngohlelo lokusebenza olusebenzayo, lungashintshwa ngokusekelwe kancane emzimbeni wesiguli kanye nokulingana komzimba.