Kɔnɔbara kari hakɛ bɛ kɛ 30-60 ye mɔgɔ 100.000 o 100.000 la, cɛ ni muso hakɛ bɛ se 2:1 ma, o bɛ kɛ 5% fo 10% ye kari bɛɛ la ani 44% ye kamankun joginw na. Kɔnɔbara ye kolo fɔlɔ ye min bɛ koloci kɛ hadamaden farikolo la, wa a koloci bɛ daminɛ den ka ɲɛnamaya dɔgɔkun duurunan na, wa a kelenpe de ye kolotuguda jan ye min bɛ kolo kɛ kolotugudaw kɔnɔ. Koloci fɔlɔ bɛ kɛ cɛya cɛmancɛ la, wa a bɛ kɛ sababu ye ka ɲɛgɛnɛsira bonya fo ka se san 5 ma. Epiphyseal plate dɔ bɛ ka bonya kɔkolo kɔnɔna ni kɛnɛma dakun kelen-kelen bɛɛ la, nka tuma caman na, koloci cɛmancɛ dɔrɔn de bɛ se ka ye ni rezow ye. Medial epiphyseal plate bɛ kɛ sababu ye ka 80% kɛ cɛya janya bonya la, wa a ka ca a la a kolociyɔrɔ tɛ daminɛ ka bɔ fo san 13 fo san 19, wa a tɛ fara cɛya kan fo ka se san 22 fo san 25 ma. O la, ni aw bɛ ɲɛgɛnɛsiralabanaw sɛgɛsɛgɛ banabagatɔ fitiniw na, a nafa ka bon ka a ni cɛmancɛla ɲɛgɛnɛsira joginni danfara.
Anatomie fonctionnelle (Anatomie fonctionnelle).
Kɔnɔbara bɛ tilennen ɲɔgɔn na ni a lajɛra ɲɛfɛ, nka a bɛ kɛ S cogo la ni a lajɛra sanfɛ, a bɛ kuru kɔfɛ ani cɛmancɛ la ka taa kɔnɔbara fan fɛ. A tigɛcogo bɛ Changé axe jan fɛ, ni kɛnɛma 1/3 bɛ flakɛ walasa ka farikolo ni ligament sama; cɛmancɛ 1/3 bɛ kɛ tubabufura ye, a cɛmancɛ bɛ dɔgɔya ani a ɲɛda ka bon ani a kolo ka bon ka tɛmɛ tɔw kan, walasa ka aksidan tansiyɔn ni tension ladon ani ka joli siraw lakana a jukɔrɔ kɔnɔna 1/3 ye rombo ye wa a bɛ tali kɛ kɔkolo ni kɔkili fɔlɔ la ni ligamentous tissue barikamaw ye (Jaa 1). Farikoloɲɛnajɛ-sɛgɛsɛgɛliw y’a Jira ko cɛya-yɔrɔ barika ka dɔgɔ yan k’a sababu Kɛ a cogoya caman ɲɔgɔnna ye cɛmancɛ ni kɛnɛma 1/3 la. Ka fara o kan, a bɛ kɛ kɛrɛfɛla la ka taa ɲɛgɛnɛsira la, wa a tɛ farikolojidɛsɛ lakanani sɔrɔ, o b’a to a bɛ kɛ yɔrɔ ye min ka teli ka kari, i n’a fɔ a jiralen bɛ cogo min na kɛnɛyaso kɔlɔsiliw fɛ.
Jogin kɛcogo
Ni bolokɔni karilen don balikuw la, jogincogo min ka teli ka kɛ cɛya karilen na, a tun bɛ miiri fɔlɔ ko o ye binkanni sababu ye ni bolo bɛ a cogo la min ka bon kojugu, nka Stanley et al. a y’a jira ko nin jogincogo in kɛra 6,3% dɔrɔn ye kɔkili cɛmancɛ karilenw na ani 5,9% dɔrɔn de ye kɔkili yɔrɔjan karilenw na, wa banabagatɔ bɛɛ la, jogincogo min ka ca kosɛbɛ, o bɔra fanga tilennenw na minnu bɛ baara kɛ kamankun kolotugudaw la Jogincogo min ka teli ka kɛ banabagatɔ bɛɛ la, o ye fanga tilennen ye kamankun kolotugudaw kan, a ka c’a la, a tɛ wuli kosɛbɛ walima ni a bɛ wuli dɔɔni dɔɔni dɔrɔn.
