Yini ukuhlukaniswa okuhlangene kwe-acromioclavicular?

Yini ukuhlukaniswa okuhlangene kwe-acromioclavicular?

Ukuhlukaniswa okuhlangene kwe-Acromioclavicular kubhekiswe ohlotsheni lwehlombe ehlombe lapho kulinyazwa khona i-acromioclavicular lilament, okuholela ekuhleleni kwe-clavicle. Kuyinto ukuhanjiswa kwe-acromioclavicular okubangelwa amandla angaphandle asetshenzisiwe ekupheleni kwe-acromion, okubangela ukuthi ama-scapula aqhubekele phambili noma phansi (noma emuva). Ngezansi, sizofunda ngezinhlobo nokwelashwa kwe-acromioclavicular arounciation ehlanganisiwe.

Ukuhlukaniswa okuhlangene kwe-Acromioclavicular (noma ukuhlukaniswa, ukulimala) kuvame kakhulu kubantu ababandakanyeka kwezemidlalo nasemsebenzini womzimba. Ukuhlukaniswa okuhlangene kwe-acromioclavicular kuhlukaniswa kwe-clavicle kusuka ku-scapula, kanye nesici esijwayelekile salokhu kulimala kuwukuwa okuphezulu kwehlombe eliphakeme kakhulu noma umthelela oqondile wephuzu eliphakeme kakhulu lehlombe. Ukuchithwa okuhlangene kwe-Acromioclavicular kuvame ukwenzeka kubadlali bebhola nabahamba ngamabhayisekili noma abashayeli bezithuthuthu ngemuva kokuwa.

Izinhlobo zokuhlukaniswa okuhlanganisiwe kwe-acromioclavicular

II ° (Ibanga): Ukuhlanganiswa kwe-acromioclavicular kususwe emnene futhi i-acromioclavicular ligament kungenzeka yelulwe noma idwengulwe ngokwengxenye; Lolu uhlobo oluvame kakhulu lokulimala ngokuhlanganyela kwe-acromioclavicular.

I-II ° (Ibanga): Ukuhlukaniswa okuyingxenye kokuhlangene kwe-Acromioclavicular okuhlangene, ukuphuma kungenzeka kungabonakali ekuhlolweni. Qedela izinyembezi ze-acromioclavicular ligament, akukho kuqhekeka kwe-rostral clavicular ligament

I-III ° (Ibanga): Ukuhlukaniswa okuphelele kwe-Acromioclavicular Joint nge-EacroocLavicular ligament, i-rostroclavicular ligament kanye ne-acromioclavicular capsule. Njengoba kungekho i-ligament ukusekela noma ukudonsa, ukuhlangana kwehlombe kuyamangaza ngenxa yesisindo sengalo ephezulu, i-clavicle ngakho-ke ibonakala ivelele futhi iphakanyisiwe, futhi ukuvezwa kungabonakala ehlombe.

Ubulukhuni be-acromioclavicular ehlanganisiwe ukuhlukaniswa kungahlukaniswa ezinhlotsheni eziyisithupha, nezinhlobo I-III zokuba ezivame kakhulu futhi izinhlobo IV-VI ziyivelakancane. Ngenxa yomonakalo omkhulu kuma-ligaments asekela isifunda se-acromioclavicular, konke ukulimala kwe-III-VI kudinga ukwelashwa okuhlile.

Unjani ukuhlukaniswa kwe-acromioclavicular?

Ezigulini ezinokungenisa okuhlangene kwe-acromioclavicular, ukwelashwa okufanele kukhethwe ngokwesimo. Ezigulini ezinesifo esithambile, ukwelashwa okulondoloziwe kungenzeka. Ngokukhethekile, ngohlobo lwe-acromioclavicular disloalication oluhlanganisiwe, ukuphumula nokumiswa ngethawula elingunxantathu amasonto ayi-1 kuye kwangama-2; Ngohlobo i-II Diateoshini, ingabe intambo engemuva ingahle isetshenziselwe ukungasebenzi. Ukwelashwa okulondoloziwe okufana nehlombe nokulungiswa kwe-elbow strap nokubopha; Iziguli ezinesimo esibi ngokwengeziwe, okusho iziguli ezinokulimala kwe-Type III, ngoba i-capsule yazo ehlanganisiwe ne-acromioclavicular ligament kanye ne-rostraclavicular ligament kuqhumekile, okwenza i-acromioclavicular i-jomioclavicular ligament idinga ukubheka ukwelashwa okuhlile ngokuphelele.

Ukwelashwa kokuhlinzwa kungahlukaniswa izigaba ezine: (1) Ukulungiswa kwangaphakathi kokuhlanganiswa kwe-acromioclavicular; (5) Ukulungiswa kokukhiya okuluhlaza ngentambo yokwakhiwa kwe-ligamemente; (3) Ukuvuselelwa kwe-distal clavicle; kanye (4) namandla okuguqula izicubu zomzimba.