Kuyini ukuhlukaniswa kwamalunga e-acromioclavicular?

Kuyini ukuhlukaniswa kwamalunga e-acromioclavicular?

Ukuhlukana kwamalunga e-Acromioclavicular kubhekisela ohlotsheni lokulimala kwehlombe lapho i-acromioclavicular ligament yonakala khona, okuholela ekuhlukaneni kwe-clavicle. Kuwukuhlukana kwamalunga e-acromioclavicular okubangelwa amandla angaphandle asetshenziswa ekugcineni kwe-acromion, okubangela ukuthi i-scapula iye phambili noma phansi (noma emuva). Ngezansi, sizofunda ngezinhlobo kanye nokwelashwa kokuhlukana kwamalunga e-acromioclavicular.

Ukuhlukana kwamalunga e-acromioclavicular (noma ukuhlukana, ukulimala) kuvame kakhulu kubantu abahileleke kwezemidlalo kanye nomsebenzi womzimba. Ukuhlukana kwamalunga e-acromioclavicular kuwukuhlukana kwe-clavicle ne-scapula, futhi isici esivamile salokhu kulimala ukuwa lapho iphuzu eliphakeme kakhulu lehlombe lishaya phansi noma ukushaywa ngqo kwephuzu eliphakeme kakhulu lehlombe. Ukuhlukana kwamalunga e-acromioclavicular kuvame ukwenzeka kubadlali bebhola kanye nabagibeli bamabhayisikili noma abagibeli bamabhayisikili ngemva kokuwa.

Izinhlobo zokuhlukaniswa kwamalunga e-acromioclavicular

II°(ibanga): ilunga le-acromioclavicular lisuswa kancane futhi i-acromioclavicular ligament ingase yelulwe noma idabuke kancane; lolu uhlobo oluvame kakhulu lokulimala kwelunga le-acromioclavicular.

II° (ibanga): ukuhlukana okuyingxenye kwejoyinti le-acromioclavicular, ukufuduka kungase kungabonakali lapho kuhlolwa. Ukudabuka okuphelele kwe-acromioclavicular ligament, akukho ukudabuka kwe-rostral clavicular ligament

III° (ibanga): ukuhlukaniswa okuphelele kwejoyinti le-acromioclavicular ngokudabuka okuphelele kwejoyinti le-acromioclavicular, i-rostroclavicular ligament kanye ne-acromioclavicular capsule. Njengoba kungekho ligament yokusekela noma yokudonsa, ijoyinti lehlombe liyaxega ngenxa yesisindo sengalo engenhla, ngakho-ke i-clavicle ibonakala ivelele futhi iphakanyisiwe, futhi ukuvelela kungabonakala ehlombe.

Ubunzima bokuhlukana kwamalunga e-acromioclavicular bungahlukaniswa ngezinhlobo eziyisithupha, kanti izinhlobo I-III ziyizona ezivame kakhulu kanti izinhlobo IV-VI ziyivelakancane. Ngenxa yomonakalo omkhulu kuma-ligaments asekela isifunda se-acromioclavicular, zonke izinhlobo zokulimala kohlobo III-VI zidinga ukwelashwa ngokuhlinzwa.

Iphathwa kanjani i-acromioclavicular dislocation?

Ezigulini ezine-acromioclavicular joint dislocation, ukwelashwa okufanele kukhethwa ngokuya ngesimo. Ezigulini ezinezifo ezincane, ukwelashwa okulondolozayo kungenzeka. Ngokukhethekile, ekuqhekekeni kwamalunga ohlobo I, ukuphumula kanye nokumiswa ngethawula elingunxantathu isonto eli-1 kuya kwamabili kwanele; ekuqhekekeni kohlobo II, intambo yangemuva ingasetshenziswa ukuvimba ukunyakaza. Ukwelashwa okulondolozayo njengokubopha ibhande lehlombe nendololwane kanye nokubhuleka; iziguli ezinesimo esibucayi kakhulu, okungukuthi iziguli ezinokulimala kohlobo III, ngoba i-capsule yazo yamalunga kanye ne-acromioclavicular ligament kanye ne-rostral clavicular ligament ziqhumile, okwenza i-acromioclavicular joint ingazinzile ngokuphelele isidingo sokucabanga ngokwelashwa kokuhlinzwa.

Ukwelashwa ngokuhlinzwa kungahlukaniswa ngezigaba ezine: (1) ukufakwa kwangaphakathi kwejoyinti le-acromioclavicular; (5) ukufakwa kwe-rostral lock ngokwakhiwa kabusha kwe-ligament; (3) ukususwa kwe-distal clavicle; kanye (4) ukuguqulwa kwemisipha yamandla.