Ni binna ni bolokɔnincinin bɛ a yɔrɔ janyalenba la, a ka ca a la, o kari bɛ sɔrɔ kɛnɛma fanga dɔ nɔfɛ min bɛ sɔrɔ binkanni kɔfɛ. Kari suguya wɛrɛ min bɛ sɔrɔ fariyako siratigɛ la, o ye ni kɛnɛma fanga dɔ bɛ kɛ kamankun kan, o bɛ kɛ sababu ye ka cɛya kari ni kɔkili fɔlɔ ye, o bɛ na ni kari ye min bɛ kɛ ni jiribolo cɛmancɛ 1/3 ye. Ka fara o kan, ni sirabakan kasaara bɛ kɛ tuma caman na nin san laban ninnu na, k’a sababu kɛ mobili kasaara ka nɔba ye, lakana cɛsirilan bɛ fanga jɔyɔrɔ dɔ kɛ kamankun na, o min bɛ kɛ sababu ye tuma caman na ka kari kɛ senkɔni cɛmancɛ la, min bɛ kɛ ka tɛmɛsira walima kari kan, mɔgɔw b’o wele ko lakana cɛsirilan kari. Laala, barisa a ka ca a la, joginda ka fariya ka bon, o kari suguya in ka teli ka kɛ jɛɲɔgɔnya tɛ ka tɛmɛ kɔkili karilen kan min bɛ kɛ tuma bɛɛ.
Furakɛli
Cɛmancɛ-kɔnɔbara karilen: .
Splint fixation:Splint fixation de la clavicule fractures ye 'sanu sariya' ye hali bi. Platiw ye 3,5mm LC-DCP, 3,5mm reconstruction plates, LCP locking plates, ani plati suguya kɛrɛnkɛrɛnnen dɔw ye. Nafa minnu bɛ sɔgɔsɔgɔninjɛ la, olu ye: kari tigɛlenw degun; oblique walima butterfly fractures sirili ni tension screws ye minnu faralen don ɲɔgɔn kan ni neutraliser splints ye; jiginni kɔlɔsili ɲuman; karilen sirili lakananen na banabagatɔ ka don o don baaraw kama; ani ko a ka ca a la, sɔgɔsɔgɔninjɛw man kan ka bɔ (ni u ka kan ka bɔ fo kalo 12 fo kalo 18 opereli kɔfɛ).
Kɔnɔbara yɔrɔjan karilen : .
Kɔnɔbara basigilen sirilan ye siricogo ye min tɛ ɲɛ, o nafaw ye kɔnɔna sirili nɔgɔyali ye, a sigiyɔrɔ kura ladonni ka ɲɛ, acromioclaviculaire jogin tɛ tiɲɛni kɛ, ani kɔnɔna sirili sabatili hakɛ dɔ la k’a sɔrɔ a ma sɛgɛn ka don lamini yɔrɔw la i n’a fɔ a bɛ kɛ cogo min na ni laadala kifotiki pinɛ ye.
Kɛrɛnkɛrɛnnenya la, cɛya karilen: .
Sɛbɛnw b’a jira ko furakɛli min tɛ opereli ye, o de ka fisa nin kari suguya in na, ni kɔnɔbara ni bolokɔni sɔgɔli frein ye. Kɔnɔna sirili tigɛlen bɛ se ka jateminɛ ni joli siraw joginni bɛ yen, walima ni kari bɛ bɔ kɔfɛ min bɛ kɛ sababu ye ka banabagatɔ ninakili walima ka a munumunu gɛlɛya, walima ni o taamasiɲɛ suguw tɛ yen nka ja lajɛ b’a jira ko kari min bɔra yɔrɔ wɛrɛ la, o bɛ ka kɔfɛla yɔrɔ nafama dɔ tiɲɛ ani ko a bilali kɔfɛ, o tɛ nafa sɔrɔ. Ni fixation tɛ se ka kɛ, proximal clavicle bɛ se ka bɔ ni a mago bɛ a la.
