Iyini i-acromioclavicular joint dislocation?

Iyini i-acromioclavicular joint dislocation?

I-Acromioclavicular joint dislocation ibhekisela ohlotsheni lokuhlukunyezwa kwehlombe lapho i-acromioclavicular ligament yonakaliswa, okuholela ekuhlakazeni kwe-clavicle. Ukuhlukaniswa kwe-acromioclavicular joint okubangelwa amandla angaphandle asetshenziswe ekugcineni kwe-acromion, okubangela ukuthi i-scapula iqhubekele phambili noma phansi (noma emuva). Ngezansi, sizofunda ngezinhlobo nokwelashwa kwe-acromioclavicular joint dislocation.

I-Acromioclavicular joint dislocations (noma ukuhlukaniswa, ukulimala) kuvame kakhulu kubantu abathintekayo kwezemidlalo kanye nomsebenzi womzimba. I-acromioclavicular joint dislocation iwukuhlukaniswa kwe-clavicle kusuka ku-scapula, futhi isici esivamile salokhu kulimala ukuwa lapho iphuzu eliphakeme kakhulu lehlombe lishaya phansi noma umthelela oqondile wephuzu eliphakeme kakhulu lehlombe. Ukuhlukaniswa okuhlangene kwe-Acromioclavicular kuvame ukwenzeka kubadlali bebhola nabagibeli bamabhayisikili noma abagibeli bezithuthuthu ngemva kokuwa.

Izinhlobo ze-acromioclavicular joint dislocation

II°(ibanga): ijoyinti ye-acromioclavicular iyasuswa kancane futhi umsipha we-acromioclavicular ungase welulwe noma udabuke kancane; lolu uhlobo oluvame kakhulu lokulimala okuhlangene kwe-acromioclavicular.

I-II° (ibanga): ukuhlukaniswa kwengxenye ye-acromioclavicular joint, ukufuduka kungase kungabonakali ekuhlolweni. Ukudabuka okuphelele kwe-acromioclavicular ligament, akukho ukuphuka kwe-rostral clavicular ligament

III° (ibanga): ukuhlukaniswa okuphelele kwejoyinti le-acromioclavicular ngokudabuka okuphelele kwe-acromioclavicular ligament, rostroclavicular ligament kanye ne-acromioclavicular capsule. Njengoba kungekho ligament ukusekela noma ukudonsa, ihlombe elihlangene liyancibilika ngenxa yesisindo sengalo engenhla, ngakho-ke i-clavicle ibonakala ivelele futhi iphakanyisiwe, futhi ukuvelela kungabonakala ehlombe.

Ubunzima bokuhlukaniswa kwe-acromioclavicular joint dislocation bungahlukaniswa ngezinhlobo eziyisithupha, ngezinhlobo I-III ezivame kakhulu kanye nezinhlobo IV-VI ezingavamile. Ngenxa yokulimala okukhulu kwemigqa esekela isifunda se-acromioclavicular, zonke izinhlobo zokulimala kwe-III-VI zidinga ukwelashwa kokuhlinzwa.

Ilashwa kanjani i-acromioclavicular dislocation?

Ezigulini ezine-acromioclavicular joint dislocation, ukwelashwa okufanele kukhethwe ngokuvumelana nesimo. Ezigulini ezinesifo esincane, ukwelashwa okuvamile kuyenzeka. Ngokuqondile, kuhlobo lwe-acromioclavicular joint dislocation, ukuphumula nokumiswa ngethawula elingunxantathu i-1 kuya kumaviki angu-2 kwanele; ohlotsheni lwe-II dislocation, i-back strap ingasetshenziselwa immobilisation. Ukwelashwa okulondolozayo okufana nokulungiswa kwebhande lendololwane nendololwane kanye nokubhuleka; iziguli ezinesimo esibi kakhulu, okungukuthi iziguli ezinokulimala kohlobo lwe-III, ngenxa yokuthi i-capsule yabo ehlangene kanye ne-acromioclavicular ligament kanye ne-rostral clavicular ligament iye yaphuka, okwenza i-acromioclavicular joint engazinzile ngokuphelele isidingo sokucabangela ukwelashwa kokuhlinzwa.

Ukwelashwa kokuhlinzwa kungahlukaniswa ngezigaba ezine: (1) ukulungiswa kwangaphakathi kwe-acromioclavicular joint; (5) ukulungiswa kwe-rostral lock ngokwakhiwa kabusha kwe-ligament; (3) ukukhishwa kabusha kwe-distal clavicle; kanye (4) nokuguqulwa kwemisipha yamandla.