Gɛlɛya minnu bɛ sɔrɔ a la
Kɛnɛya tɛ:Sɛbɛn tɛmɛnenw y’a jira ko kɛnɛyabaliya hakɛ bɛ se 0,9% fo 4% ma cɛya karilenw na, wa kɔsa in na, sɛgɛsɛgɛli kɛra mɔgɔ caman kan, o y’a jira ko kɛnɛyabaliya hakɛ yɛrɛ ka ca kosɛbɛ ka tɛmɛ mɔgɔ bɛ se ka miiri min na.
Nafamafɛnw kɛnɛyali : Laadalata ka miiriya ye ko ɲɛgɛnɛsiralabanaw kɛnɛyali ye ɲɛnajɛ gɛlɛya dɔrɔn de ye, wa ni kɛnɛyabaliya ma kɛ opereli kɔfɛ, o nɔ ka fisa ka tɛmɛ ka a to farikolojidɛsɛ ka kɛ. Nka, kɔlɔsili minnu kɛra kɔsa in na, olu y’a jira ko ni cɛya surunyara ka tɛmɛ santimɛtɛrɛ 15 kan, o bɛ kɛ sababu ye tuma caman na dimi na ani ka dan sigi a lamagacogo la a laban na. Ka fara o kan, dɔnnikɛla dɔw ye 'clavicle shaping' nɔgɔman jira farikolojɔli furakɛli la, nka o fɛɛrɛ in man ɲi. Ni aw ye sɔgɔsɔgɔninjɛ bɔlen dɔrɔn bɔ, o bɛ se ka kɛ sababu ye ka ɲɛgɛnɛsira fin ani ka dɔ fara a kari farati kan kosɛbɛ, wa ikomi ɲɛgɛnɛsira sɔgɔli bɛ ye yɔrɔ saba la, 'ka sɔgɔsɔgɔninjɛ nɔgɔya' plan horizontal kɔnɔ dɔrɔn, o tɛna kɛ sababu ye ka sɔgɔsɔgɔninjɛ latilen pewu. O la, fɛɛrɛ min bɛ se ka da a kan kosɛbɛ, o ni ɲɔgɔndɛmɛbaliya furakɛli bɛ tali kɛ ɲɔgɔn na: kolotuguda tɛmɛnen bɔli bɛ se ka kɛ a la tigɛlen kɔfɛ, ka kɔnɔna sirili sabati ani ka kolotugudaw sɔgɔ cogo kelen na. Tiɲɛ don, banabagatɔ ka kan ka ladɔnniya a la ko farati bɛ a la ka sɔrɔ a ma kɛ ɲɔgɔn fɛ sani opereli ka kɛ.
Jolilabanaw joginni:Joliw joginni ka teli ka kɛ kɔkolo karilen kɔfɛ, o ka dɔgɔn a daminɛ na, wa a ka ca a la joginda filanan tɛ kɛ ka da a karilen jiginni kan ka a sababu kɛ joli siraw yɔrɔ caya ye karilen kɔfɛ, ka sɔrɔ a laban na, kolotugudaw falenni bɛ se ka kɛ sababu ye ka a minɛcogo taamasiɲɛw jira. Ni o kɛra, a ka ca a la, opereli bɛ kɛ ka degun bɔ a la.
Jolidɛsɛ jugumanba:Jolidɛsɛ jugumanba kɔkili karilen kɔfɛ, a ka teli ka kɛ acromioclaviculaire joli la kɔkolo kɛnɛma 1/3 karilen kɔfɛ, kɛrɛnkɛrɛnnenya la, o bɛ bɔ kolotuguda in tiɲɛni na ni fariya ye joginda waati la, ani a fan dɔ bɛ bɔ kari la min bɛ kɛ ni kolotuguda yɔrɔ ye. Ni da tuguli ma ɲɛ, a ka kan ka cɛya yɔrɔ jan santimɛtɛrɛ 1 tigɛ, ani ka ladonni kɛ opereli kɔnɔ walasa ka kɔkolo-kɔnɔna tanga.
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